MIPS: Are you ready for PY2024?

February 27, 2024

In November 2023, the Centers for Medicare and Medicaid Services (CMS) released the 2024 Final Rule for Medicare and Medicaid Programs, including the Quality Payment Program (QPP). This rule implements significant policy changes that affect the traditional Merit-based Incentive Payment System (MIPS) program, as well as changes in reporting for Alternative Payment Models (APMs) and Accountable Care Organizations (ACOs). It also expands MIPS Value Pathways (MVPs) and highlights changes to the physician fee schedule (PFS).

As the April 1st submission deadline approaches for the 2023 performance year, it is important to understand how this final rule impacts your MIPS documentation and reporting for 2024. For more information, you can review the CMS Fact Sheet and 2024 Quality Payment Program Final Rule Resources.

Final Rule

2024

QUALITY PERFORMANCE - HIGHER DATA COMPLETENESS Threshold

Clinicians will need to report performance data for at least 75% of the denominator eligible cases for each quality measure. This is an increase from the previous data completeness threshold of 70%.

PI MEASURE changes

Clinicians must complete the Safety Assurance Factors for EHR Resilience (SAFER) Guides Measure. Attesting No will no longer meet this measure and will result in 0 score for Promoting Interoperability.

MIPS Value Pathways (MVPs)

In 2024, there are 16 MVPs available. This includes five new MVPs and modifications to 11 previously finalized MVPs.

2024 QPP Final Rule MVPs Guide

QUALITY MEASURES & IMPROVEMENT ACTIVITIES UPDATES

There are 198 Quality Measures for the 2024 performance period, including 11 new Quality measures and 59 altered existing Quality measures. CMS removed 11 Quality measures and partially removed three measures, which will be retained for MVP use only. There are 106 Improvement Activities, including five new activities and the removal of three improvement activities.

PI REWEIGHTING Updates

CMS has discontinued automatic reweighting for the following clinician types: physical therapists, occupational therapists, qualified speech-language pathologists, qualified audiologists, clinical psychologists, and registered dieticians or nutrition professionals. The agency plans to only continue automatic reweighting for clinical social workers.

Promoting Interoperability - Performance period expanded

Beginning in 2024, the performance period for the PI Category will increase from a minimum of 90 continuous days to a minimum of 180 continuous days within the calendar year.

COST MEASURE CHANGES

In 2024, there are a total of 29 Cost measures available, including five new episode-based cost measures. One cost measure was removed due to coding changes.