2023 New Year FAQ: MIPS
As we get ready to ring in 2023, here are some common MIPS questions and answers to help your clinic easily transition into the new year.
Why Switch from Healthmonix to Keet?
Keet joined the WebPT family at the start of 2022 to help us advance our overarching mission: to empower rehab therapists to achieve greatness in practice. In line with this mission is our combined aim to help our Members excel in value-based care. As such, we are transitioning our MIPS solution to Keet—a CMS-approved QCDR—starting January 1, 2023 at no additional cost to you.
With Keet, you’ll have everything you need to succeed in MIPS without adding administrative stress on yourself or your team. Key features include:
- Automated patient surveys: Automatically send patient questionnaires and MIPS patient reported outcome measures from the Keet platform to free up your staff from handing out surveys.
- Enhanced data collection: Increase the cadence of questionnaire delivery to improve your number of completed surveys funneled into reporting.
- Performance Benchmarks: Benchmark your performance against a large pool of organization and national averages to easily view where your practice stands.
- Intuitive MIPS compliance tools: Simply input your outcomes and let Keet handle the provisioning, scoring, risk-adjusting and reporting throughout the year to support a seamless submission process.
Will I still be able to access my Healthmonix information?
Yes—you will continue to have access to data in Healthmonix for the MIPS 2022 performance period until April 1, 2023.
What measures will I have access to?
Keet Patient Reported Outcomes (PRO)
- Measure HM7: Functional Status Change for Patients with Vestibular Dysfunction
- Measure IROMS 11: Functional Status Change for Patients with Knee Functional Status Deficit
- Measure IROMS 13: Functional Status Change for Patients With Lower Extremity Functional Status Deficit
- Measure IROMS 15: Functional Status Change for Patients With Neck Functional Status Deficit
- Measure IROMS 17: Functional Status Change for Patients With Low Back Functional Status Deficit
- Measure IROMS 19: Functional Status Change for Patients with Upper-limb Functional Status Deficit
WebPT EMR Process Measures:
- Measure 126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy: Neurological Evaluation
- Measure 127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear
- Measure 128: Body Mass Index (BMI) Screening and Follow-Up
- Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan
- Measure 155: Falls: Plan of Care
- Measure 181: Elder Maltreatment Screen and Follow-Up Plan
- Measure 182: Functional Outcome Assessment
- Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Will my pricing change?
Good news—you will not see a change in price for next year’s MIPS solution!
What will my onboarding and training look like?
After signing up, you will receive an invitation to join Keet in addition to a welcome email that includes steps to set up your Keet account and the platform’s learning opportunities. Onboarding will include email support, opportunities to attend live Q&A webinars with the implementation team, and so much more!
How will Keet improve data collection efforts?
Keet sends patient reported outcomes (PROs) on a more frequent cadence and allows patients to complete PROs ahead of time. This increases the number of patients funneled into reporting to meet Data Completion and Minimum Case Volume requirements.
If I’m documenting process measures in the EMR, is it mandatory to document process measures within Keet as well?
Yes. The data entered into Keet will be collated and submitted to CMS during the MIPS submission period. The data in the WebPT EMR supports what you submit to CMS in the event of an audit.
Will I still have access to WebPT Outcomes?
Yes–WebPT Members will continue to have the same access to WebPT Outcomes as you’ve had in previous years. The only difference is that WebPT Outcomes will only be used for non-MIPS patients moving forward. For MIPS-eligible patients, you will need to save outcomes data within the Keet platform, which is accessible from the WebPT EMR.
Why is my MIPS tab missing? I saw it the other day.
The MIPS platform will automatically reset on January 1st and requires MIPS to be repurchased and setup. Until MIPS 2023 is enabled (estimated availability is early January 2023), you will only see the MIPS tab on notes with a date of service in 2022. For backdated notation, the date in new notes must be set to a 2022 date of service, saved as a draft, and re-opened for the MIPS tab to appear.
When do I need to submit my 2022 scores?
Healthmonix was our MIPS registry partner for 2022, so data for the 2022 performance year will be reported through your Healthmonix MIPS Portal.
The submission deadline is February 15, 2023. We will directly communicate with you and provide instructions for getting your data ready. Each practice is responsible for reviewing their account, ensuring it is complete and accurate, and then indicating they are ready to submit. A MIPS Portal administrator in your practice will need to click a submit button which acts as a digital signature to approve the data. Healthmonix will queue the data and submit it as a total sum of all of our Members’ MIPS data on March 31, 2023.
For WebPT Member practices enrolled in our MIPS Portal:
- MIPS data must be ready to submit by February 15, 2023 to allow time for validating data and making any necessary corrections.
- Corrections to data can be made until March 24, 2023. At that time, data will no longer travel from the WebPT EMR to your Healthmonix account.
- Friday, March 31, 2023 all MIPS data will be submitted to CMS; no corrections or additional submissions can be made after this date.
For questions or assistance with submitting your 2022 MIPS data, please contact Healthmonix Support:
- 8 a.m. to 6 p.m. EST, M-F
- 610-590-2229 opt. 2
- 1-888-720-4100 opt. 2
Where can I see my 2022 performance feedback?
Register for a HARP account to access your performance feedback, report data, and manage users. Click here for an instructional guide.
When will I be able to look up my eligibility for 2023?
Use the QPP MIPS Eligibility Tool to determine your MIPS eligibility status for the selected performance year.
All you need to do is type in your NPI; then, Quality Payment Program (QPP) will pull your information from the most recent 12-month determination period and tell you whether or not you’re required to participate in MIPS.
When you create a login for QPP, you can also check the MIPS status of all providers within a practice.
Is the performance threshold increasing?
No. However, some changes may be coming to how the performance threshold is determined.
By regulation, the performance threshold is required to be either the mean or median of the final scores of all MIPS eligible providers, with the HHS Secretary choosing between the two. In the CY 2022 final rule, the mean was set as the measure for the performance threshold for the CY 2024, 2025, and 2026 payment years; in this final rule, CMS indicates that it intends to “reassess and establish the methodology” for the CY 2027, 2028, and 2029 payment years in future rules.
Has the MIPS payment adjustment changed?
No. The MIPS payment adjustments will remain at +/-9%. Mandated MIPS participants who do not report 2022 MIPS data will receive a -9% MIPS penalty against their 2024 Medicare Part B payments for covered professional services.
Are there any changes to MIPS quality measure data completeness requirements?
CMS requires all MIPS participants to have 70% data completion on all their measures, this is the same as the 2022 performance period.
Which measures were added or removed for the 2023 reporting year?
- Quality Measure 048: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older: Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months.
- Quality Measure 178: Rheumatoid Arthritis (RA): Functional Status Assessment: Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) for whom a functional status assessment was performed at least once within 12 months.
- Quality Measure 487: Screening for Social Drivers of Health: Percent of beneficiaries 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety.
Additionally, some measure descriptions were updated:
- Quality Measure 050: Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older. CMS is adding coding for OT to support this measure since it is applicable to their scope of care.
- Quality Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. CMS finalized their proposal to (a) add a grace period after the end of the encounter to document the follow-up plan, which would allow more flexibility in the clinical workflow giving clinician’s time for documentation, and (b) to screen for new cases of depression in patients who have never had a diagnosis of depression or bipolar disorder, as well as to clarify the timing requirements of diagnoses for the measure exclusions.
- Quality Measure 181: Elder Maltreatment Screen and Follow-Up Plan. CMS finalized their proposal to revise the measure description and revise the measure denominator.
- Quality Measure 182: Functional Outcome Assessment. CMS finalized their proposal to revise the measure description and numerator as well as update the numerator definition, numerator instructions and numerator options.
- Quality Measures 217 – 222 and 478: CMS finalized their proposal to update the measure definition to allow for utilization of a crosswalk, potentially reducing burden for clinicians and their patients who prefer an alternative (legacy) PROM for reporting of this quality measure.
- Quality Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention. CMS finalized their proposal to allow a lookback of 6-months for tobacco cessation intervention prior to the current measurement period.
- Quality Measure 431: Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling. CMS finalized their proposal to update the denominator exclusion, denominator criteria, numerator definition and numerator options.
- Quality Measure 130: Documentation of Current Medications in the Medical Record. CMS has finalized their proposal to remove this measure from Medicare Part B claims collection type. CMS will retain this measure for eCQM Specifications and MIPS CQMs Specifications collection types.
Are any changes to the Improvement Activities?
Are there any changes to the Low-Volume Threshold?
CMS did not propose or finalize any changes to the low-volume threshold for 2023. Essentially, that means a large majority of PTs, OTs, and SLPs will not be mandated to participate in MIPS next year. Check your participation status by going to qpp.cms.gov.
I'm not mandated to report. What happens if I opt-in to MIPS?
If you elect to opt-in to MIPS, you will receive performance feedback, as well as a MIPS payment adjustment. Click here to learn more about opting-in as an individual for MIPS.
I'm not mandated to report. What happens if I voluntarily report data to MIPS?
If you voluntarily report, you will receive performance feedback only. Click here to learn more about voluntary reporting data.
When can I purchase MIPS for 2023?
We will begin selling MIPS on January 1, 2023.