Avoiding MIPS Penalties: Common Pitfalls and How to Avoid Them
Navigating the complexities of MIPS can be daunting. This guide highlights not only common pitfalls in MIPS reporting but also strategic solutions to ensure you remain compliant and optimize your financial outcomes. Remember, its still not too late to get started for 2024 MIPS Reporting!
Common Pitfalls in MIPS Reporting:
1. Data Incompleteness:
- Not meeting the 75% data completeness requirement for each measure can result in lower Quality scores
2. Inaccurate Reporting:
- Errors in data submission, whether from incorrect data entry or misunderstanding measure specifications, can lead to incorrect scoring.
3. Overlooking Cost Category:
- Ignoring the 30% weight of the cost category can negatively impact the overall MIPS score. It automatically contributes to the final score based on claims data.
4. Inadequate Reporting Mechanism Choice:
- Choosing an inappropriate reporting mechanism (e.g., registry, eCQMs, claims) that doesn’t align well with your practice’s operations can hinder your ability to report effectively.
- Some practices may choose a reporting method based on convenience rather than effectiveness, potentially leading to lower scores.
5. Misunderstanding Performance Period Requirements:
- Failing to report data for the required continuous 90- or 180-day period (depending on the performance year) can result in non-compliance and penalties.
Strategies to Avoid MIPS Penalties:
- Regular Training and Education:
- Provide training sessions for all staff involved in MIPS reporting to ensure everyone understands the requirements. Additional trainings should occur yearly when the new MIPS Final Rule is released with any updates to the program.
- Understanding and Choosing Reporting Mechanisms:
- Assess the pros and cons of different reporting mechanisms. eCQMs are typically more automated and might reduce errors but require a compatible EHR system. Registries, although potentially more labor-intensive, can offer more support and detailed feedback on performance.
- Consider a combination of reporting mechanisms if it helps capture the data more effectively, especially if different measures align better with different reporting styles.
-Utilize MIPS Resources:
- Regularly review CMS feedback reports and leverage CMS webinars, guidelines, and resources to adjust strategies and understand areas of improvement.
-Engage with MIPS Consultants:
- Use professional services that specialize in MIPS to navigate the complexities of reporting, especially when considering the integration of multiple reporting mechanisms.
Understanding the nuances of MIPS is essential for avoiding penalties and enhancing performance scores. Strategic planning and continuous education on MIPS processes and updates can significantly improve a practice’s outcomes under this program. Whether you're looking to get started for 2024 or want to be prepared going into 2025, reach out today with any questions your may have. 803-205-2544.
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