Are you exempt from MIPS? Academy offers help for 2017 reporting

Sabra_Sullivan.jpgBy Sabra Sullivan, MD, PhD
Chair of the AADA’s Congressional Policy Committee and chair of the AADA’s Council on Government Affairs and Health Policy


In May, the Centers for Medicare & Medicaid Services (CMS) sent letters to more than 800,000 clinicians informing them that they will not be required to comply with Merit-based Incentive Payment System (MIPS) in 2017. CMS is exempting about two thirds of physicians and other clinicians who provide care to Medicare beneficiaries from MIPS, a pay-for-performance track that will determine part of physicians' Medicare payments, starting in 2019.

Who’s exempt? Physicians with less than $30,000 in allowed charges to Medicare Part B per year, or those who see fewer than 100 unique Medicare Part B patients per year. CMS will also give a pass to providers if 2017 is their first year as a Medicare participating provider. However, those providers will be required to participate in 2018. (Learn more in the Academy's MACRA Resource Center.)

You can easily find out if you are exempt from MIPS by using this CMS tool.

So, what if you’re not exempt?

Under MIPS, all physicians will be eligible to earn a bonus of up to 4% in 2019, and by 2022 they could be eligible for a 9% payment bonus. On the other hand, physicians who don’t participate or perform poorly in MIPS will receive up to a 4% payment reduction, and by 2022 that payment penalty will go up to a 9% maximum.

For those physicians who are not exempt from MIPS, CMS has created some flexibilities to ease the transition to MIPS. Under the "pick your pace" approach that CMS adopted for this transitional year, clinicians can submit a minimal amount of performance data to avoid a penalty in 2019. Alternatively, they can submit 90 days of data or a full year of data to earn potential bonuses.

DataDerm™ offers streamlined reporting

For dermatologists who aren’t exempt and want to avoid a penalty, AAD’s DataDerm™ offers an easy, streamlined reporting experience with its MIPS Reporting Module. While you can purchase the module now to prepare for reporting, it is not available quite yet. The Academy will keep you informed when the module becomes available.

AAD’s DataDerm™ is the first ever clinical data registry developed by dermatologists for dermatologists. Since DataDerm™ already tracks 35 dermatology-specific or application measures, using the new MIPS reporting module allows for easy, streamlined reporting.

2017 MIPS Reporting Module offers:
•    Flexibility — choose from 22 MIPS quality measures that best fit your practice
•    Reporting of all components in one place —  MIPS Quality, Practice Improvement Activities, and Advancing Care Information
•    Real-time dashboards — tracks your performance
•    Time-saving data entry — EHR integration and simple solutions for paper-based practices available
•    Secure data validation before submission to ensure reporting success

GET the MIPS module


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