MIPS 2023

Healthcare Reporting is Here

DONE FOR YOU, full service MIPS reporting

Plan now to avoid future penalties

If your MIPS score is below 75, you will see a Negative Payment Adjustment

While healthcare providers dedicate themselves to prioritizing patients, CMS consistently plays a vital role in enhancing the safety and affordability of healthcare. The Merit-based Incentive Payment System (MIPS), intricately linked with MACRA under the Quality Payment Program, represents a proactive measure taken by the US government. For providers committed to enhancing patient well-being through prompt responses and quality care, MIPS serves as a mechanism for receiving reimbursements, be they penalties or incentives. As the year has come to a close, we are now gearing up for MIPS 2023 reporting. Canyon Health Data Solutions is offering MIPS consulting and reporting services to all providers throughout the performance year 2023.

We'll help guide you through the MIPS Reporting process

Let us do the heavy lifting so you don't have to

CMS-Trusted MIPS Qualified Registry

When you choose our MIPS consultation, the potential to surpass maximum performance thresholds across all MIPS eligibility segments is limitless. Our secure MIPS reporting service can ensure a higher final score, reducing the chance of penalties to zero. Leveraging digitized healthcare reporting systems, we aim to meet data completeness requirements for all category measures.

Strategy Backed by Data

We can assist you in reporting on a minimum of 70% of denominator-eligible patients/cases for the chosen set of six quality measures. Additionally, we offer strategies to enhance your performance in the quality category, maximizing your potential for a high-quality improvement score. Furthermore, our support extends to aiding small practices in obtaining six additional bonus points exclusively available to them.

Guidance for Growth

We will provide guidance to optimize your practice's improvement activities, enabling you to achieve a maximum score for reporting high-weighted and medium-weighted activities within a 90-day performance period in the calendar year (CY).

Industry Knowledge

Seek assistance to gain the advantage of cost improvement scoring, a modification in the Cost Category of MIPS that grants 1/100 percentage points for effective reporting of cost performance.

Frequently Asked Questions

Who can be eligible for MIPS?

MIPS eligibility is based on a clinician's National Provider Identifier (NPI) and the associated Taxpayer Identification Numbers (TINs), referred to as the TIN/NPI combination. You must be identified as a MIPS eligible clinician type on Medicare Part B claims, have enrolled as a Medicare provider before end of the previous year, and not be a Qualifying Alternative Payment Model Participant (QP).

Eligible Clinicians (but not limited to):

Physicians, Physician Assistants, Chiropractors, Clinical Nurse Specialists, Nurse Practitioners, Physical Therapists, Occupational Therapists, Clinical Psychologists, Certified Register Nurse Anesthetists, Qualified Speech-Language Pathologists, Qualified Audiologists, Registered dietitians or nutrition professionals, Qualified speed-language pathologists, Certified Nurse Midwives, Osteopathic Practitioners

What are the four performance categories for MIPS?

MIPS adjusts Medicare Part B payments based on performance in four performance categories: 

  • Quality (30%)

  • Cost (30%)

  • Promoting interoperability (25%)

  • Improvement activities (15%)

What happens if you do not report MIPS?

Unless you qualify for an exemption from MIPS in a year, you will receive a -9% payment adjustment to your Medicare Part B fee-for-service (FFS) claims in the following year.

What is the cut off date for MIPS reporting?

You must report data collected during the calendar year by March 31 of the following calendar year.

Payment adjustments, based on the data you submit for services provided, are applied to Medicare Part B claims during January 1 to December 31 of the year following data submission.

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