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INTRODUCING
CHONLADA CHIVANGKUL, M.D.
Dr. Chonlada Chivangkul earned her medical degree with honors from Chiang Mai University in Thailand in 2004. After completing a nephrology fellowship at Harbor-UCLA Medical Center, Dr. Chivangkul began practicing in the Long Beach area. With over 15 years of diverse experience, Dr. Chivangkul is excited to join the dynamic group of Vista Del Mar physicians and is excited to establish herself among the medical community of Ventura County.
u n d e r s t a n d i n g
MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) SCORING
What is the Merit-Based Incentive Payment System?
The Merit-Based Incentive Payment System (MIPS) is a program that determines Medicare payment adjustments by being a major catalyst towards transforming the healthcare industry from fee-for-service to pay-for-value. MIPS rolled 3 existing quality and value reporting programs into one points-based program. Eligible providers that participate in MIPS will earn a performance-based payment adjustment to their Medicare payment. The payment adjustment will be based on evidence-based and practice-specific quality data. CMS estimates approximately 500,000 clinicians will be eligible to participate in the first year of the program.
What are Medicare reimbursement adjustments?
Based on performance, providers will see a positive, neutral, or negative adjustment of up to 4% to Medicare payments for covered professional services furnished in 2019. This adjustment percentage grows to a potential of 9% in 2022 and beyond.
What determines a physician(s)/ group's MIPS score?
A clinician’s annual MIPS score of up to 100 points is determined by four categories of clinician performance and bonus point opportunities.
The four MIPS performance categories and weights are:
HOW WE SCORED
quality
cost
improvement activities
Assess the value of care to ensure patients get the right care at the right time
Helps create efficiencies in Medicare spending
CATEGORY SCORE: 10 / 10
CATEGORY SCORE: 50/50
Supports expanded practice access, population management, care coordination, beneficiary engagement, patient safety and practice assessment, participation in APM, achieving health equity, emergency preparedness and response, and integrated behavioral & mental health
CATEGORY SCORE: 15 / 15
improvement activities
Supports the secure exchange of health information and the use of certified electronic health record (EHR) technology
CATEGORY SCORE: 25 / 25
total score: 100/100
What does the score mean?
By scoring highly on applicable measures, the government acknowledges the quality care deliver we deliver to patients with incentivized adjustments to Medicare payments. By attaining satisfactory scores, it shows the significant difference in operations to meet our mission of improving the health of the community we serve.