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TMF QIN

Quality Payment Program

Network Overview

The Quality Payment Program was created by the Medicare Access and CHIP Reauthorization Act of 2015 and is a new approach to paying physicians and clinicians who treat Medicare beneficiaries. Under the Quality Payment Program, physicians and clinicians can choose from two payment paths: the Merit-based Incentive Payment System (MIPS) or the Advanced Alternative Payment Models (APMs).

The Centers for Medicare & Medicaid Services (CMS) merged aspects of the Physician Quality Reporting System, the Value Modifier Program and the Medicare Electronic Health Record Incentive Program to create MIPS. Beginning in 2019, MIPS will pay eligible clinicians for providing care based on four performance categories: Promoting Interoperability, Improvement Activities, Cost and Quality.

Join the Quality Payment Program Network

Our consultants work with eligible clinicians to help them report for MIPS and successfully advance through the program’s performance categories by providing technical assistance, education, outreach and distribution of learning modules. The TMF Quality Innovation Network supports practices with 16 or more clinicians throughout Arkansas, Missouri, Oklahoma, Puerto Rico and Texas. TMF also works under contract with CMS to assist clinicians in small (15 or fewer clinicians), rural and underserved practices in Arkansas, Colorado, Kansas, Louisiana, Mississippi, Missouri, Oklahoma, Puerto Rico and Texas.

We also support members of our network with quality reporting and identifying opportunities to improve care coordination and performance improvement on measures used in MIPS, which will enable a smooth transition later into the Advanced APMs.

Download this fact sheet (PDF) to learn more about the Quality Payment Program network. To join, create a free account and follow the prompts.

    

                                 

Access your online MIPS Toolbox to help you manage your MIPS measure selection and reporting options, as well as track your performance against national benchmarks and calculate your estimated MIPS score. Click the button below to get started

Promoting Interoperability Workshop

Join the Promoting Interoperability (PI) Workshop to prepare for the PI category of MIPS. This 90-day workshop will include an implementation guide and action items, live workshop sessions and individual support as needed. Sign up now.

Improvement Activities Workshop

Join the Improvement Activities (IA) Workshop to walk through performing and reporting on improvement activities for this category of MIPS. This 90-day workshop begins Sept. 6 and will include an implementation guide and action items, live workshop sessions and individual support as needed. Sign up now.

Quick Links

Download these resources to learn more about the Quality Payment Program network.

View resources for patients and families.

Contact Us

Complete a Request for Support form and a TMF consultant will contact you within one business day.

Chat live with TMF consultants or call 1-844-317-7609, available Monday to Friday, 8 a.m. to 5 p.m. CT.

Quality Payment Program (practices with 16 or more clinicians):
QualityReporting@tmf.org

QPP – Small, Underserved and Rural Support (practices with 15 or fewer clinicians):
QPP-SURS@tmf.org

Click here to visit CMS' Quality Payment Program website:

 

TMF QIN Oklahoma Conference

Register today to attend the Oklahoma Health Care Quality Improvement Conference, hosted by TMF Health Quality Institute, the Medicare Quality Innovation Network Quality Improvement Organization (QIN-QIO) in Oklahoma. The TMF QIN-QIO is hosting four free, in-person conference events throughout Oklahoma between October and November 2018. Health care professionals, community partners and others interested in health care quality improvement in Oklahoma are invited. Attendees will have the opportunity to earn free continuing education credits.

Oct. 18 Webinar
Submitting Your 2018 MIPS Data: Advice for Solo and Small Group Practices

Register for this CMS webinar on Thursday, Oct. 18, 10 to 11 a.m. CT, to focus on the methods by which you can submit your 2018 MIPS data including the CMS portal, an EHR vendor and registries. In addition, the event will focus on step-by-step processes you can take to submit your data for each performance category.
Oct. 24 Office Hours
Can Care Coordination Help With MIPS?

Register today for this webinar on Wednesday, Oct. 24, from noon to 1 p.m. CT. All specialties benefit by coordination of care between providers. TMF consultants will discuss how coordination of care can be accomplished and the specific measures and activities with MIPS that may be addressed.

Nov. 7 Office Hours

Preparing an EIDM Account and Updating PECOS Information

Register today for this webinar on Wednesday, Nov. 7, from noon to 1 p.m. Reporting begins in January 2019. To view your past performance reports as well as report via the QPP Portal, it is necessary to have access to your Enterprise Identity Management (EIDM) account on the CMS Enterprise Portal. In addition, for data to be correct in your account, your Provider Enrollment, Chain, and Ownership System (PECOS) data must be updated. The TMF team will guide you through setting up, updating and accessing your EIDM account, as well as how to check your PECOS account and make any changes prior to reporting season.
Nov. 13 Webinar

Overview of the 2019 Final Rule: Implications for Solo and Small Group Practices

Register today for this CMS webinar on Tuesday, Nov. 13, from 10 to 11 a.m. CT. This webinar will discuss upcoming changes to eligibility and low-volume threshold requirements, revisions to the submission mechanisms, updates to the performance category weights, and more. Understanding these changes will enable you to succeed in MIPS in 2019.

 

Nov. 15 Webinar
Overview of the 2019 Final Rule: Implications for Solo and Small Group Practices

Register today for this CMS webinar on Thursday, Nov. 15, from 2:30 to 3:30 p.m. CT. This webinar will discuss upcoming changes to eligibility and low-volume threshold requirements, revisions to the submission mechanisms, updates to the performance category weights, and more. Understanding these changes will enable you to succeed in MIPS in 2019.
Nov. 21 Office Hours
Audit Readiness for MIPS

Register today for this webinar on Wednesday, Nov. 21, from noon to 1 p.m. Under MIPS, CMS will conduct an annual data validation process. Clinicians will be randomly selected for the audit process. While it is unknown how many clinicians will receive a request, historical programs audited approximately one in 10 clinicians. This session will review how to be prepared in the event you receive an audit request.
Texas • Arkansas • Missouri • Oklahoma • Puerto Rico