10 Tips for 2022 MIPS Reporting

As a CMS qualified data registry since 2011, HCIS and our team of MIPS advisors have learned a few tricks on the best practices for 2022 MIPS reporting. Read on to learn our top 10 tips to find success with your 2022 MIPS reporting.

1. Pick quality measures that have performance benchmarks.

Not all measures have benchmarks. By picking measures that do, clinicians can maximize points.

2. Save your final reports and other documents in a MIPS folder.

Having copies of all final reports for Quality and Promoting Interoperability, plus the 2022 Security Risk Analysis Assessment documents will protect your practice in the event of a CMS audit.

3. Get your Certified Electronic Health Record Technology (CEHRT) ID before submitting Promoting Interoperability (PI) data.

CMS will not score the PI category unless the CEHRT ID is included. Go to the Certified Health IT Product List website to find the ID (click the yellow button on the fa right side). For help, contact your EHR provider. HCIS’ MIPS clients can also contact us at (973) 642-4055 or qpp@hcisservices for assistance.

4. Follow the reliable scoring criteria for quality measures.

Clinicians must meet three criteria such as collecting data for at least 70% of the measures eligible denominator.

5. Review final clinical quality measure reports.

You must report data for your practice’s patients and encounters in the 2022 year – this means all payers, not just Medicare clients. Also, check reporting rates – a 70% reporting rate is required to exceed maximum points.

6. Choose quality measures wisely.

Practices can earn bonus points by reporting on additional outcomes and high-priority measures. Always try to select measures specific to your practice and those documented often.

7. Make sure you meet all minimum requirements for Promoting Interoperability (or are taking exclusions).

This includes using a reporting period of at least 90 days, completing the Security Risk analysis, Safety Assurance Factors for EHR Resilience Guides (SAFER Guides) and meeting performance standards or exclusions on e-prescribing, supporting electron icreferral loops by sending and receiving health information or using the optional health information exchange bi-directional

exchange measure and reporting on Immunization Registry and Electronic Case Reporting (unless an exclusion can be claimed).

8. Recommended Public Health and Clinical Data Registries.

Consider applying to the National Health Care Surveys Registry through the Centers for Disease Control and Prevention. Also check with your medical and specialty societies to see if your practice is eligible for clinical data registries.

9. Make sure you earn the maximum amount of points for the Improvement Activity performance category.

Small practices need to report on at least one high-weight or two medium-weighted categories to earn full credit. However, large practices need to report on (1) two high-weighted activities, (2) one high-weighted category and two medium-weight categories, or (3) four medium-weighted categories for full credit.

10. Don’t forget about your Patient Portal.

Patient encounter data must be sent to the MIPS portal within four business days