At the conclusion of each year, the Centers for Medicare & Medicaid Services (CMS) releases the final regulations for the Quality Payment Program for the following year. Updated regulations include adjustments to the approved quality measures. It can be difficult to find a clear and concise summary of the changes made to quality measures, so Medical Advantage’s MIPS Consultants created quick reference guides for MIPS 2022 Quality Measure changes for practices.
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Over the past few years, we have helped 1,200 clinicians exceed the national average in MIPS scores, with 99% awarded with exceptional performer status from the CMS. We would love to add your practice to our list of clients, and value-added comes from our personalized one-on-one support.
1. MIPS 2022 Quality Measures – New Measures
For the first time in 2022, MIPS quality measures are available for reporting. Since these quality measures have not been reported before, historical data from CMS is not currently available for benchmarking.
A clinician or group reporting one of these quality measures will initially earn three points for the measure, assuming the data completeness criteria are met. If enough clinicians or groups report the measure for 2022, CMS may be able to create benchmarks based on performance year data. In that case, reporting clinicians or groups may earn more than 3 points, depending on performance compared to others who report the measure.
Medical Advantage’s MIPS Consultants recommend that practices report new measures as additional measures – rather than as one of their top six required measures – as scoring for new measures will be unpredictable. Keep in mind that because these measures are new, EHR vendors may not be able to build to specifications quickly enough to make these CMS quality measures available for 2022 CMS quality reporting.
2. MIPS 2022 Quality Measures – Deleted Measures
Deleted measures are quality measures that CMS has removed from the MIPS quality reporting program. If a clinician or group reported any deleted measures in 2021 as one of their six required quality measures, they will need to choose a replacement measure for 2022.
3. MIPS 2022 Quality Measures – Topped Out Measures
Topped-out quality measures have an overall performance rate so high that meaningful performance distinctions and improvements can no longer be made. CMS has a multi-year phase-out cycle for topped out quality measures. This includes a seven-point cap for measures that have been classified as topped out for two or more consecutive years.
A clinician who reports a topped-out measure with a seven-point cap will score no more than seven points for that measure, even if they report a perfect performance rate of 100%. For maximum scoring potential, clinicians and groups are encouraged to report topped out measures with a seven-point cap only as additional measures above the required six measures.
4. MIPS 2022 New Improvement Activities
CMS has added seven new Improvement Activities for Year Six. As a reminder, physicians must achieve a total of 40 points from Improvement Activities during a 90-day reporting period by 50% of their clinicians.
CMS will score activities as either high- or medium-weighted. High-weighted activities are worth 20 points, while medium-weighted activities are worth 10 points. Certain clinician types (such as those in small practices) automatically receive double the assigned points for their Improvement Activities.
5. MIPS 2022 Deleted Improvement Activities
CMS has removed six Improvement Activities from the list of available options for 2022. Reasons for Improvement Activity removal include reduction of duplicative activities, alignment with current best practice clinical guidelines, meaningful measure areas, and lack of utilization in prior MIPS reporting years.
With MACRA constantly changing from year to year, it can be challenging for practices to keep up. Now is the perfect time to consider partnering with CMS experts like Medical Advantage’s MIPS Consultants. Our MIPS consultants have years of experience working as practice managers, nurses, and billing specialists.
With our full-time focus and devotion to this program, we can offer insights to help your practice succeed in MACRA for 2022 and beyond. Over the past few years, we helped 1,200 clinicians exceed the national average in MIPS scores, with 99% achieving exceptional performer status with CMS. Get in touch today for a free consultation to find out how our services can support your practice!