The Secret Recipe for MIPS Success: Unlock High Scores and Max Incentives

As a new MIPS performance period begins, it is important to define how a practice can be successful in the MIPS program. The program changes every year, and the changes can be overwhelming for the practice to keep track of, leaving the practice vulnerable to Medicare penalties of up to 9%. But, contrary to popular belief, there is a recipe for success.

The first, and most important secret ingredient, is to create a culture of positive active engagement in MIPS. How many times have you heard “Why do we have to do this?” or “This is too much work”? Many administrators have a difficult time responding to these statements. Creating a culture of positive MIPS engagement begins with provider buy-in and commitment to the MIPS program. The providers will set the tone for the office, creating a more positive outlook on MIPS documentation.

The second secret ingredient is training. Training for proper MIPS documentation is what sets exceptional practices apart from mediocre ones. Providers and staff need to be trained on the MIPS program and understand what MIPS measures the practice will participate in. Many offices are experiencing high staff turnover, thereby increasing the chance of overlooking proper MIPS documentation training. Appropriate MIPS documentation for the three categories of MIPS that practices can control (Quality, Promoting Interoperability, and Improvement Activities) is crucial for success. This essential aspect for success starts at the front desk and ends with the provider's documentation. Conducting regular training refreshers can and should be done with the staff to ensure they are aware of new regulations or changes within MIPS.

The final key ingredient is understanding annual program changes and HOW they impact your practice workflow, MIPS measures, and data capture processes. Usually, we advise that the practice identifies 1 or 2 individuals to be key communicators on all things MIPS. There are many changes in the program from year to year, and oftentimes, retroactive changes are implemented for previous performance periods. Like many offices, it is difficult to find time to dedicate to MIPS oversight and keep up with the latest updates and revisions to the MIPS program. If you are ready for expert support that has your back all year long and helps you unlock these secrets and makes your workload lighter, contact us today.

Knowing the secrets to MIPS success can help provide insight into how to successfully navigate the program, achieve good scores and obtain the highest incentives. MIPS success doesn’t have to be a mystery. With these key ingredients, your practice can become an MIPS champion!

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MIPS 2023: Just the Facts

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2022 MIPS Attestation