Archive for: MIPS

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has released MIPS-related QPP resources.

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Payment Innovation: Quality Payment Program

Physician Compare Preview Period is Now Open

Physician compare preview period is open through December 31, 2018.

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Payment Innovation: Quality Payment Program

Call for Comments: MIPS Outcome Measures

CMS is soliciting comments on two inpatient quality measures they are adapting for the Merit-based Incentive Payment System. Comments are due Jan 4, 2019.

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Payment Innovation: Quality Payment Program

MIPS Participation Lookup Tool Updated: Final 2018 MIPS Eligibility Status Now Available

Eligible clinicians can check the Quality Payment Program (QPP) Participation Status Tool to view their final 2018 MIPS eligibility status.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has updated the QPP resource library.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has added additional resources to the QPP Resource Center.

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Payment Innovation: MIPS

93% of MIPS Eligible Clinicians Will Receive a Positive MIPS Payment Adjustment in 2019

CMS has announced that 93 percent of MIPS eligible clinicians will receive a positive MIPS payment adjustment in 2019 based on their performance in 2017. Overall, 95 percent of eligible clinicians avoided a negative payment adjustment. The chart below summarizes the results.

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Payment Innovation: Quality Payment Program

CMS Hosts Webinar on the 2019 Quality Payment Program Final Rule

CMS will host a webinar on Thursday, November 15, 2018 on the 2019 Quality Payment Program Final Rule.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS has uploaded a number of new resources to the QPP resource center, including web-based training courses.

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Payment Innovation: MIPS

CMS Extends Cost Measure Field Testing to Nov. 5

CMS is extending the timeframe for submitting feedback on the 2018 field testing of cost measures until Monday, November 5, 2018, at 12:00 pm EDT.

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Payment Innovation: MIPS

CMS Releases Guidance on How 2019 Payment Adjustments Will Be Indicated on Claims

CMS has released guidance to help MIPS eligible clinicians understand how to identify and interpret the application of positive, neutral and/or negative MIPS payment adjustments to be applied to payments for certain claims submitted for services furnished in calendar year 2019 based on clinicians’ 2017 MIPS final scores.

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Payment Innovation: Quality Payment Program

Updates to QPP Resource Library

CMS has uploaded a number of new resources to the Quality Payment Program (QPP) Resource Library.

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Payment Innovation: MIPS

CMS Hosts Webinar on Patient Relationship Categories and Codes

CMS to host webinar on patient relationship categories and codes on Wednesday, October 17, 2018.

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Payment Innovation: Quality Payment Program

CMS Releases First Snapshot of 2018 APM Qualifying Participant and MIPS APM Status

CMS updated the Quality Payment Program Participation Status Tool to include 2018 Advanced Alternative Payment Model Qualifying Participant and Merit-based Incentive Payment System APM status.

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Payment Innovation: Quality Payment Program

CMS Hosts QPP Conference Calls

The Centers for Medicare & Medicaid Services (CMS) is hosting two Quality Payment Program (QPP)-related conference calls.

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Payment Innovation: MIPS

CMS Hosting Several MIPS-related Conference Calls

The Centers for Medicare & Medicaid Services (CMS) has announced they are hosting several Merit-based Incentive Payment System (MIPS)-related conference calls.

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Payment Innovation: Regulation

CMS Releases the CY 2019 PFS Proposed Rule

Includes proposals for physician payment and the Medicare Quality Payment Program

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Payment Innovation: MIPS

GOP Doctors Caucus Asks CMS to Reduce MIPS Exemptions

On July 3, 2018, five members of the House Republican Doctors Caucus asked CMS Administrator Seema Verma to reduce the number of clinicians excluded from the Merit-Based Incentive Payment System (MIPS) in 2019.

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Payment Innovation: Quality Payment Program

CMS Advances Medicare Advantage Alternative Payment Model Demonstration

The Centers for Medicare and Medicaid Services (CMS) announced that it is pursuing a demonstration project, the Medicare Advantage Qualifying Payment Arrangement (MAQI) demonstration, which would allow clinicians involved in risk contracts in Medicare Advantage (MA) to be exempt from the Merit-Based Incentive Payment System (MIPS).

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Payment Innovation: MIPS

GAO Report Considers Small and Rural Practices’ Experiences in MIPS

The Government Accountability Office (GAO) was asked to review certain aspects of small and rural practices participation in legacy incentive programs and the Merit-based Incentive Payment System (MIPS).

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Payment Innovation: Other

CMS Hosts Webinar on Public Reporting on Physician Compare

July 24, 2018 11:00 AM ET/8:00 AM PT and July 26, 2018 3PM ET/12:00 PM PT

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Payment Innovation: MIPS

QPP Year 1 Update: CMS Informs MIPS Participants of their 2019 Payment Adjustments

The Centers for Medicare & Medicaid Services (CMS) released 2017 Merit-based Incentive Payment System (MIPS) performance feedback.

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Payment Innovation: Quality Payment Program

Earn Improvement Activity Credit in 2018 for Participating in a Study on the Burden of Quality Measure Reporting

Clinicians and groups who are eligible for the Merit-based Incentive Payment System (MIPS) that participate successfully in the study will receive full credit for the 2018 MIPS Improvement Activities performance category.

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Payment Innovation: Quality Payment Program

CMS Releases 2018 MIPS Eligibility Tool

The Centers for Medicare and Medicaid Services (CMS) updated their MIPS Participation Tool for the 2018 MIPS program. By entering a National Provider Identification (NPI) number, clinicians can determine if they are eligible to participate in the 2018 MIPS program.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MedPAC Recommends Elimination of MIPS and Adoption of Alternative Approach in March 2018 Report to Congress

On Thursday, March 15, 2018, the Medicare Payment Advisory Commission (MedPAC) released its semiannual report to Congress with a recommendation to eliminate the Merit-Based Incentive Payment System (MIPS) and replace it with an allegedly less burdensome program referred to as the Voluntary Value Program (VVP).

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

109 Physician Specialty Societies, Large Practice Groups and Patient Advocacy Groups Urge Congress to Remove Part B Drugs from MIPS Payment Adjustment

A collection of 109 organizations representing providers and patients submitted a letter urging Congress to block CMS from applying the Merit-based Incentive Payment System (MIPS) adjustment to Part B drug payments.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MedPAC Votes to Replace MIPS

On Thursday, January 11, 2018, the Medicare Payment Advisory Commission (MedPAC) recommended eliminating the Merit-based Incentive Payment System (MIPS) and its related reporting requirements and replacing it with a voluntary value program. Under the proposed model, all clinicians would have a portion of their fee schedule payment withheld. Clinicians then could earn the withhold back…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Upcoming CMS Webinars

The Centers for Medicare & Medicaid Services (CMS) has just announced two webinars related to the Quality Payment Program. Upcoming webinars are listed below.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

2018 MIPS Measures and Activities Posted

The Centers for Medicare and Medicaid Services (CMS) posted documents for the measures and activities for each of the four Merit-based Incentive Payment System (MIPS) performance categories in 2018.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Launches Website to Submit 2017 QPP Data

The Centers for Medicare and Medicaid Services (CMS) announced that eligible clinicians participating in the Quality Payment Program (QPP) can begin submitting their 2017 performance data using a new data submission system on the QPP website. Eligible clinicians can use the web-based system to submit their 2017 QPP performance data during the 2017 submission period which…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

OIG Releases QPP Report: Concludes CMS has Made Progress in QPP Implementation but Challenges Remain

The Office of the Inspector General (OIG) recently released a follow-up report to a 2016 early implementation review of the Quality Payment Program (QPP).

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Releases List of 22 Measures Under Consideration for the MIPS Program

As required by statute, on November 30, 2017, the Centers for Medicare and Medicaid Services (CMS) released a list of quality measures that are under consideration for Medicare quality reporting and value-based purchasing programs. Of the 32 measures on the list, 22 are being considered for the Merit-based Incentive Payment System (MIPS). The release of…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MedPAC Proposes Alternative to MIPS

The Medicare Payment Advisory Commission (MedPAC) proposed an alternative to the Merit-based Incentive Payment System (MIPS) at their October 5, 2017 public meeting. This proposal expanded on their proposal to redesign MIPS found in their June 2017 Report to Congress.

ORIGINAL ANALYSIS

Payment Innovation: MIPS

CMS Releases Predictive Analysis on Eligible Clinician QP Status

Based on historical Part B claims analysis, CMS predicts that nearly 100% of eligible clinicians in Advanced APMs will be QPs in performance year 2017

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Funding Opportunity: Measure Development for the Quality Payment Program

The Centers for Medicare and Medicaid Services (CMS) has announced a funding opportunity to support developing, improving, updating or expanding quality measures for use in the Quality Payment Program under the Merit-Based Incentive Payment System and/or Advanced Alternative Payment Models.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Check Your MIPS Eligibility Online at the QPP Website

Clinicians can use their 10-digit National Provider Identification Number to check their 2017 Merit-based Incentive Payment System (MIPS) eligibility on the Quality Payment Program website. Clinicians included in MIPS in 2017, will need to decide whether to report as an individual or with a group. Clinicians exempt from MIPS in 2017, will not need to do anything…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MIPS Improvement Activities Data Validation and Auditing Criteria Released

Quality and Advancing Care Information Criteria Will Be Released in Summer 2017.  

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Payment Innovation: Quality Payment Program

CMS to Send MIPS Participation Status Letters in Late April and May

The Centers for Medicare and Medicaid Services (CMS) just announced that practices will be receiving letters in late April and May informing them if they need to participate in Merit-based Incentive Payment System (MIPS) in 2017. The letter will come from the Medicare Administrative Contractor that processes their Medicare Part B claims and will tell them the…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS and CAPG Host Quality Payment Program Webinar Series

First webinar on MIPS Quality Reporting Scheduled for May 5, 2017 from 3:30 – 4:30 PM ET

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Registration Open for MIPS Group Web Interface and CAHPS Reporting

Groups utilizing the CMS web interface and/or CAHPS reporting must register by June 30, 2017

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Announces April 5th Listening Session on Cost Measure Development

CMS is hosting a listening session on episode-based cost measure development for the Merit-based Incentive Payment System (MIPS) from 12:00 – 1:30 PM ET on April 5, 2017. During this listening session, CMS will provide more information on cost measures and the role stakeholders play in cost measure development.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Hosts Advancing Care Information Webinar on April 4th

On Tuesday, April 4 at 1:00 PM ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to provide more information on the Advancing Care Information performance category of the Merit-based Incentive Payment System (MIPS). During the webinar, CMS will highlight requirements for the 2017 Advancing Care Information performance category and participants…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Requests Comments on Draft Episode Groups, Trigger Codes and Proposed Framework for Cost Measures

CMS is accepting comments until April 24, 2017, on draft episode groups, trigger codes and a proposed framework for cost measures. The Merit-based Incentive Payment System (MIPS) measures clinicians’ performance in four areas: quality, clinical practice improvement activities, advancing care information (i.e., meaningful use of certified electronic health record technology or CEHRT), and cost (i.e.,…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Seeks Volunteers for QPP Website Testing

CMS is seeking volunteers to test the Quality Payment Program website. CMS is seeking comments on the functionality of the current website as well as recommendations for future improvements. Interested Medicare clinicians, practice managers, administrative staff and EHR and registry vendors are encouraged to volunteer.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MedPAC Considers How to Reduce Burden of MIPS and Encourage Participation in Advanced APMs

On March 2, 2017 the Medicare Payment Advisory Commission (MedPAC) met in Washington DC and discussed alternatives to the Merit-based Incentive Payment System (MIPS), Advanced Alternative Payment Models (APMs) and ways to increase support for primary care.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Posts Updated eCQM Table

The Centers for Medicare and Medicaid (CMS) recently posted an updated electronic clinical quality measures (eCQM) table on its website. In an effort to improve alignment of the eCQMs with current quality initiatives, this update removes the previous meaningful use domains and now aligns the measures with the domains listed in the Merit-based Incentive Payment System and…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

MedPAC Will Discuss MIPS and Advanced APMs During March 2 Meeting

The Medicare Payment Advisory Commission (MedPAC) has placed discussion of the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) on the agenda for their March 2 meeting scheduled to be held in Washington, DC.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Opens Call for Measures and Activities

The Centers for Medicare and Medicaid Services (CMS) opened the submission period of the Annual Call for Measures and Activities for the Merit-Based Incentive Payment System (MIPS) track of the Quality Payment Program.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Posts Numerous MACRA Resources on QPP Website

CMS recently posted a variety of MACRA-related educational resources for clinicians, registries, qualified clinical data registries (QCDRs) and EHR vendors to the Quality Payment Program website.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Hosts Call: Transitioning from PQRS to MIPS

CMS is hosting a conference call on Tuesday, January 24 from 2:00 to 3:00 PM ET on how to complete the final reporting period for the legacy Medicare quality reporting programs and transitioning to the Merit-based Incentive Payment System (MIPS).

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Accepting Applications for CPIA Measurement Study

Participants receive full credit for the Improvements Activities Performance Category

ORIGINAL ANALYSIS

Payment Innovation: Regulation

Lost Your Bearings in the MACRA Final Rule? M+ Table of Contents Will Help You Find Your Way

Both a standalone TOC and TOC hyperlinked to the Official Federal Register Published Final Rule are available.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Posts Slide Decks on MACRA Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently posted a number of slide decks and a webinar recording on the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 final rule.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Releases MACRA Participation Options for 2017

On September 8, 2016, the Centers for Medicare & Medicaid Services (CMS) announced updated 2017 MACRA participation options via the CMS blog.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Bipartisan Letter Urges CMS to Consider Flexibility on MACRA Implementation

On September 6, 2016 bipartisan leaders from the House Energy and Commerce Committee and the House Ways and Means Committee sent a letter to CMS urging flexibility in the implementation of the Medicare Access & CHIP Reauthorization Act (MACRA).

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Payment Innovation: Quality Payment Program

CMS Posts New MACRA Slide Decks

The Centers for Medicare & Medicaid Services (CMS) recently posted new MACRA slide decks on the Quality and Resource Use performance categories. These are the latest additions to a series of presentations CMS is releasing on the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Both of these presentations go into greater detail, than…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Announces Funding Opportunity to Support Small Practice Transformation

On Friday, June 10, 2016 the Centers for Medicare & Medicaid Services (CMS) announced funding for the Support and Alignment Networks under the Transforming Clinical Practice Initiative (TCPI). Up to $10 million over the next three years is available to leverage primary and specialist care transformation work and learning in the support of the adoption of…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Joint Quality Payment Program Task Force Met on Tuesday, May 24 – Next Meeting Scheduled for Friday, May 27

On May 24, 2016, the Joint Quality Payment Program Task Force, an advisory board of the Office of the National Coordinator for Health Information Technology (ONC), met to review the Task Force charge and work plan. The Task Force is charged with reviewing the MACRA Proposed Rule with a specific focus on how the use…

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

Andy Slavitt Provides Testimony at MACRA Hearing

On May 11, 2016 Andrew Slavitt, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) provided testimony at a hearing on the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 held by the Subcommittee on Health of the House Ways and Means Committee.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Posts Slide Deck on Advancing Care Information MIPS Performance Category

The newest addition to the catalog of Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 educational slide decks is on the Advancing Care Information (ACI) performance category of the Merit-Based Incentive Payment System (MIPS). The ACI performance category is designed to meet many of the same objectives of the current Meaningful Use Program.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Solicits Comments on Episode Groups

CMS posted for comment episode groups that are being developed to help measure resource use under the MACRA Merit-Based Incentive Payment System (MIPS) and the Advanced Payment Model program.

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Posts Slide Decks from Recent MACRA Webinars

On May 5, 2016 the Centers for Medicare and Medicaid Services (CMS) posted slide decks from recent webinars on the Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA) of 2015 Proposed Rule.

ORIGINAL ANALYSIS

Payment Innovation: Regulation

Medicare Unveils Plan for New Medicare Physician Payment System

MACRA will impact millions of clinicians across all specialties that provide services to Medicare beneficiaries. This presentation is a guide to understanding the major components of this complex Proposed Rule in a brief and easily understandable format.

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Payment Innovation: Quality Payment Program

CMS Announces Competition for the Development of a MIPS Mobile Platform to Support Provider Education and Outreach

On May 2, 2016 the Centers for Medicare and Medicaid Services (CMS) announced a competition for the development of a Merit-based Incentive Payment System (MIPS) Mobile Platform to support provider education and outreach.

ORIGINAL ANALYSIS

Payment Innovation: Regulation

MACRA Proposed Rule Posted (Updated)

CMS posted the proposed rule to implement the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

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Payment Innovation: Other

CMS Releases RFI on the Implementation of MIPS and the Promotion of Alternative Payments Models

On September 28, 2015, the Centers for Medicare and Medicaid Services (CMS) released Request for Information (RFI) on the Implementation of the Merit-based Incentive Payment System (MIPS), Promotion of Alternative Payment Models (APMs) and Incentive Payments for Participation in Eligible APMs (CMS-3321-NC).

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