The Myths About MIPS

MIPS is a Quality Payment Program payment track that determines how Eligible Medicare providers get reimbursed.  But can participating in this program be affected by other aspects of a medical practice that aren’t related to Medicare?  Our team of experts break down whether or not third-party payers have any impact on how practices perform in MIPS.  They also ascertain what, if any, truth there is to how claims data might be relevant to performance and what differences Electronic Health Record technology makes in achieving successful outcomes.
Important points of view discussed are:
What claims data and EHR data have in common with MIPS
Whether or not one methodology of collecting data for MIPS is better than another
If and when does patients’ insurance make a difference in MIPS performance and reimbursement
This episode features Quest Quality Consulting experts, Erika Krivenko, Julia Zieger, and Carrie Shepard

You don’t want to miss the Quest Quality Improvement experts dialogue about the cost of participating or not participating in MIPS.  They examine when it may or may not be economically beneficial to participate in MIPS and discuss the time/value of participating to achieve the optimum results.  Together, they explore examples of when a practice may return sizable gains by participating effectively and what hurdles and setbacks practices might expect by not managing their performance well.  There may be a cost to participating in the MIPS program, but in this episode, they take a closer look at when that cost might actually be a return on investment.
Important points of view discussed are:
The cost/reward of effective and ineffective time management
How a MIPS score can actually affect the reimbursement cost/benefit to a practice
When patient satisfaction plays into MIPS performance for greater reward
This episode features Quest Quality Consulting experts, Erika Krivenko, Julia Zieger, and Carrie Shepard.

"MIPS is going away” is an ongoing rumor among healthcare professionals following the tumultuous year 2020 hurled at us. Today’s podcast examines why MIPS is such a burden and causes so many different dilemmas in healthcare.  We scrutinize how the federal budget, legislation, the growing number of Medicare beneficiaries and growing number of reduced resources are confounding a system already in disarray. We address the common -that it would be easier to get rid of a program that causes so much confusion and seems to benefit so few.
 
Important points of view discussed are:
The increase in the number of patients eligible for Medicare
Legislation setting the standards for performance
The correlation between performance and monetary resources available to eligible clinicians
Why investing in strong performance in MIPS will be a value in the future
 
This episode features Quest Quality Consulting experts, Erika Krivenko, Julia Zieger and Carrie Shepard

Today’s podcast will weigh how Electronic Health Records rely on the involvement of personnel to completely and accurately obtain the necessary information for the Merit-Based Incentive Payment System. The myth, “Our EHR does MIPS for us” examines the relationship between technology and human interaction. We address the physical attributes of data collection, personnel training, and marked improvement to understand how EHRs and clinical staff rely on each other to meet the ever-changing requirements of participating in the Quality Payment Program.

 
Welcome to The Quest podcast series Myths about MIPS, where we will be discussing the most common misconceptions the healthcare community has about the merit-based incentive payment system. 
I'm Carrie Shepherd and I'm a healthcare, performance and quality improvement manager. 
Hi, I'm Julia Zieger and I'm a health care quality and improvement manager. 
We're glad you are interested in this podcast. We hope it helps you and your practice.