MIPS Essentials Gold

MIPS Specialist assigned to practice – to “own” MIPS within the practice

• Weekly touchpoints throughout the MIPS performance year
• Quarterly onsite visits (optional – practice pays travel expenses)
• Still requires a MIPS resource within the practice for other days

Standard MIPS Essentials Elements:

• MIPS Essentials web resources
• MIPS Hotline – unlimited cases
• MIPS Reporting Assistance
• MIPS Audit Assistance

Additional Gold Service Elements:

• HIPAA Policy Manual and Templates
• Security Risk Analysis & Technical Network Assessment
• HIPAA Breach Assistance
• MIPS Audit File Review – annual, to reduce compliance risks

Price starts at $8,800 per year
– Depends on practice size

What the MIPS Specialist Does

Prior to the performance year (or during mid-year Quick-Start)

• Analyze the practice’s performance history
• Educate the practice regarding CMS QPP / MIPS program changes, including changing CEHRT requirements
• Plan the MIPS / APM strategy for the practice, including registry and/or ACO participation as well as use of CEHRT

During the performance year

• Guide MIPS workflows and improvement activities within the practice
• Coordinate MIPS / APM related issues with third-party vendors such as registries, ACO’s and/or CEHRT vendors
• Monitor MIPS performance throughout the year

After the performance year:

• MIPS Reporting Assistance – helps with registry submissions, direct attestations and/or exclusion applications
• Verify MIPS Final Score – initiate CMS “targeted review” as needed
• MIPS Audit Assistance – in case of CMS pre-payment and/or post-payment audits