Now that we’re in the middle of MIPS Performance Year 23, it’s more important than ever to stay on top of the latest information, terminology, and resources that relate to MIPS submissions. Here is your official HCIS 2023 MIPS Submission Glossary and Resource Guide.
- Attest – Manual entry of data during the submission period for the Promoting Interoperability and Improvement Activities performance categories.
- Benchmark – A point of reference used for comparing Quality or Cost performance to that of other clinicians on a given Quality or Cost measure. Each measure is awarded points based on where performance falls in comparison to the benchmark.
- Group Reporting – MIPS data is collected, aggregated and submitted on behalf of all the clinicians in the TIN.
- Individual Reporting – MIPS data is collected and submitted on behalf of a single clinician (identified by TIN/NPI combination)
- MIPS Eligible Clinician – A clinician who meets certain requirements and is eligible to receive a MIPS payment adjustment based on participation in MIPS as an individual, group, virtual group, or APM Entity.
- MIPS Value Pathways (MVPs) – A subset of measures and activities that can be used to meet MIPS reporting requirements. The MVPs framework aims to align and connect measures and activities across the quality, cost, and improvement activities performance categories of MIPS for different specialties or conditions.
- Payment Adjustment – CMS applies adjustments to Medicare reimbursements on future covered professional services based the MIPS eligible clinician’s final score. The adjustment goes into effect two years after the performance year.
- Performance Year (PY) – The MIPS Performance Year begins on January 1st and ends on December 31st each year. The data collected is reported in the first few months of the following year.
- Qualifying Alternative Payment Model Participant (QP) – An eligible clinician who has met or exceeded the payment amount or patient count thresholds based on participation in an Advanced APM.
- Small Practice – A solo practitioner or a practice (TIN), virtual group or APM Entity with 15 or fewer clinicians.
- Subgroup – A subset of clinicians within a group (identified by a single TIN) which contains at least 2 clinicians, 1 of whom is an individually eligible MIPS eligible clinician. Subgroup reporting can offer more meaningful data collection and feedback, particularly for clinicians in a large or multispecialty group.
- Virtual Group – A participation option available to solo practitioners and practices with 10 or fewer clinicians that allows them to join forces and submit aggregated data for all the clinicians in the TINs.
2023 MIPS Quick Start Guide – Overview of 2023 MIPS
We will provide more information on each of these documents in upcoming blog posts throughout the Performance Year. To see our previous entries, please check the HCIS Blog.