Failure to achieve 2019 MIPS compliance will be detrimental to your practice

The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law on April 16, 2015 and is driving the transition in healthcare from a volume to value-based care model. This is a significant change in how Medicare compensates clinicians as it now ties reimbursements to the value and quality of patient care they provide. To help implement this law, a new program, the Merit-based Incentive Payments Systems (MIPS), was created. MIPS is a point-based program comprised of four categories in which clinicians earn points based on performance benchmarked to their peers. The more points earned, the greater the reimbursements.

“Are you ready for 2019 MIPS Reporting?”

Each year since its implementation, MIPS has raised the bar and widened its scope for compliance. In 2019 alone the list of “eligible clinicians” required to provide MIPS reporting grew by 120%. The minimum score to avoid a penalty doubled and the penalty itself grew by nearly 40%!

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Let me ask you again… “Are you ready for 2019 MIPS Reporting?”

All health systems and providers must evolve their approach to assure their financial viability and 2019 is unique in that it is likely the first time that traditional reporting systems (Registry or EHR) may be unable to fulfill enough of the reporting criteria to avoid the minimum score penalty. What to do?

CMS is trying to build awareness of the “CEHRT” method of reporting. A CEHRT (Certified EHR Technology) has many advantages over a registry or EHR, which is why CMS is incentivizing clinicians and practices to use a CEHRT by awarding them bonus points toward their MIPS score. Where Registry and EHR alone are limited in the quantity and type of Clinical Quality Measures they analyze, the CEHRT is able to analyze ALL patient EHRs to optimize scoring for your clinicians and/or practice thus avoiding the minimum score penalty, earning the CEHRT reporting bonus and possibly even achieving the high-performer bonus.


Health eFilings is a healthcare IT company based in Madison, Wisconsin. With Health eFilings’ ONC certified software, organizations effectively track and analyze data for population health management initiatives and easily comply with complex CMS programs such as MIPS. For more information or if you have any questions please contact us at info@HealtheFilings.com.