Table 2. Annual Time Spent (hours per year) on Activities Related to the Medicare Merit-based Incentive Payment System (MIPS), by Physician Practice Type and Position, 2019.
Practice type | Hours per year, by position, mean | ||||||
---|---|---|---|---|---|---|---|
Administrators | Physicians | APPs | MAs, LPNs, RNs | Total hours | |||
Executivea | Otherb | Leadersc | Otherd | ||||
Overall | 28.6 | 11.0 | 0.7 | 53.6 | 8.6 | 99.2 | 201.7 |
APM status | |||||||
APM | 30.6 | 14.0 | 1.0 | 68.2 | 15.4 | 104.2 | 233.4 |
Non–APM | 26.8 | 8.4 | 0.3 | 40.9 | 2.7 | 94.8 | 173.9 |
Primary care practice | |||||||
Small | 44.8 | 18.0 | 0.7 | 100.9 | 17.4 | 106.1 | 287.9 |
Medium | 44.0 | 0 | 1.4 | 76.5 | 2.4 | 28.4 | 152.6 |
General surgery practice | |||||||
Small | 28.8 | 1.8 | 0.4 | 45.5 | 10.3 | 155.1 | 241.8 |
Medium | 17.8 | 10.9 | 1.1 | 27.8 | 6.7 | 97.0 | 161.4 |
Large multispecialty practice | 4.9 | 16.4 | 0.1 | 1.4 | 0.6 | 84.1 | 107.6 |
Abbreviations: APM, alternative payment model; APPs, advanced practice practitioners; LPNs, licensed practical nurses; MAs, medical assistants; RN, registered nurses.
Standard deviations are shown in the Supplement.
Executive administrators are executive-level administrative staff (eg, chief executive officers, practice administrators, staff managers).
Other administrators are all nonexecutive administrative staff.
Leaders indicates physician-leaders’ additional time spent on MIPS-related activities beyond time spent on MIPS-related activities as practicing physicians.
Other physicians indicates practicing physicians’ time spent on MIPS-related activities, excluding physician-leaders’ additional time beyond time spent on MIPS-related activities as practicing physicians.