Outrunning The MIPS Bear: Cost Portion (Article 5 of 5)

Outrunning the MIPS Bear – Article (5 of 5)

MIPS: Cost

And on to the final category, Cost which covers the total cost of patient care throughout the 2018 year, both out-patient and hospital events. Cost measures are evaluated automatically through administrative claims data, so there is no data submission requirement.

Medicare Spending per Beneficiary (MSPB) and Total Per Capita Costs (TPCC), the two key performance indicators (KPIs) used, are designed to assess average spend per episode of care and overall efficiency of care per individual NPI and TIN. Exciting stuff, no?

And so we come to the end of each MIPs item, here at the end of the race: Da Bear has been outrun. As you consider the 4 categories: 1) Quality, which used to be PQRS and 2) Promoting Interoperability (PI), which used to be MU, then morphed into ACI and 3) Improvement Activities (IA), which is new and finally 4) Cost the big question is:

Do you have your staff on board? Workflow items accounted for, documentation pieces firmly understood, sample reports produced that demonstrate MIPS success?

That’s the key: actually doing the 3 above MIPs categories in your EMR and being able to prove you did! Like one of my favorite people, Arnold Schwarzenegger, says: why do it if you can’t advertise it? If you can’t advertise that you successfully outran Da MIPs Bear, there’s no point in running…

Contact PRS if you need help, fill out the form to the right and we will get back to you promptly….

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Brad Sclar has founded several successful Healthcare IT companies within the last 20 years in the Denver area — PRS Network, Phasis Group, and MD-IT. In addition to multiple IT certifications he supports voice recognition software into multiple EMR environments nationwide, serves as the CIO of the PRS IT Division, overseeing template development, maintenance of client LAN installations, custom software development, HL7 interfaces between EMRs, and the installation of the Health Record portion of the EMR software packages that PRS represents. Currently, he is involved in launching a Urology focused MSO.