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MIPS for Pathologists

Background

The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) repealed the broken Medicare sustainable growth rate (SGR) formula and established new payment pathways for physicians. To implement MACRA's reimbursement reforms, the Centers for Medicare & Medicaid Services (CMS) developed the Quality Payment Program which includes:

Making Sense of QPP 

It Pays to be in the Know. Learn the nuances to comply with the Centers for Medicare & Medicaid Services’ Quality Payment Program so you can maximize your bonus potential and avoid penalties.

Individual pathologists and group practices can now check their eligibility for the MIPS performance year by using the CMS’ Quality Payment Program (QPP) lookup tool. The CAP also provides resources to help pathologists comply as the CMS implements and administers MIPS and APM programs.

Impact Calculator

Use our MIPS calculator to estimate future Medicare payment adjustments using your practice data and project the impact to your bottom line.

Pathologists Quality Registry

The Pathologists Quality Registry can improve practice performance, through benchmarking against other pathology practices, and make it easier for pathologists to qualify for bonuses under MIPS. If you would like information on our Pathologists Quality Registry, our qualified clinical data registry, complete the inquiry form to schedule a call with a member of our registry team.

Pathologist Quality Measures

Identify relevant measures to help avoid Medicare payment penalties and earn bonuses when reported correctly.

Improvement Activities

Clinicians need to attest to Improvement Activities (IA), which represent 15% of a pathologist’s MIPS score, to receive credit in this category. Read answers to IA questions to learn all you need to know about Improvement Activities.

Members may login to access Improvement Activities we have identified as applicable to pathologists participating in MIPS.

MIPS Webinars

To help pathologists successfully navigate the new and evolving payment models, the CAP launched a series of 30-minute webinars. During each session, recognized CAP experts explain the components MIPS and how to successfully comply with MIPS requirements.

Additional Resources

CAP Resources

AMA Resources

CMS Resources

We have a dedicated team to help you navigate to MIPS reporting success.

Email: mips@cap.org 

Phone: 800-323-4040, option 3