Medicare Compliance & Reimbursement

MIPS Quiz:

Test Your MIPS Smarts With This Quiz On The Basics

Published on Mon Mar 04, 2024

Tip: Know what your participation options include.

Even though the Quality Payment Program (QPP) is in year seven, many practices still struggle with a clear understanding of the many parts and pieces of Medicare’s incentive payment structure. And that’s a problem since mistakes could saddle you with a 9 percent cut to your incentive payments.

Why is there so much confusion about the QPP? One reason may be that there are a variety of different pathways, and they’re annually changing and evolving — sometimes without rhyme or reason. Another reason points to the complicated nature of simply submitting the measures you’re judged on. Other factors that puzzle providers’ include diverse timelines, threshold requirements — and even who can submit the measures to Medicare and where to upload them.

To address the confusion and questions on the various paths, categories, measures, and mayhem, Medicare Compliance & Reimbursement will be running a series of quizzes on the various parts, starting with a look at the basic pathway, the Merit-Based Incentive Payment System or MIPS for short, in this issue.

See how well you know these traditional MIPS fundamentals.

1. What are the four performance categories in traditional MIPS that eligible providers must submit measures under?

A. Cost, Quality, APMs, and Improvement Activities

B. MVPs, APPs, APMs, and Promoting Interoperability programs

C. Cost, Quality, Improvement Activities, and Promoting Interoperability

D. Advancing Care, Quality, Compare, and Cost

2. What is the current low-volume threshold needed to be eligible to participate in MIPS for the 2024 performance year?

A. Bill at least $30,000 in covered professional services or see 100 Part B patients

B. Bill at least $90,000 in Part B covered charges, administer care to at least 200 Part B beneficiaries, and provide at least 200 covered fee-schedule services

C. Bill at least $100,000 in allowable charges or professional services and see 100 Part B patients

D. Attend to 200 Part B patients or provide 200 covered FFS services

3. MIPS providers will collect data for the 2024 performance year, which runs from Jan. 1 to Dec. 31, 2024. By what date must all the data they collected be reported to CMS?

A. Dec. 31, 2024

B. March 1, 2024

C. March 31, 2025

D. Jan. 1, 2026

4. What are the participation options for traditional MIPS 2024?

A. individual, group, virtual group

B. individual, group, virtual group, APM entity

C. individual, group, CAH, virtual group, APM

D. individual, group, APM

5. MIPS APMs report under the ______________________ .

A. traditional MIPS

B. MIPS Value Pathways

C. Medicare Shared Savings Program

D. APM Performance Pathway (APP)

6. What is the performance scoring scale for MIPS 2024?

A. 0 to 75

B. 0 to 100

C. 1 to 200

D. 0 to 25

7. To avoid a negative adjustment to the 2024 MIPS score and your 2026 MIPS incentive payment, how many points must you attain for the performance period?

A. 60 points

B. 75 points

C. 80 points

D. 100 points

8. Where do you need to register in order to submit measures, check your status, and find your MIPS score?

A. PECOS

B. HARP

C. MVP

D. ACO

9. True or False: Clinicians can participate in MIPS 2024, reporting as both an individual and/or a group.

A. True

B. False