Specialty-Specific Value-Based Care

Driving Medicare Quality Payment Program Success With Solutions for MIPS CMS Reporting Under MACRA

HOW DID EMA® USERS DO ON 2019 MIPS?*

Submissions made through the Modernizing Medicine, Inc., Qualified Registry that scored 75+*
75 pts = exceptional performer bonus

HOW MANY SUBMISSIONS?
Over 3,600 Total Submissions
(This includes individual and/or group submissions.)

*Numbers are estimated based on data collected by the Modernizing Medicine, Inc. Qualified Registry for the 2019 reporting year using the MIPS scoring criteria published by the Centers for Medicare and Medicaid Services (“CMS”); may not reflect scores for all MIPS categories; final results may vary. Prior performance doesn’t guarantee future results.

Why MIPS Performance Matters

Under the Merit-Based Incentive Payment System (MIPS), the size of your future Medicare reimbursements may depend on your ability to show high-quality and low-cost care as compared to your peers. You need a proven performer to help you achieve your goals, and Modernizing Medicine® has your back.

With our distinguished track record in MIPS submissions, we are a recognized leader in value-based care solutions for specialty practices. And now that 2019 MIPS is over, we’re proud to announce that our EMA providers achieved outstanding preliminary results.

How Is Your MIPS Game?

A Complete MIPS Solution, Built In

At Modernizing Medicine, we have embraced the arrival of value-based care. As other practices and clinics struggle to meet the requirements, you can achieve your goals with our help.

patient portal in laptop showing contact info

Built right into our 2015 Edition ONC CEHRT-certified EMR system, EMA, our MIPS solution can help you gather, track, benchmark and submit your MIPS reporting data:

  • Collect MIPS data in the flow of the exam, without adding lots of time or clicks
  • Track your estimated MIPS Composite Score and progress on each measure and category
  • Benchmark your performance against peers on a daily basis
  • Take advantage of our integrated Specialized Registries
  • Submit your Quality, Promoting Interoperability and Improvement Activities data to CMS through our Modernizing Medicine, Inc., Qualified Registry.
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BASED ON CLIENT EXPERIENCES, ESTIMATES SHOW THAT SUBMITTING THROUGH OUR QUALIFIED REGISTRY TYPICALLY TAKES ABOUT

1-5 minutes

Why Choose Modernizing Medicine?

Value-based care isn’t going away, and we know firsthand how time-consuming it can be to keep track of all the factors involved in MIPS reporting. That’s why we work hard to stay abreast of the changes. We can provide you with the solutions you need to help you achieve your MIPS goals:

  • Industry leadership in specialty-specific EMR content and usability
  • Built-in MIPS Composite Score reporting and data submission
  • Robust analytics and benchmarking tools tracking your performance in real time
  • Patient engagement tools, including patient kiosk, patient portal, patient reminders and patient surveys.
  • Concierge coaching with our advisory services*
  • Web and mobile solutions

Make data-driven decisions to improve health and cost-effectiveness while succeeding under MACRA. Our powerful EMA EMR solutions dig deep into population trends, care utilization and quality measures, helping you stay competitive. By utilizing structured health-system-generated and patient-generated data, Modernizing Medicine helps streamline workflows and give you valuable insights that can drive achievement of your goals.

*Available at an additional cost.

MIPS and MACRA Explained

When the Medicare Access and CHIP Reauthorization Act (MACRA) became law in 2015, it immediately shifted the thought process behind Medicare payments. Now, CMS pays most physicians on a curve, rewarding those who provide high-quality, low-cost care and penalizing those who fall behind on reporting.

As you know, the Merit-Based Incentive Payment System (MIPS) is based on the reporting of a variety of performance measures, but also seeks to assess physicians on how they compare to their peers. With MIPS, if you score higher than your peers, you could receive a positive Medicare payment adjustment. Fail to report for MIPS, however, and you could receive a negative payment adjustment.

MIPS Puts Your Bottom Line On the Line

MIPS Maximum Adjustments 2019-2022

Adjustments started in 2019 based on 2017 performance, and for 2021 performance and beyond, they are expected to be up to 9%.

This means that if you bill $1.5 million per year in Medicare, your 2021 MIPS performance can make up to a $135,000 difference in your income in 2023. Can you afford not to track your score?

As a leader in value-based medicine for specialty practices, Modernizing Medicine can provide you with tools for MIPS success.

What Makes Up MIPS?

MACRA established the Quality Payment Program (QPP), which consolidated prior quality reporting programs and added a new component to create MIPS. MIPS factors in four weighted performance categories:

EMA MIPS scorecard

Data is key to helping you see where your practice stands in each performance category and where you may have room for improvement. Having an advanced EHR system like Modernizing Medicine’s EMA to help automate your MIPS data collection and provide robust analytics may be crucial to the prosperity of your practice under value-based care.

We encourage you to visit CMS’ Quality Payment Program site to learn more about MIPS and MACRA.

Frequently Asked Questions

Can I see my overall MIPS score before submitting my data to CMS?

EMA calculates your estimated MIPS Composite Score nightly, providing you with visibility into your anticipated MIPS performance, both overall and in each individual category. For information on gGastro® EHR, please visit our gastroenterology value-based care page.

Where can I find more information on MIPS in EMA?

Visit Visit modmed Communities for other resources related to value-based care and EMA.

Does Modernizing Medicine offer additional MIPS coaching resources?

Yes, we have an optional concierge-style coaching program called MIPS Advising that is available for an additional fee.

What is Modernizing Medicine’s EHR certification number?

For detailed information on our EHR certification, check out our ONC Health IT Disclosure page.

How can I submit MIPS data to CMS?

You can report MIPS from our EMA EMR system using the Modernizing Medicine, Inc., Qualified Registry. This allows you to easily transmit your Quality, Promoting Interoperability and Improvement Activities measures to CMS. In fact, MIPS submission through our MIPS Qualified Registry typically takes providers less than five minutes. Please consult modmed Communities for more detailed information.

You also have the option to submit through certain third-party registries, such as IRIS® and DataDerm™. Visit our Registries page for more information.

Discover how our EMR solutions can help your practice meet its MIPS goals.

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