Medicare Compliance & Reimbursement
Review These Handy Charts for MVP Insight
Understand the basics on choosing the right MVP for your practice. Though your final approval to submit measures under the Merit-Based Incentive Payment System (MIPS) Value Pathways (MVPs) reporting option for performance year (PY) 2023 isn’t complete until your registration is approved, you must know certain selections ahead of time as they factor into registration. MVPs are voluntary for PY 2023, but they won’t always be. The Centers for Medicare & Medicaid Services (CMS) aims to sunset traditional MIPS in the near future and move to the more specialty-focused MVPs as its central incentive reporting option. Here Are the Nuts and Bolts on MVP Selection This year there are 12 MVPs that cover a variety of specialties. For individuals, groups, subgroups, and APM Entities reporting an MVP, the Cost, Quality, and Improvement Activities performance categories will be MVP-specific while Promoting Interoperability and Population Health will be part of a “Foundational Layer,” CMS guidance indicates. You can cross-reference the MVP, specialty-focus, and MVP ID, which is associated with the MVP measures selection, in the chart below: Here’s the Scoop on the 4 Performance Categories and Population Health Cost: For PY 2023, CMS will use Medicare claims data in calculating the Cost performance category numbers, so you don’t need to submit anything. However, that’s not the case for Quality or Improvement Activities, and the measure options vary from one MVP to the next. Quality: Providers need to choose four measures for the Quality category, with one being an outcome measure. To fulfill the Quality standards, the data must be collected for the entire performance year (Jan. 1, 2023 to Dec. 31, 2023). The number of Quality measure options depends on the MVP. IA: For Improvement Activities (IA), it’s a little bit different as MIPS-eligible clinicians have one of three reporting options: report two medium-weighted IAs; report one high-weighted IA; or report an IA_PCMH activity (participation in a certified or recognized patient-centered medical home or a comparable specialty practice). The number and scope of IA measure options that providers can choose from is based on the particular MVP. All providers will have the same Promoting Interoperability and Population Health requirements. Here’s a breakdown of what’s required: Resource: Find more information on MVPs, registration, and reporting for PY 2023 at https://qpp.cms.gov/mips/explore-mips-value-pathways.
Medicare Compliance & Reimbursement
- Quality Payment Program:
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Review These Handy Charts for MVP Insight
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