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Quality Payment Program (QPP) Support Center

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CMS Explains the QPP Special Status Calculation


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.
To determine if a clinicians' participation should be considered as special status under QPP, CMS retrieves and analyzes Medicare Part B claims data. A series of calculations are run to indicate a circumstance of the clinician's practice for which special rules under the Quality Payment Program will affect the number of total measures, activities or entire categories that an individual clinician or group must report. These circumstances are applicable for clinicians in: Health Professional Shortage Area (HPSA), Rural, Non-patient facing, Hospital Based, and Small Practices

For more information, please visit the QPP website.