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Kareo Help Center

MIPS 2020 Action Plan

Updated: 11/11/2020
Views: 1614

The fourth year of the Quality Payment Program (QPP) has begun and Kareo is here to help.  We’ve created the Quality Payment Program (QPP) 2020 MIPS Action Plan to provide you with the necessary information and steps get you from preparation to data submission. Let’s get started:

Start Here

Check your MIPS participation status by entering your individual NPI at You are eligible if you answer yes to all three of the following questions:

  1. Do you invoice $90K or more in Medicare Part B allowed charges?
  2. Do you have more than 200 Medicare Part B patients?
  3. Do you provide more than 200 covered professional services to Medicare Part B beneficiaries?

If you answered yes to all of the questions, and you are one of the clinician types listed here, you may be subject to MIPS. Some eligible clinicians could be eligible for an exemption.  Find out more here.  Clinicians now have the option to submit their MIPS data if they meet one or two, but not all three of the low-volume criteria listed above with the Opt-in option.  Clinicians who do not meet any of the low-volume criteria can now volunteer their MIPS data.

Take Action 

Now that you have confirmed your eligibility for the MIPS 2020 reporting year, it is time to start learning the requirements. 

Register for the trainings below:

The following websites are also great resources:

Our CMS Incentive Program site has a variety of options for you to learn about the various requirements you might be subject too. Choose from help articles, to recorded training sessions, and other educational videos.

Your Checklist 

Let the following checklist serve as a reminder of the tasks that must be completed to help you be better prepared for the MIPS 2020 reporting year: 

  • Confirm clinician eligibility and determine their QPP track: MIPS or APM or both
  • Create a MIPS 2020 Audit Binder
  • Participate in a training for MIPS 2020
  • Select up to six quality measures, including one marked outcome or high-priority measure
  • Select a submission method for quality measures:
    • Run and download your quality measures report in QRDA format.
    • Hire a registry such as OpenText to submit Quality measures.
    • You can also choose to submit Quality measures via claims.
  • Go to Improvement Activities and select 2-4 Improvement Activities that add up to 40 points.  Then save your supporting documentation in your audit binder
  • Perform a Security Risk Analysis, or do a reevaluation of your existing security risk analysis
  • Setup the Patient Portal
  • Setup ePrescribing for your clinicians
  • Register with your state to begin the process for Immunization Registry Submission (if applicable), then open a support case with Kareo to complete the interface setup
  • Register with UpDox for Direct Messaging (required to Send/Receive and Incorporate summaries of care).  A clinician should register first, then other staff members
  • Monitor your reports for the Quality and Promoting Interoperability measures in your Kareo Clinical
  • Create a HARP account to submit your attestation
  • Submit your data to CMS during the submission period Jan 1 to March 31, 2021

Monitor Your Progress

It is important that reports are run and reviewed at least once or twice per month.  All items on Your MIPS 2020 Checklist must be completed as early in the year as possible. Some of these items can significantly impact your scores.

  • Run reports.
  • Be willing to modify your workflow to improve your score on any measure that needs improvement.

Attestation Submission Period

Finally, prepare for your attestation and submission of data. The attestation submission period for the 2020 Reporting Year is January 1st to March 31st, 2021. It is crucial that you:

  • Run your final Quality report for the full 2020 calendar year and download in QRDA format-- unless you reported quality measures via claims.
  • Run your final PI report for the 2020 reporting period of your choice.
  • Gather the supporting documentation for your selected Improvement Activities.
  • Log into the attestation website using your HARP credentials; then upload your QRDA file.  Or, select and reach out to your submission registry of choice and upload the QRDA file onto their portal.
  • Save your final reports, security risk assessment and supporting documentation in your MIPS 2020 audit binder. Keep for a minimum of 6 years.
  • Submit your MIPS 2020 data to CMS by March 31, 2021.


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