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Quality Payment Program (QPP) Support Center

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2018 Performance Feedback for MIPS Quality Data Submitted Via Claims Now Available


The Centers for Medicare & Medicaid Services (CMS) has updated the QPP website so individual eligible clinicians who choose to submit their Quality performance category data via claims can access performance feedback for the 2018 performance year on an ongoing basis.
If you are participating in MIPS as an individual clinician and you have chosen to use claims to submit Quality performance category data, you attach quality data codes (G-codes) to your claims throughout the 2018 performance year. Those who have been doing so can now login to the QPP website and review their performance feedback, which will be updated on a monthly basis. 
Submitting Quality Performance Data via Claims
When you submit your quality data to CMS through your claims, they'll be processed to final action by the Medicare Administrative Contractor (MAC). The last day for submitting 2018 claims with quality data codes for the 2018 performance period is determined by your MAC, but data must be submitted on claims with dates of service during the performance period and must be processed no later than 60 days after the close of the performance period. Please check with your MAC for this guidance.
As a reminder: claims-based quality measures are calculated automatically by CMS based on the quality data codes submitted on your 2018 claims. Claims data submission is only an option for Year 2 (2018) if you're participating in MIPS as an individual (not as part of a group).
For more information about submitting your Quality performance category data via claims, review the 2018 Claims Data Submission Fact Sheet.