How specialty practices can succeed in MIPS and value-based care

Physicians Practice January 3, 2024
Wayne Singer

Specialty providers can take steps now to succeed with MIPS and VBC while prioritizing caring for their patients.

Now in its seventh year, the Merit-Based Incentive Payment System (MIPS) continues to create confusion, especially for specialists. The program can have a big impact on Medicare Part B reimbursements, using the MIPS composite performance score to determine if providers will receive a payment bonus, a payment penalty, or no payment adjustment at all. Adjustments are based on performance in four categories: quality, cost, promoting interoperability, and improvement activities.

The biggest challenge for providers is to report data for at least six quality measures for a minimum number of cases for each calendar year. This poses an additional challenge for specialty providers...

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