Criteria for MIPS Qualified Registry Vendors

Annual Self-Nomination and CMS Approval

To be included in the MIPS qualified registry vendors, organizations must self-nominate each year, even if they have previously qualified, and obtain approval from CMS. Clinicians, whether individuals or groups, will interact regularly with their selected vendor, making it vital to establish mutual understanding regarding expectations and outcome goals. The primary aim of any qualified vendor is to simplify billing and QPP reporting tasks, allowing clinicians to dedicate more time to patient care.

Requirements for Approval as a MIPS Qualified Registry Vendor

For a vendor to gain approval from CMS for the 2018 MIPS Qualified Registry, several essential requirements must be fulfilled:

– Provide information regarding the vendor’s previous registry status (new or existing).
– Ensure that the vendor has a minimum of 25 participants by January 1, 2018.
– Submit an attestation statement confirming the accuracy and completeness of all data related to measures, activities, and objectives.
– Use one of the secure data submission methods provided by CMS for data submission.
– Detail the vendor’s processes for data validation and MIPS eligibility.
– List supported MIPS quality measures and performance categories.
– Outline how the vendor will collect data and assess provider performance rates.
– Provide a process for verifying providers’ TINs and NPIs.
– Implement a random audit process.

Importance of Accuracy in Data Submission

Accuracy is crucial in all aspects of data collection, reporting, and submission. CMS imposes penalties for inaccurate data submissions, which can lead to probation and disqualification in subsequent years. Registry updates will indicate which vendors are on probation.

Checklist for Data Submission Tasks

CMS has issued a checklist outlining data submission tasks that vendors must complete to gain approval for a qualified registry. These categories include:

– Indicate: Certified EHR technology and the start and end dates for performance periods, including whether vendors are reporting on quality measures, objectives, and improvement activities.
– Submit: Report data for all supported MIPS categories, and provide eligible clinicians with performance feedback at least four times annually, including quality measure ID numbers.
– Report: Data regarding performance and reporting instances, including any inadequate submission criteria.
– Verify: Clinician information, including services provided, contact information, charges, and provider consent for the vendor to submit MIPS data to CMS. Additionally, a HIPAA compliance agreement must be established between the vendor and clinician to ensure data accuracy and completeness.
– Comply: Use one of the secure options provided by CMS for data submission, respond to CMS data review requests, and participate in the annual registry meeting and monthly support calls.

P3Care’s Commitment to Efficient Provider Support

P3Care proudly achieved CMS certification in 2017, with the objective of alleviating workload burdens for providers and their staff, enabling them to focus more on patient care. Those seeking a medical billing provider or MIPS support can expect dedicated service from P3Care.

The CMS registry approval signifies that P3Care has effectively demonstrated its capabilities in reporting data during the MIPS transition year 2017 across the categories of Quality, Advancing Care Information, and Improvement Activities.

Vendor Selection Information

The CMS registry offers crucial information for selecting an appropriate vendor for your practice. Detailed information about each vendor can be found under various headings, including Contact Information, Cost, Reporting Options (individual or group), Services Offered, Performance Categories, Quality Measures Supported, and eCQMs Supported.

P3 Healthcare Solutions and Medical Billing

Choosing the Right Medical Billing Company

Selecting the right professional medical billing company is one of the most significant decisions a provider will make, as the financial success of the practice heavily depends on the efficiency and accuracy of the chosen vendor. CMS qualified registries comprise vendors certified to report quality measures and data for the Quality Payment Program/MIPS, equipped with the necessary tools, knowledge, and software to submit data directly to CMS on behalf of providers.

Qualified registries are self-nominated and must meet the requirements set by CMS and the QPP. P3 Healthcare specializes in supporting MIPS eligible clinicians through Benchmark Quality Reporting while also functioning as a proficient client-centered medical billing firm.

The MIPS qualified registry is publicly accessible, and you can view P3 Healthcare Solutions among the MIPS qualified registry vendors by visiting the CMS Resource Library.