October 02, 2018
The Centers for Medicare & Medicaid Services (CMS) announced that it has open-sourced the Quality Payment Program (QPP) code responsible for calculating quality measures from Medicare claims data submitted by eligible clinicians via Quality Data Codes (QDCs). This code is intended for developers interested in the calculation mechanism supporting QPP Claims to Quality.
Performance on quality measures contribute to the calculation of the final score for the Merit-based Incentive Payment System (MIPS). Open sourcing the code behind the calculation of quality measures from claims data is a means for CMS to increase the transparency of the calculation of MIPS scores.