Updates about the Merit-Based Incentive Payment System (MIPS)

The Merit-Based Incentive Payment System (MIPS) replaces the Sustainable Growth Rate (SGR) formula, thereby changing the way providers are paid Medicare Part B reimbursement. If you bill Medicare Part B please review these MIPS updates from UNC's Practice Quality & Innovation team, including resources to help learn more about this new program.

Key points:

  • UNC Health Care's Practice Quality & Innovation (PQI) team will facilitate MIPS reporting for all applicable providers who bill and document in Epic@UNC, as it has previously done for Meaningful Use, the Physician Quality Reporting System and the Value-Based Modifier.  
  • Individual departments do not need to submit specialty specific reports to satisfy MIPS requirements. 
  • UNC Health Care entities will submit data at the group level, meaning all providers who bill Medicare Part B as part of a UNC Health Care global group/TIN are included in those respective MIPS submissions.
  • View more details about the new MIPS program (Intranet) and PQI's plans for implementing Medicare’s Quality Payment Program (Intranet).

Advancing Care Information (Medicare)/Meaningful Use (Medicaid) metrics

UNC Health Care entities and departments began receiving updated Calendar Year 2017 MIPS’ Advancing Care Information (ACI, formerly Medicare Meaningful Use) and MU Medicaid metrics in May. Note the following:

Similar Performance Tracking

  • Excel reports will continue to be delivered to key contacts by PQI. These reports display Medicaid and Medicare performance at the individual provider level.

Modified Medicare Reporting

  • Medicare ACI reporting will ultimately be submitted to Medicare at the group level (based on Tax ID/TIN, e.g. UNC Faculty Physicians or UNC Physicians Network). Once the TIN-level data is available, PQI will begin to report on performance for each entity.
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