MIPS 2023 - End of Year Reminders & Data Submission FAQs
As the 2023 MIPS performance year draws to a close, please refer to the following article for year-end tips and updates on the data submission process.
Frequently Asked Questions
Your 2023 MIPS eligibility status determines whether you’re obligated to submit any data for the MIPS program. Only providers who have exceeded a certain threshold of Medicare patients and Medicare reimbursements are required to submit data.
Before proceeding with anything else, it’s critical that you check your latest eligible status. Please do so by accessing this website and entering your NPI.
Instructions for interpreting your eligibility results can be found in this help center article.
MIPS data submission can be completed by logging into the Quality Payment Program (QPP) website. Each practice needs at least one person to be responsible for submitting the practice’s data.
If someone from your practice submitted MIPS data in the past, they can use the same user account to submit your 2023 data.
If nobody in your practice has submitted MIPS data before, access this webpage to set up HARP credentials. Once you have these credentials, you can use them later to log into the QPP website.
Each of the four MIPS categories has different data submission requirements. At a high level, you’ll be taking the following actions:
- Improvement Activities Category: Fill out a form directly in the QPP portal.
- Quality Category: Download a QRDA-3 file from the Clinical Quality Dashboard in Elation. Upload this QRDA-3 file to the QPP portal.
- Promoting Interoperability Category (if applicable): Reference the Promoting Interoperability Dashboard in Elation to fill out a form directly in the QPP portal.
- Cost Category: No action needed.
The MIPS submission window will open between January 2, 2024 through April 1, 2024. You will need to complete data submission by April 2, 2024, 8 pm Eastern.
The Elation team is currently preparing the files that you’ll need for submission. We will keep you informed in early January regarding when these files will be available and thus, when you’ll be able to start submission.
Watch this MIPS Check-in recording to review our best practices on avoiding a MIPS penalty.
Logistical Recommendations
- Double check your eligibility to verify if you need to participate in MIPS.
- If you find that you’re eligible (required):
- Make sure each provider has saved your practice’s TIN under their Elation user profile details.
- Ensure at least one person in your practice has HARP credentials so that they can log into the Quality Payment (QPP) portal.
Quality: Get your QRDA 3 file from Elation: this is a standardized file with measure data that you can upload to the QPP. The QRDA file can be found under “Reports” → “Clinical Quality Measures” and on that page select the correct year “2023” → “Export QRDA-3”
About QRDA files: These will be downloaded to your personal computer. Save the file as you would normally save a file, retain this file for data validation for auditing purposes from the QPP. The file is an xml file, this is a requirement, they are not intended for easy reading but for standardized data validation to upload to the QPP portal for their analysis.
Improvement Activities: Decide which Improvement Activities you are planning to report to the QPP. Review this article to learn more about Improvement Activities.
Promoting Interoperability: This category is reweighted and exempt for any practice with fewer than 15 providers, in an Advanced APM, and other factors. For the 2023 performance year, Elation recommends folks to leverage their exclusions because one of the requirements is an electronic case reporting integration and we had no requests for that in 2023.
Now that you have saved and understood what data you are submitting to the QPP, head over to the QPP and login with your credentials. Once you have logged in, be sure to submit your data for Quality (the saved QRDA 3 file will be uploaded), and attest to your selected Improvement Activities. For more information on how to navigate inside the QPP portal, and what actions to take, review the 2023 Traditional MIPS Data Submission User Guide published by the QPP.
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