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2017 is the first performance year.  It determines the percentage of increase, or penalty, in payment adjustments for 2019.  The percentage is capped at +/-4%.  During 2017, you can pick your MIPS participation pace. The choice is yours.  You can choose to:

  • Not participate
  • Test Pace
  • Partial Year
  • Fully Participate

Let’s take a look at each of those options:

Not Participate

You can decide not to participate in 2017.  But there’s a catch… Not sending any data during 2017 means you will receive a -4% payment adjustment in 2019.  You miss out on any gain.  And your payments will be penalized.

Test Pace

Perhaps you haven’t yet gotten started with MIPS, yet.  You certainly don’t want to be penalized – especially if you can start taking steps now.  If you submit ‘some’ data after January 1, 2017, you will get a neutral payment adjustment in 2019.  You won’t get an increase in payments, but at least you won’t have a decrease.

Partial Year

You’ve been planning but still haven’t started with MIPS.  If you want to see a rise in your payment adjustment in 2019 – the Partial Year option might be for you.   You can still benefit from a small positive payment adjustment. As long as you start anytime before October 2, 2017.

You qualify by reporting one or more 90-day period(s) after January 1, 2017.  The percentage of your positive payment adjustment depends on how much data you report.  Here is the minimum for a positive payment adjustment:

Fully Participate

If you fully participate during all of 2017, you will benefit from a modest positive payment adjustment in 2019 – This is the best way to get the most out of MIPS.

You are also eligible to be considered an Exceptional Performer.  An Exceptional Performer may qualify for an additional positive payment adjustment, on top of the 4%.

MIPS Pace Optimum Healthcare IT

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