Here are some easy-to-understand basics on MACRA for 2020. Many more exciting details can be found on www.cms.gov which should definitely be consulted if those details are needed. Some quick general background bullets:
Non-exempts for 2020 include MDs, DOs, DDSs, DDMs, DPMs, ODs, DCs, PAs, NPs, CNSs, CRNAs, and any clinician group that includes one of these, physical/occupational/qualified speech-language therapists, qualified audiologists, clinical psychologists, and registered dieticians or nutrition professionals.
Now for how COVID-19 has affected MIPS:
CMS understands that there may be circumstances out of your control that make it difficult for you to meet program requirements. To reduce this burden, CMS provides an opportunity for qualifying clinicians and groups to apply for exceptions to meeting the MIPS program requirements. In certain circumstances, these exceptions may be applied automatically.
Click here for the details on CMS’s “Extreme and Uncontrollable Circumstances Exceptions” and the application to apply for an exemption under it.
Aside from COVID-19 Exemptions you can apply for a MIPS reporting exemption if yours is a small practice as defined by CMS (for 2020, that’s 15 or fewer MIPS-eligible clinicians)
Four different categories have been created under which MIPS reporting can be done for those who are non-exempt. They are MIPS-eligible (1) individuals, (2) as part of a group, (3) those in a MIPS APM, and (4) those who are in a virtual group.
A 5th group is Opt-in Eligible Practices
If a practice is opt-in eligible, they can elect to opt-in and report as a group on behalf of all clinicians in the practice. If your practice opts-in and reports as a group, you will receive a score and a payment adjustment based on that group reporting (unless you elect to opt-in and report as an individual, in which case you’ll receive the higher of the 2 scores).
If a practice opts-in and reports as a group, individual clinicians don’t need to opt-in to receive the group score and payment adjustment.
A practice can elect opt-in to MIPS and report as a group if it:
For 2020, performance weights on the four MIPS categories:
The MedicsCloud EHR is ideal for capturing the required 2020 data applicable to you, and our team of MIPS experts is available for helping to keep you on track and reporting uninterruptedly!
Our EHR and MIPS Team have been assisting clients attain their reporting goals since the program’s inception in 2015. We can help you as well!
“ We’ve been using the ADS Medics PM and EHR for years. The software is excellent and now, ADS is getting us prepared for our MIPS reporting as we move into value based medicine.”