Medicare Compliance & Reimbursement
Estimate Your MVP Prowess With This Test
Know the facts on submitting MVPs and Traditional MIPS simultaneously. Since reporting began in 2017, the Merit-Based Incentive Payment System (MIPS) has undergone lots of twists, turns, and tweaks. And that includes adding a completely new reporting option that became available in the 2023 performance year (PY) — MIPS Value Pathways. If your practice is still garnering Medicare incentive payment through Traditional MIPS, that’s fine. But eventually, the Centers for Medicare & Medicaid Services (CMS) intends to sunset the basic option and focus on MVPs, which harness providers’ specialties and utilize health IT to measure clinicians and determine payment adjustments. In this issue, we continue our ongoing Quality Payment Program (QPP) testing series with our sixth installment, homing in on MVPs. Test your knowledge of the newest reporting option. 1. What is a participation option that is only available to clinicians reporting via MVPs? a. APM entity 2. How many MVPs are available for the performance year 2024? a. 12 3. Reporting measures for the Quality performance category under MVPs is different from Traditional MIPS. For example, clinicians must select ______ measures instead of 6 and are evaluated on ___________ instead of applicable administrative claims-based measures from the data collected by CMS. a. 4, a population health measure using data CMS collects through administrative claims 4. True or False: Clinicians reporting via MVPs won’t need to select a Cost measure or submit data because it’s collected and evaluated based on the Cost measure in your chosen MVP. a. True 5. True or False: MVPs are mandatory for the 2024 performance year. a. True 6. Name an available flexibility for small practices opting to report an MVP for the 2024 performance year. a. Report all Medicare Part B claims measures in your selected MVP and thus meet the Quality requirements 7. What measure, which is part of the “foundational layer” of MVPs, must be chosen at registration, but has no case minimum or benchmark and won’t be used in your final score? a. Promoting Interoperability 8. True or False: If I opt to submit data for both Traditional MIPS and MVPs, I don’t need to send a separate set of data for the different reporting options. a. True 9. If your practice reports Traditional MIPS and an MVP as a group, how will your score be calculated? a. Your final score will reflect the higher of the 2 scores from the 2 submissions 10. What must you include in your MVP submissions that allows CMS to know which MVP you are sending data for? a. Social Security number Answers: 1) d 2) c 3) a 4) a 5) b 6) d 7) c 8) b 9) a 10) c
b. Group
c. Virtual Group
d. Subgroup
b. 14
c. 16
d. 18
b. 12, episode-based measures from QCDR
c. 8, clinical quality measures based on administrative claims
d. None of the above
b. False
b. False
b. Report 1 measure and get all 6 bonus points in the Quality performance category
c. Report an MVP and get the Promoting Interoperability category automatically reweighted
d. All of the above
b. Quality
c. Population health
d. Cost
b. False
b. Your final score will reflect only the MVP submission
c. Your final score will reflect only the Traditional MIPS submission
d. Your final score will be a median of the 2 submissions
b. Phone number
c. MVP identifier
d. None of the above
Medicare Compliance & Reimbursement
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