MIPS Estimator 2019

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Stratis Health 2019 MIPS Estimator

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Make your plan to succeed in the Quality Payment Program

Use the free Stratis Health MIPS Estimator to determine which measures and data submission methods give you the highest baseline Merit-based Incentive Payment System (MIPS) composite score. Then, make workflow changes to improve patient outcomes and work towards improving your MIPS score to achieve the highest possible reimbursement for the 2019 performance year.

Note: Every page with calculations needs to either be refreshed or saved to clear previous submission data and update category scores.

The Stratis Health MIPS Estimator provides:

  • Guided instructions and links for simple data entry.
  • Option to calculate scores for an individual clinician or group. A group score will be calculated automatically if you enter data for more than one individual clinician.
  • Opportunity to compare score results between various quality reporting methods: claims, EHR, Qualified Registry, Qualified Clinical Data Registry (QCDR) and CMS Web Interface.
  • Score results for (MSSP and Next Gen) MIPS alternative payment model (APM) scoring methodology and CMS web interface.
  • Option to re-weight MIPS category scores, if you are eligible for the Promoting Interoperability exemption. (pgs. 5-6)
  • Automatic calculation of your six best performing quality measures.
  • Automatic addition of bonus points where applicable.

Before you begin: Use the QPP Participation Status Lookup Tool to check if clinicians in your practice (by NPI#) are eligible for QPP through either MIPS or an Advanced Alternative Payment Model by year and by location. Clinicians  may choose to report voluntarily if they are not eligible for MIPS.

How do I use the MIPS Estimator?

  1. Gather data from your EHR or other sources for all categories you want to include in your estimated MIPS score.
  2. Complete all responses in the Practice/Provider page.
  3. Enter data in each category for every clinician. Individual and group scores will be calculated unless you enter only group data.
  4. Your  estimated MIPS composite score will be displayed on the scoring page.
  5. Save and reuse reports: 
    • Name and save your report as either “Actual” (true performance data) or “Target/Test” (your goal performance, not actual performance) to open and compare at a later date.
    • Download reports in EXCEL or PDF format.
  6. Attest to MIPS on the CMS QPP Portal during the reporting period.

*Note: Completing the Stratis Health MIPS Estimator does NOT submit your data to CMS.

Use the MIPS Estimator throughout the year to track progress towards your goals.

Need additional assistance with QPP?

  1. Small practices: Stratis Health provides free technical assistance (funded by CMS) to Minnesota practices with 15 or fewer clinicians.
  2. Large organizations (15 or more clinicians) who do not qualify for free assistance and/or need additional help with MIPS can:
    1. Use the MIPS Estimator free and follow links.
    2. Visit QPP.CMS.GOV for more information.
    3. Contact CMS Help Desk for support with specific questions.
    4.  Email Stratis Health QPP help desk for more information about MIPS Technical Assistance Packages for individualized assistance with MIPS reporting.

Example Estimated MIPS Score Reports

Preview examples of the Estimated MIPS Score reports.

Web Example Report
PDF Example Report
Excel Example Report

How is my score calculated?

The Stratis Health MIPS Estimator calculates an approximate MIPS score based on the data you enter for each of the MIPS categories.

Promoting Interoperability

Clinicians are rewarded for interoperability and improving patient access to health information. This performance category was called Advancing Care Information in 2017.

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Improvement Activities

In this performance category clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety.

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Clinicians and groups are scored on individual quality measures. Replaces the Physician Quality Reporting System (PQRS) in effect prior to 2017.

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Clinicians are rated on 2 cost performance measures as shown in QRUR reports. Replaces the Value-Based Modifier in effect prior to 2017.

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