MIPS

Define MIPS (Merit-based Incentive Program)

• Quality payment program

• Fee for service program

• Advanced alternative payment model

Answer explanation

MIPS is a quality payment program that was formed from the consolidation of several previous legacy programs

Which of the following is a strength of MIPS?

• Criteria is easy to hit (~93% of clinicians meet the positive cutoff)

• Encourages evidence based treatments

• Penalizes providers who are not tech-savvy with EHR

• You can choose outcome measures that you know patient will perform well on

If you charge $______ to patients with Medicare Part B and see over ___ Medicare patients and provide ___ services in a year, you are required to participate or be penalized __%

• 90K, 200, 200, 9

• 100K, 200, 100, 10

• 200K, 200, 200, 9

• 90K, 100, 100, 5

The 4 categories that MIPS measures are: Quality, Cost, Improvement Activities, and Promoting _________________

MIPS is a budget-neutral plan

• True

• False

What is the theory behind why MIPS could be successful?

• 50/50 split in payment adjustments

• Monetary incentive for quality care

• Providers who score above the threshold are guaranteed a 9% increase in pay

All of the following are weaknesses EXCEPT...

• Same percentage payout no matter the points earned 76=100

• Treatment times could increase because of length of outcome measures

• Penalizes clinicians who are not tech savy

• Easy and large scale collection of data

What is a negative effect of MIPS on PT practice?

• More focused on documentation and less pt care

• Monetary incentive to improve pt care

• Unified EHR for easy access to PMH

• Demonstrate value of outcome measures

As a future provider, what are your initial feelings toward MIPS?

• Strongly agree

• Agree

• Neutral

• Disagree

• Strongly Disagree