MIPS performace 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. The MIPS care gaps addressed throughout CCM are:

  • 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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