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MIPS 2020 Proposed Rule

MIPS2020
11 Aug

MIPS 2020 Proposed Rule

MIPS 2020 Proposed Rule

CMS just posted the proposed rule for MIPS 2020, which includes many ongoing changes! Meanwhile, as you try to understand the new laws for this year’s reporting, we stay current to keep you informed.

The minimum threshold for 2019 MIPS reporting was 30 points to avoid penalties. However, starting in 2020, the minimum score increases to 45 points. In 2021, it is expected to reach 60 points. To obtain exceptional performance incentives for 2020, physicians need 80 points for reimbursement and 85 points in 2021. Thus, achieving the incentive becomes even more challenging as the minimum score rises.

CMS may increase the data completeness threshold for quality from 60% to 70%. This change will focus on high-priority and outcome measures. Additionally, in 2020, specialties like Speech-Language Pathology, Audiology, Clinical Social Work, Chiropractic Medicine, Pulmonary, Nutrition/Dietician, and Endocrinology must be reported.

The proposed weightage across all four MIPS categories in 2020 is as follows:

Understanding the Impact of MIPS Penalties

CMS has proposed increasing the penalty from -7% to -9% in 2020. Not reporting could cost over $8,000 per clinician yearly, based on seeing 200+ Part B patients and billing $90,000+.

TriumpHealth offers workflow training, documentation monitoring, MIPS reporting, and attestation services for your practice. With a philosophy of putting patients first, we focus on thoroughly documenting the quality of care for your patients. Please call us to learn more about how TriumpHealth can help you maximize your revenue!

By: Alexis Cardona, Healthcare Solutions Consultant