Quality Payment Program

COVID-19

Trump Administration Champions Reporting Covid-19 Clinical Trial Data Through Quality Payment Program

MIPS In the Know - CMS COVID-19 Response Update


The Quality Payment Program Resource Center

CMS Announces Relief for Clinicians Participating in Quality Reporting Programs in Response to COVID-19

QPP COVID-19 Response Fact Sheet

QPP SURS COVID-19 Relief TAC Questions


MIPS: Are you in the know? Important dates for MIPS 2020
The QPP Resource Center® would like to remind Eligible Clinicians and Practices of some pressing deadlines! We understand that keeping track of important dates for MIPS can be a challenge, which is why we have listed them below: to help keep you on pace for successful 2020 MIPS reporting! Our QPP Advisors are here to answer any questions you may have and provide free (virtual) technical assistance.

  • December 2020 – MIPS eligibility status is finalized. Clinicians should check their participation status on the QPP Lookup Tool by visiting https://qpp.cms.gov/participation-lookup .
  • December 31, 2020 – Deadline for Filing an exception application. The 2020 Promoting Interoperability (PI) Hardship Exception and Extreme and Uncontrollable Circumstances (EUC) Exception Applications Clinicians is available for individuals, groups, and virtual groups to reduce their reporting burden. If you are a small practice (<15 clinicians) or believe you have been affected by the current COVID-19 public health emergency, then these exceptions may apply. CMS will notify applicants via email if their application has been approved or denied. To submit a 2020 MIPS Promoting Interoperability Hardship Exception and Extreme and Uncontrollable Circumstances Exception Applications, please log into your QPP Account at https://qpp.cms.gov/login
  • December 31, 2020– 2021 virtual group election period closes. Solo practitioners and groups with 10 or fewer clinicians, (including at least one MIPS eligible clinician) who want to participate in MIPS as a virtual group for the 2021 performance year, must submit their election to CMS.
  • January 4, 2021 – 2020 MIPS performance year data submission window opens.
  • March 1, 2021 – Deadline for CMS to receive 2020 claims for the Quality performance category. Claims must be received by CMS within 60 days of the end of the performance period.
  • March 31, 2021 – 2020 MIPS performance year data submission window closes.

MACRA, MIPS, & APMS Education Series 

Web Event: 2019 MIPS Data Submission – Advice for Solo and Small Group Practices

With the data submission deadline around the corner, understanding the mechanics of how to submit your MIPS data and what documentation you need to retain can be challenging, especially given time constraints for solo practitioners and small group practices. This event will focus on the methods by which you can submit your 2019 MIPS data including using claims, the QPP portal, your EHR vendor, or a registry. This event will also include information on what’s new for submitting your 2019 data. A panel of experts who are familiar with the range of data submission options and document keeping requirements for small group practices and solo practitioners will share data submission tips and provide a step by step process on how to submit your data for each performance category. Join us to dialogue with the panel about any questions or challenges you’re encountering submitting data or documenting activities for the MIPS program.

This event is designed for:

  • MIPS-eligible clinicians from solo and small practices with 15 or fewer clinicians
  • Practice managers and staff from small group practices tasked with submitting MIPS data 
  • Persons supporting small group practices that are preparing for MIPS data submission


Two sessions of this presentation are being offered. Please click the date and time to register for the session you would like to attend:

Tuesday, February 18, 11 a.m.-Noon (Eastern)

Thursday, February 20, 3:30-4:30 p.m. (Eastern)

Additional Upcoming Events and Links to Past Events

2020 Webinars 

Part I Key Changes for 2020 Reporting Year

Part II Reporting Deadlines & Requirements for 2020

Part III Virtual Groups and MIPs APMs

Part IV COVID-19 Updates 

Part V MIPS Value Pathways 

Part VI 2021 Performance Year Updates & Overview 

VISIT THE ARCHIVE

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National LAN-sponsored QPP Web Events:

 

VISIT THE ARCHIVE

Informational Items:

MIPScast release 4.1.2

MIPScast® Qualified Registry Participation Guide for 2020

August Newsletter

 Quality Payment Program (QPP) Resource Library:

  • 2018 Targeted Review User Guide – Helps those who are requesting CMS to review their 2020 Merit-based Incentive Payment System (MIPS) payment adjustment. This guide provides an overview of the targeted review process and lists steps to access and complete the Targeted Review Request Form.

For more information on the 2018 Targeted Review request process, reference the 2018 Targeted Review FAQs.

  • MIPS Data Validation and Audit Overview – Offers an overview of the MIPS data validation and audit process that will be conducted in 2019 for the 2017 and 2018 performance years, detailing how to select MIPS participants for data validation, which MIPS performance measures and activities will be included, and associated timelines.

See the 2017 MIPS Data Validation Criteria and 2018 MIPS Data Validation Criteria for a list of the criteria used to audit and validate the data submitted in each performance category.

  • MIPS Data Validation File Upload Instructions Video – Walks viewers through the process of securely uploading and submitting a MIPS Data Validation File to CMS.
  • Complex Patient Bonus Fact Sheet – Provides an overview of the complex patient bonus and explains bonus eligibility requirements and how the bonus is determined and calculated.
  • 2019 QPP Clinician Role Demo Video – Demonstrates the steps to add the QPP clinician role, which allows clinicians to view their MIPS eligibility details, performance feedback, and payment adjustment without having to request access and wait for approval.

For more information on adding the new role or accessing the QPP portal, review the QPP Access User Guide.

Portal Release Notes v3.0

QPP Resource Center® v3.0 Training Session

 

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If you are a clinician in Michigan, Ohio, Indiana, Illinois, Kentucky, Wisconsin, or Minnesota, and participate in Medicare, the Quality Payment Program Resource Center® is right for you! Funded by CMS, we provide free tools and resources that can empower your practice to successfully navigate complex MACRA legislation. We have knowledge and expertise in practice transformation, legislation, resources, and technology to help you understand what is required of your practice for MACRA and why. We are here not just to help inform you, but support you on the front lines as you plan for, implement, and measure your patient-focused care!