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MIPS 2020 Guide

If your office is planning on participating to report to MIPS for the 2020 year, this guide will help you with the basics for understanding the requirements you'll need to meet.

You can check to see if a provider is participating by clicking on this link here, which will take you to CMS's Quality Payment Program (QPP) site. When you check a given NPI on this site, make sure you switch the tab for the 2020 year after searching for the valid NPI.

Performance Period
Below are the performance periods for each objective for the 2020 year.

  • Quality: 12-month calendar year performance period. **eCQMS will need 2015 CEHRT**
  • Cost: 12-month calendar year performance period.
  • Promoting Interoperability: 90 days minimum performance period.
  • Improvement Activities: 90 days minimum performance period.

We've split our Reporting requirements instructions into two separate guides.
If you're looking just to meet the minimum requirements to avoid any potential penalties, you'll want to refer to the Minimum Reporting Guide.
If you're looking to get as much back as possible, choose our Full Reporting Guide.

Click the associated link for each following reporting section to learn more details.

Minimum Reporting Guide
Threshold is 45 points.

  • Quality: (45% of total score) 3 points per measure +6 total bonus points (small practice only) **eCQMS will need 2015 CEHRT**
  • Improvement Activities: 15% of your total score. Small practice 1 high weighted or 2 medium weighted (0-40 points)
  • Cost: 0-15 points. (CMS does this for you, and you cannot change this.)
  • Promoting Interoperability: Promoting Interoperability Hardship Exception (Small Practice) Reweighs points to Quality.

Full Reporting (reporting to gain)
Threshold is 85 points.

  • Quality: 3 points per measure +6 total bonus points(small practice only)
  • Improvement Activities:15% of total score. Small practice 1 high weighted or 2 medium weighted (0-40 points)
  • Cost: 0-15 points. (CMS does this for you, and you cannot change this.)
  • Promoting Interoperability: 25% of total score. (Needs 2015 CEHRT)
    • Electronic Prescribing
    • Health Information Exchange
    • Provider to Patient Exchange
    • Public Health and Clinical Data Exchange

 

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