Optimization starts with measure selection
Many Measures have a maximum lower than 7 points
Total points you can earn on a given quality measure depend on more than just the performance rate you achieve. We are all aware of measures with a 7 point cap. But did you know that a lot of measures have a practical maximum of much lower than 7 points?
If you achieve a perfect score, the rules will give you a 10, or a 7 for topped out measures. But that is not the whole story. Depending on how CMS laid out benchmarks, some measures will have a practical cap that falls well short of even a 7 point score. In fact, 121 of 243 available MIPS Measures (excluding QCDR) fall short of 7 points.
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We have built a spreadsheet based on 2020 Benchmarks, where we have identified "favorable vs unfavorable" measures. Unfavorable measures won't give you a good MIPS score, regardless of how well you perform, and should be avoided.
Click the green button to download a copy. Or just visit our "contact us" page to set up a chat.
SOFTWARE + monthly CONCIERGE = macra optimization
You can't optimize MACRA at Year End
Improving MACRA Reimbursement comes from a regular program, throughout the year. We get started as soon as a full month's data is available, and follow a regimen of extract, report, analyze and plan and act for every month thereafter.