CMS Releases Facility-based Scoring Preview
For the 2019 performance year, the Merit-based Incentive Payment System (MIPS) includes the option to use facility-based measurement for the Quality and Cost performance categories for MIPS eligible clinicians, groups, and virtual groups who are determined to be facility-based. These clinicians will be assessed based on their performance in hospital settings.
To determine if you’re facility-based, the Centers for Medicare & Medicaid Services (CMS) will look at your Medicare Part B claims billed between October 1, 2017 and September 30, 2018 (including a 30-day claims run out). You are considered facility-based if you are a MIPS eligible clinician type and you:
- Billed at least 75 percent of your covered professional services in a hospital setting;
- Billed at least one service in an inpatient hospital or emergency room; and
- Can be attributed to a facility with a Hospital Value-based Purchasing (VBP) score