MIPS performance and compliance support - at no additional cost to you.

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ChartSpan helps you leverage your Chronic Care Management (CCM) program to incorporate and report on care quality activities that help increase your MIPS score. ChartSpan assigns a dedicated MIPS consultant and provides comprehensive reporting and analytics to track quality performance – all at no additional cost.

The Merit-based Incentive Payment System (MIPS) combines Promoting Interoperability, PQRS, Value-based Modifier and Clinical Improvement into a single compliance program. While a consolidated program eliminates confusion and multiple measures, it also can dramatically improve your fee-for-service revenues and annual earnings.

Customer Success Metrics

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How ChartSpan Helps You Meet MIPS Goals

Quality is at the heart of MIPS, particularly for patients with complex conditions – and those are exactly the patients being targeted with chronic care management and annual wellness visits. Not only do we identify the care gaps below, but we also close them for you:

  • Controlling hypertension

  • Influenza vaccination

  • Colorectal cancer screening

  • Breast cancer screening

  • Advance care plan

  • IVD – use of aspirin or antiplatelets

  • BMI screening and follow up

  • Depression screening and follow up

  • Diabetes control

Substantial Financial Consequences

Providers have up to 9% of their total fee-for-service reimbursements at risk during the next 36 months, resulting in annual decreased or increased reimbursements.

In 2018, the performance threshold was 15 points; physicians under that level will receive a negative payment adjustment of their Medicare Part B payments in 2021. For the 2019 performance year, CMS set the performance threshold at a more challenging 30 points.

Physicians whose performance meets or exceeds a final score of 75 points (known as the exceptional performance threshold) will be eligible for an additional positive payment adjustment of their Medicare Part B payments for exceptional performance.

2019 MIPS Categories

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