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CMS

Physician Compare Preview Period open until Aug. 20

The Physician Compare 60-day Preview Period is officially open as of June 22. You can now preview your 2018 Quality Payment Program performance information before it will appear on Physician Compare profile pages and in the Downloadable Database. You can access the secured Preview through the Quality Payment Program website. Access the resource below on how to preview your data: · Physician Compare Preview Period User Guide For additional assistance with accessing the Quality Payment Program website, or obtaining your EIDM user role, contact the Quality Payment Program service center at QPP@cms.hhs.gov. To learn more about the 2018 Quality Payment Program performance information that is available for preview as well as the 2017 clinician utilization data that will be added to the Downloadable Database, download these documents from the Physician Compare Initiative page: · Clinician Performance… . . . read more.

CMS

Guidance on allowance of telehealth encounters in eCQMs now available

The Centers for Medicare & Medicaid Services (CMS) has posted guidance on the allowance of telehealth encounters for the Eligible Professional and Eligible Clinician electronic clinical quality measures (eCQMs) used in CMS quality reporting programs for the 2020 and 2021 performance periods. Guidance provided applies to eCQMs used in each of the following programs: Quality Payment Program: The Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) APM: Comprehensive Primary Care Plus (CPC+) APM: Primary Care First (PCF) Medicaid Promoting Interoperability Program for Eligible Professionals Measures are not eligible for 2021 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program. Where to find the guidance on allowance of telehealth encounters The guidance is available on the eCQI Resource Center in… . . . read more.

QUALITY PAYMENT PROGRAM

2019 Performance Period Suppressed MIPS Quality Measures

In the 2019 Physician Fee Schedule Final Rule (83 FR 59847), the Centers for Medicare & Medicaid Services (CMS) established a policy that provides for the suppression of measures in certain circumstances. Starting with the 2019 performance period, for measures significantly impacted by clinical guideline changes or other changes where the CMS believes that adherence to guidelines in the existing measures could result in patient harm or otherwise cause misleading results as to what is measured as good quality of care, we will reduce the denominator of available measure achievement points for the quality performance category by 10 points for each impacted measure that is submitted by MIPS eligible clinicians and groups. Such policy will “hold harmless” any clinician or group submitting data on a suppressed measure. The measures identified… . . . read more.

CORONAVIRUS

CMS to provide accelerated and advanced payments during patient surge

In response to the COVID-19 pandemic, CMS will provide accelerated payments to requesting providers and advance payments to requesting suppliers, including physicians and non-physician practitioners, who submit a request to the appropriate Medicare Administrative Contractor (MAC) and meet the criteria: CMS intends to provide assistance first to those providers and suppliers that experience increased demand and surge in patients. MACs responsible for processing accelerated/advance payment requests for different states, will prioritize those states that were hit the hardest (currently, these states are reported to be California, New York, and Washington). Most providers and suppliers will be able to request up to 100% of the Medicare payment amount for a three-month period. However, Inpatient acute care hospitals, children’s hospitals, and certain cancer hospitals are able to request up to 100% of… . . . read more.

BILLING AND COLLECTIONS

CMS to launch new MIPS Participation Framework in 2021 Performance Period

CMS is implementing a new participation framework for the Merit-based Incentive Payment System (MIPS), called the MIPS Value Pathways (MVPs), starting with the 2021 performance period. The goal of this new framework is to move away from siloed performance category measures and activities, and move toward an aligned set of measures and activities that are more meaningful to clinicians and patient care. With the MVPs framework, CMS is aiming to connect measures and activities across the Quality, Cost, Promoting Interoperability, and Improvement Activities performance categories of MIPS for different specialties and conditions. The new framework is designed to: Simplify MIPS and reduce clinician burden; Improve value and create a more cohesive and meaningful participation experience; and Better align with Alternative Payment Models (APMs) to help ease the transition from MIPS… . . . read more.

QUALITY PAYMENT PROGRAM

MIPS 2020 payment adjustments in effect based on 2018 performance

In July 2019, each Merit-based Incentive Payment System (MIPS) eligible clinician received a 2018 MIPS Final Score and associated payment adjustment factor(s) as part of their 2018 MIPS performance feedback, available on the Quality Payment Program website. 2020 MIPS payment adjustments, based on each MIPS eligible clinician’s 2018 MIPS final score, will now be applied to payments made for Part B covered professional services payable under the Physician Fee Schedule. Payment adjustments are determined by the final score associated with your Taxpayer Identification Number (TIN)/National Provider Identifier (NPI) combination. MIPS eligible clinicians, identified by TIN/NPI combination for the 2018 performance period, will receive a positive, neutral, or negative MIPS payment adjustment in 2020 if they: Were a clinician type that was included in MIPS; Enrolled in Medicare prior to Jan…. . . . read more.

MEDICARE REIMBURSEMENT

MIPS bonuses are easy to earn—IF you can get into the program

The Centres for Medicare and Medicaid Services (CMS) has announced the results of…


. . . read more

INCREASING PROFITS

Deadline to submit a MIPS Targeted Review Request is this month

If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes…


. . . read more

CMS DATA

2017 QPP performance information is now available on Physician Compare

Medicare patients and caregivers are able to use the Physician Compare website to search for and compare…


. . . read more

MIPS

CMS releases preliminary data on 2018 Quality Payment Program participation

The Centers for Medicare & Medicaid Services (CMS) has published a blog post and released an infographic to share…


. . . read more


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