The Crystal Ball: MIPS 2022
MIPS Series: part 4 of 4
- Barbara Rubel, MBA, FRBMA, MSN Sr. VP, Marketing and Client Services
- Claudia Murray, RCC, MSN Sr. VP, Regulatory Affairs and Corporate Compliance Officer
Looking Ahead: MIPS 2022
A look ahead for what to expect under MIPS in 2022 is important as it is highly unlikely MIPS Value Pathways will be operational by then. The expectation is many radiology measures will continue to top out and be devalued or eliminated and there is still Medicare Part B money at risk as the payment adjustment remains at +/-9 percent.
The Composite Performance Score to avoid a penalty is, by law, the mean or the median of the average composite score across all eligible clinicians. CMS can no longer set the bar other than to select either the mean or the median. The prediction is, based on current performance rates, the passing CPS will be 75 percent. The Exceptional Performance Threshold score is increasing to 90 percent and Cost increases from 20 percent of the CPS to 30 percent. This change alone will decrease scores by five points. Exhibit B provides a summary of the key components of MIPS since its initial year.
Exhibit B: Key Components of MIPS
Barbara Rubel MBA, FRBMA Senior Vice President, Marketing & Client Services
Barbara has been a leader with MSN Client Services since 1998. Her extensive background in strategic planning, market research, healthcare marketing and managed care negotiations provide a wealth of information to support MSN Clients.
Barbara has also been highly involved in industry organizations, serving as President of the Radiology Business Management Association (RBMA), the Georgia RBMA, and the Florida RBMA. In addition, she chaired the influential RBMA Federal Affairs Committee and the RBMA Technology Task force and was a member of the RBMA Data Committee. Her work on behalf of radiology has earned her the RBMA Special Recognition Award (2010), the RBMA Global Achievement Award (2013), and she is a Fellow of the RBMA.
Claudia Murray, RCC Senior Vice President of Regulatory Affairs Executive, Director of Quality Payment Programs
Claudia brings an extensive background in Medicare regulations, law and billing processes having spent more than 20 years with the Medicare program in various roles. Prior to joining MSN Healthcare Solutions as their full-time compliance officer, Claudia headed a small consulting firm specializing in radiology and other hospital-based specialties. She consulted with MSN for 15 years in designing, implementing and advising on their compliance programs.
Currently at MSN, Claudia is responsible for the myriad activities for HIPAA and corporate compliance as well as the Quality Payment Programs, bringing her full circle to CMS regulations and programs.