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Seven Steps to Prepare for MIPS ... Now!

Most California family physicians will be in the MIPS track of the Quality Payment Program.

Here are seven steps you can take NOW to prepare.


1.  Explore CMS’s newly-launched Quality Payment Program website and the Quality Payment Program Overview Fact Sheet as a starting point to learn about MACRA and MIPS.


2.  Consider whether you are a MIPS-eligible clinician and whether you will be reporting as an individual or a group. MIPS applies to Medicare Part B clinicians, including physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified registered nurse anesthetists. Medicare Part B clinicians are exempted from the payment adjustment under MIPS if they:

  • Are newly enrolled in Medicare.
  • Have $30,000 or less in Medicare charges OR 100 or fewer Medicare patients annually.
  • Are participating in an Advanced Alternative Payment Model.

If you are in a practice of more than one eligible clinician, determine whether you will report individually or as a group. Determine whether you meet the requirements for small practice or rural physician accommodations.


3.   Participate in a patient clinical data registry. Data registries can streamline reporting and assist with MIPS performance scoring. Consider the American Board of Family Medicine’s PRIME Registry and opportunities to access this registry as a member of the American Academy of Family Physicians.


4.  The Quality performance category is 60 percent of physicians’ Composite Performance Score in the first year of MIPS. The Quality performance category draws on PQRS metrics. As a starting point for performing well in the Quality performance category in 2017, check your 2014 PQRS feedback reports to see where improvements can be made. View reports on the CMS Enterprise Portal using an Enterprise Identity Data Management account. Review the final rule’s list of quality measures for family physicians and identify six measures on which you can report.


5.  The Clinical Practice Improvement Activities (CPIAs) performance category is 15 percent of physicians’ Composite Performance Score in the first year of MIPS. Review the final rule’s list of CPIAs. Evaluate what activities your practice is already doing and what adjustments you should make.


6.  The Advancing Care Information (the new name for “Meaningful Use”) performance category is 25 percent of physicians’ Composite Performance Score in the first year of MIPS. Contact your EHR vendor and confirm: 1) that the product you are using is certified EHR technology; 2) whether it is 2014 or 2015 edition certified EHR technology, as the version will determine the measures on which you report in 2017; and 3) how their product supports MACRA reporting.


7.  Participate in CAFP Educational Programming via MACRA 101 and MACRA 201.


Any questions?

Contact CAFP’s Director of Health Policy, Conrad Amenta.