Merit-Based Incentive Payment System (MIPS)

Work with Able Health to track performance for MIPS and submit data to CMS

The first performance period for the Medicare Merit-Based Incentive Payment System (MIPS) began January 1, 2017. With CMS combining multiple Medicare Part B programs into one performance-based payment system, provider organizations must stay on top of requirements in order to maintain and increase Medicare payments over the next decade. Able Health can greatly reduce the administrative cost of participating in MIPS and help you improve performance in order to maximize your payment adjustment.MIPS is a budget-neutral program with an additional $500 million pool allocated for exceptional performers. Providers who prepare ahead of their peers will be able to earn higher payment adjustments and bonuses

MIPS in a Box

Track performance using patient-level data

Able Health calculates quality measures using patient-level data from EHRs, claims, and other sources. Easily enter performance data for Cost, Advancing Care Information, and Improvement Activities to track your MIPS Composite Performance Score over time. If you are participating in a MIPS APM, Able Health can replace MIPS measures with applicable measures from your APM.

Educate your team about MIPS as they use the product

In-app tooltips and articles explain how measures are calculated, how to form a valid quality measure set, how the Composite Score is calculated, and more—when and where you need it. Our guidance can reduce the cost of training, time to research requirements, and the negative impact of potential mistakes.

Improve performance with care tools

Identify clinicians and patients who need your attention—and take action to improve performance. Deliver scorecards to clinicians, including patient-level measure results and EHR source records. Generate call lists of patients who need care, including specific actions required for each patient.

Submit directly to CMS

Submit data across the four performance categories to CMS via the Able Health Qualified Registry. When you track performance throughout the year, end-of-year reporting becomes a simpler—and cheaper—task.

Select Your Specialty

Select your specialty to find MIPS measures supported by Able Health relevant to your specialty.

Non-MIPS Measures

Able Health is authorized by CMS to submit the following non-MIPS measures under license from the Renal Physicians Association:

  • Adequacy of Volume Management
  • Arterial Complication Rate Following Arteriovenous Access Intervention
  • Advance Directives Completed
  • Angiotensin Converting Enzyme (ACE) Inhibitor or AngiotensinReceptor Blocker (ARB) Therapy
  • Peritoneal Dialysis Catheter Success Rate
  • Peritoneal Dialysis Catheter Exit Site Infection Rate
  • Rate of Timely Documentation Transmission to Dialysis Unit/Referring Physician
  • Advance Care Planning (Pediatric Kidney Disease)
  • Arteriovenious Graft Thrombectomy Success Rate
  • Arteriovenous Fistulae Thrombectomy Success Rate
  • Hospitalization Rate Following Procedures Performed under Procedure Sedation Analgesia

Click here to view measure specifications