In this week’s episode of Ask Dr. Mingle, Dr. Dan Mingle shares some thoughts on Promoting Interoperability reweighting in MIPS Value Pathways (MVPs) and provides helpful tips for transitioning from the Oncology Care Model to MIPS.
Click play to listen to this week’s episode right now:
Question One: MIPS Value Pathways and Promoting Interoperability
Maria asks: “How will MIPS Value Pathways (MVPs) work for small practices who are automatically reweighted for Promoting Interoperability? Will CMS still reweight the PI portion of an MVP for small practices, since it’s the basis of the MIPS program?”
- CMS has not explicitly said that Promoting Interoperability will be reweighted for small practices indefinitely. It’s fair to assume that CMS doesn’t plan to end PI reweighting for small practices any time soon – in last year’s final rule, Medicare doubled down on this policy.
- Of course, CMS’s plans can change on a dime. But this policy isn’t the kind that would likely change outside of the rulemaking cycle.
- We won’t have a better understanding of how this will work for MVPs until future rulings from CMS.
- The Proposed Rule for 2023 is out now, and this is a great time to make this comment to Medicare and state your concerns, needs, and wants in the future rules.
Question Two: Tips for OCM to MIPS Transition
Jim asks: “We’re transitioning out of the Oncology Care Model and into MIPS. Are there similar measures in MIPS to what we’ve used in OCM?”
- Out of the six measures in the Oncology Care Model measure set, there are three equivalent MIPS measures:
- MIPS Measure 143: Oncology: Medical and Radiation – Pain Intensity Quantified
- MIPS Measure 144: Oncology: Medical and Radiation – Plan of Care for Pain
- MIPS Measure 134: Preventative Care and Screening: Screening for Depression and Follow-Up Plan
- In MIPS, you need six measures for a submission, so you’ll need to choose three more measures. These measures don’t necessarily have to be hematology or oncology related.
- And, you’ll have to submit an entire year’s worth of data to make a valid MIPS submission. So even though OCM is ending in the middle of the year and you’re transitioning to MIPS, you’ll have to have a full year’s data in your submission.
For additional information on the transition from the Oncology Care Model to MIPS this year, read our recent blog post: Leaving the Oncology Care Model? 3 Things You Need to Know About MIPS. If you have additional questions about your transition into MIPS this year, you can get in touch with us today to speak with one of our experts.
Send us your value-based care questions!
If you’d like to ask a question about MIPS, Primary Care First, ACO quality reporting, or any other Alternative Payment Model, you can reach out to us in three ways:
- You can leave your questions in a YouTube comment under any episode of Ask Dr. Mingle.
- On LinkedIn, leave your questions in a comment on any of our posts.
- And you can reach out directly by sending an email to email@example.com. Please put Ask Dr. Mingle in the subject line when you submit your questions via email.
Click the button below to access the recording of our latest webinar - "The Hardest Year Yet: Your MIPS Success in 2022" - where Dr. Dan Mingle provides an in-depth exploration of the MIPS program this year.