CMS applied the Merit-based Incentive Payment System (MIPS) automatic extreme and uncontrollable circumstances (EUC) policy to all individually MIPS eligible clinicians for performance year (PY) 2021. This allows you to bow out of the 2021 MIPS program altogether (report nothing) and receive a neutral adjustment (no penalty, no positive adjustment) in 2023.
In order to avoid a negative payment adjustment in 2023, your 2021 MIPS overall score must meet or exceed the 60 points performance threshold for 2021 MIPS. Scores above 60 will receive a positive payment adjustment.
The additional performance threshold is 85 points. Scores above 85 will receive additional positive payment adjustments.
For more details please see CMS's 2021 Data Submission FAQs
The process of MIPS data submission to Medicare can be summarized in a few steps:
1. Check and understand your eligibility on the Quality Payment Program website
Entering your NPI in the participation status tool allows you to understand if Medicare is requiring you to submit 2021 data and, if not, if you have a path to opt-in to the program and be considered from Medicare in the future. Our MIPS 2021: What You Need to Know webinar includes a discussion of eligibility.
2. Register for Quality Payment Program (QPP) portal access
A username and password are needed to access the Quality Payment Program portal for your practice. If you have not established them before or haven’t used them in a while, you’ll need to re-register. This can be done by following the instructions for CMS’ HARP system. (Please note that the preceding link will initiate a zip file download to your computer containing a series guidance documents)
3. Use the MIPS – PI (Stage 3) scorecard to analyze and collect 90 days of 2021 data
This article offers text and video discussion of how to use the MIPS – PI (Stage 3) scorecard to configure and gather the data needed. How do I use the MIPS - PI (Stage 3) Scorecard?
4. Use the MIPS – Quality scorecard to analyze and collect data for all of 2021
This article offers text and video discussion of how to use the MIPS – Quality scorecard to configure and gather the data needed. How do I use the MIPS-Quality Scorecard?
5. Use RevolutionEHR’s 2021 MIPS Data Reporting Guide
Our guide offers a step-by-step walkthrough of data collection and upload to CMS. This guide will be available upon CMS’ opening of the 2021 data submission period in January 2022. For historical reference only, our 2020 guide can be downloaded below.
6. Consider partnering with RevAspire to offload ALL of the above
Consider joining the ranks of the hundreds of RevolutionEHR practices that have freed themselves from data submission through a partnership with RevAspire. Not only can RevAspire submit your 2021 performance data, but the team will also help you optimize 2021 performance and protect you in the event a quality reporting audit ever came your way. If you’d like to learn more, feel free to reach out at email@example.com and/or visit our www.revolutionehr.com/revaspire.