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Read the latest news about the CMS Quality Payment Program (QPP), including new resources to help your small practice become QPP ready.       
Everyone that is 2018 MIPS eligible must have an EIDM account because EIDM login credentials are utilized to login to the Quality Payment Program (QPP) portal. The QPP portal also houses preliminary and final MIPS feedback reports.

Year two of the MIPS program introduces new opportunities for solo practitioners and small group practices. Although you may know what MIPS requires in 2018, learning how to successfully meet these requirements while continuing to effectively serve your community and meet your financial goals is essential. 
 

Eligible clinicians can now log in to the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program website to check your group's 2018 eligibility for the Merit-based Incentive Payment System (MIPS).

 In 2017, the MIPS maximum payment adjustment was +/- four percent. The number of MIPS eligible clinicians (ECs) who did not report will determine how much the positive payment adjustment is for those that did report and have a MIPS score greater than three.

In 2018, the MIPS maximum payment adjustment increased to +/- five percent.
 

The Centers for Medicare & Medicaid Services (CMS) is conducting the 2018 Burdens Associated with Reporting Quality Measures Study, as outlined in the Quality Payment Program Year 2 final rule (CMS 5522- FC).


If you submitted data through the Quality Payment Program website, you are now able to review your preliminary performance feedback data. However, please keep in mind, this is not your final score or feedback.
 

The Centers for Medicare & Medicaid Services (CMS) hasy launched the Patients Over Paperwork initiative with the goal of reducing the regulatory burden imposed by CMS on our nation's healthcare professionals.

Groups Must Register to Use the CMS Web Interface and/or CAHPS for MIPS Survey by June 30, 2018

Registration is required for groups that intend to use the CMS Web Interface and/or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for Merit-based Incentive Payment System (MIPS) survey for 2018. To register, please visit the Quality Payment Program website. The registration period is from April 1, 2018 through June 30, 2018.

If you’re an eligible clinician participating in the Quality Payment Program, you now have until Tuesday, April 3, 2018 at 8 PM EDT to submit your 2017 MIPS performance data. You can submit your 2017 performance data using the new feature on the Quality Payment Program website.

The March 31, 2018 data submission deadline for the Merit-based Incentive Payment System (MIPS) is quickly approaching!

The Centers for Medicare & Medicaid Services (CMS) recently participated in the 2018 Healthcare Information and Management Systems Society (HIMSS) Annual Conference & Exhibition in Las Vegas from March 5-9, 2018

CMS recently published the Electronic Clinical Quality Measures (eCQM) Annual Update Pre-Publication Document, which describes changes in the standards and code set versions used in the updated measures for potential use in CMS quality reporting programs for 2019 reporting/performance. 

The Meaningful Measures initiative helps CMS find the highest quality measurement and improvement priorities that are most important to improve patient outcomes.

The Bipartisan Budget Act of 2018 enacted by Congress and President Trump on February 9, 2018 extends the transition years for MIPS to include 2019, 2020 and 2021.

Deadlines are fast approaching if you plan to submit data for the 2017 MIPS performance period. For group reporting via the CMS web interface, the deadline is March 16 at 8:00 p.m. ET, and for all other MIPS reporting via qpp.cms.gov, the deadline is March 31. Do you have questions about the MIPS data submission process or are you unsure about which measures you should submit data for in each MIPS performance category?

Advancing Care Information Improvement Activities Bonus for 2017 CMS QRDA III

The Centers for Medicare & Medicaid Services (CMS) has identified an additional advancing care information identifier for use with the 2017 CMS Quality Reporting Document Architecture Category III (QRDA III) Implementation Guide (IG) Version 1.0 for Eligible Clinicians and Eligible Professionals Programs.

MIPS Eligible Clinicians Can Now View Performance Scores for 2017 Claims Data on qpp.cms.gov

If you’re an eligible clinician who submitted 2017 Quality performance data for MIPS via claims, you’ll now be able to view your performance scores through the MIPS data submission feature. Reminder: claims data submission is only an option if you’re participating in MIPS as an individual (not as part of a group).


Join Quality Insights for the February edition of QPPLive! to get all your questions answered about the Merit-based Incentive Program (MIPS) and the Quality Payment Program (QPP).

The Centers for Medicare & Medicaid Services (CMS) will be hosting two 90-minute Physician Compare webinars to talk about the recent Physician Quality Reporting System (PQRS) and non-PQRS PY 2016 measures release on Physician Compare.

On December 19, 2017, the Centers for Medicare & Medicaid Services (CMS) published an updated 2017 quality measure benchmark table for MIPS quality measures.

The Centers for Medicare & medicaid Services (CMS) has recently posted several new 2018 Patient-Facing Encounters resources on the CMS website.

The Centers for Medicare & Medicaid Services (CMS) recently released three new instructional videos to help walk eligible clinicians through the MIPS data submission process.

The Centers for Medicare & Medicaid Services (CMS) is accepting recommendations from stakeholders for potential consideration of new specialty measure sets and/or revisions to existing specialty measure sets for program year 2019 of the Merit-based Incentive Payment System (MIPS) program.


CMS Launches New Data Submission System on QPP.CMS.GOV for Clinicians in the Quality Payment Program

On Tuesday, January 2, 2018, the Centers for Medicare & Medicaid Services (CMS) launched a new data submission system for clinicians participating in the Quality Payment Program. Clinicians can now submit all of their 2017 Merit-based Incentive Payment System (MIPS) data through one platform on the qpp.cms.gov website.


The Centers for Medicare & Medicaid Services (CMS) is offering online, self-paced courses about the Quality Payment Program through the MLN Learning Management System. There are now seven courses available. 

The Centers for Medicare & Medicaid Services (CMS) has posted several new Merit-based Incentive Payment System (MIPS) resources on CMS.gov.

The Centers for Medicare & Medicaid Services (CMS) announced that it is now offering two new accredited online courses.


The Election Period is Now Open to Form a Virtual Group for the 2018 MIPS Performance Period 

Visit CMS.gov to View New and Existing Quality Payment Program Resources


On November 2nd, the Centers for Medicare & Medicaid Services (CMS) issued the final rule with comment for the second year of the Quality Payment Program (calendar year 2018), as required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) as well as an interim final rule with comment.


Time is of the essence! There are now less than 90 days left in 2017. If you are a Merit-based Incentive Payment System (MIPS) eligible clinician this year, do you know what you are going to do to avoid the negative four percent payment adjustment?

This October, Quality Insights, as a partner in the advancement of health information technology to help improve healthcare —is a Proud Partner in National Health IT Week.

It’s not too late to participate in the first year of the Merit-based Incentive Payment System (MIPS)—one of the two tracks in the Quality Payment Program. The transition year of MIPS has been underway since January 1, 2017 and runs until December 31, 2017.

The Quality Payment Program Hardship Exception Application for 2017 is now available on the Quality Payment Program website

A fourth course has been added to the curriculum for the Quality Payment Program (QPP) where learners gain knowledge and insight about the QPP while earning valuable continuing education credit.

On July 24, the Centers for Medicare & Medicaid Services (CMS) distributed an email update with an explanation for its special status calculation for the Quality Payment Program. The message incorrectly stated that clinicians considered to have "special status" would be exempt from the Quality Payment Program.

All Doctors of Medicine or Osteopathy (MD or DO), Doctors of Dental Surgery or Dental Medicine (DDS or DMD), Doctors of Podiatric Medicine (DPM), Doctors of Optometry (OD) and Chiropractors who have never successfully attested to Meaningful Use prior to 2017 must submit a one-time hardship exception application prior to October 1, 2017 to avoid the 2018 payment adjustment if the clinician is transitioning to MIPS and intends to report Advancing Care Information measures in 2017. 
 

The Centers for Medicare and Medicaid Services (CMS) has introduced new information on its Quality Payment Program (QPP) website that indicates whether clinicians have "special status" and can therefore be considered exempt from the QPP.
 

A new, online and self-paced overview course on the Quality Payment is now available through the MLN Learning Management System. Learners will receive information on:
  • The Improvement Activities performance category requirements, and how this category fits into the larger Quality Payment Program
  • The steps you need to take to report Improvement Activities data to CMS
  • The basics about scoring of the Improvement Activities performance category

Proposed rule aims to simplify reporting requirements and offer support for doctors and clinicians in 2018.

If you are unsure about whether you and/or the clinicians in your practice need to submit data to the Merit-based Incentive Payment System (MIPS), use the newly released NPI Look-up Tool to find out.
 

On April 26, 2017 CMS posted a resource for the Improvement Activity category that lists each improvement activity, tells you how the activity will be validated, and lists the documentation that is required.