6 Keys to Physician Success with MIPS

The sands are shifting, and physicians who want to survive in MIPS must focus on several key elements. These will help you raise your Composite Performance Scores (CPS), the path to financial incentives through the Merit-based Incentive Payment System, better known as MIPS.

Under MIPS, a CPS is the result of each physician’s annual performance review. The scores are based on four categories: Quality, which will account for 50% of the score, Advancing care information (formerly Meaningful Use), 25%; Clinical practice improvement activities (15%); and Cost/resource use (10%).

Scores will start being assigned in 2019 based on 2017 information.

Data is at the heart of every interaction and every transaction. Your practice must have experience in collecting and recording data. Also, you need to understand your cost centers. That’s the reality.

Start preparing now

To survive and get the highest CPS scores, it will pay to put your efforts on these 6 factors:

1 – Increase patient access

This means seeing patients on evenings and weekends, as well as same-day appointments. You’ll need to accommodate your patients’ needs. This keeps them out of emergency rooms (in lieu of primary care) – which is critical.

2 – Value your patients

Let patients know they are part of your team. Let them know they are important to you. Survey your patients. Set up a patient advisory group. Take action based on patient feedback. Let patients know their feedback has inspired change. This forms a relationship.

3 – Empower your staff

Your staff are on the front lines. They hear the patient feedback, so they know what needs fixing. Ask for their advice and take it seriously.

4 – Hire a clinical nurse manager

A clinical nurse manager is critical to your practice’s efficiency — patient registries, deadlines, and sick patient follow-up to keep them out of the hospital or emergency department,

5 – Make use of scribes

Scribes are a great asset in your time management. You’ll spend less time entering information into an EHR if you have a scribe. If you record notes on paper forms, your scribe can enter them into the EHR for you. It’s a great time saver.

6 – Maximize resources

This is simply a good business practice. Build revenue through ancillary services, such as in-house labs, stress testing and bone density scans. It’s smart to have multiple revenue streams.

Also, consider taking advantage of your state’s Patient Centered Medical Home (PCMH) initiative. There is potential for per-patient per-month fees. The salary of a clinical nurse manager may also be covered. This action has helped small practices stay independent.

Watch for MIPS updates

Schedule some time to absorb and take action on these points. Success is possible for every practice. Just get started. Every hour spent on working toward achieving an excellent Composite Performance Score will be time well spent.  



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