Urology Times January 12, 2024
Wayne Singer

“Specialty providers can take three steps now to succeed with MIPS while prioritizing caring for their patients,” writes Wayne Singer.

Medicare’s Merit-based Incentive Payment Program (MIPS), now in its 7th year, continues to create confusion, particularly 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...

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Topics: MACRA, Payment Models, Physician, Provider, Value Based
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