UPDATE: Assistance for Large Practices (16 or more clinicians) and Organizations
For more than two years, the Centers for Medicare and Medicaid Services (CMS) has successfully implemented the Quality Payment Program technical assistance initiative. The TMF Quality Innovation Network is pleased to have provided technical assistance to large practices – those with 16 or more clinicians – and organizations in Arkansas, Missouri, Oklahoma, Texas and the U.S. territory of Puerto Rico since 2017.
Large Practices (16 or more clinicians) and Organizations
For those large practices and organizations currently receiving support from TMF to report for the Merit-based Incentive Payment System (MIPS), be assured that we are committed to providing exceptional technical assistance through July 17. Once this support officially ends, CMS will continue providing assistance through several other excellent resources. The Quality Payment Program Service Center will serve as a primary point of contact. Connect with the Service Center at 1-866-288-8292 (TTY 1-877-715-6222) or via email at QPP@cms.hhs.gov.
Small Practices (15 or fewer clinicians)
TMF will continue to provide Quality Payment Program assistance to clinicians in small (15 or fewer clinicians) and rural practices in Arkansas, Colorado, Kansas, Louisiana, Mississippi, Missouri, Oklahoma, Puerto Rico and Texas.
Quality Payment Program Service Center
The Quality Payment Program Service Center will serve as a primary point of contact for large practices and organizations to help address your questions and concerns. The Service Center is equipped to manage very basic questions as well as more complex practice scenarios. Moreover, we have shared valuable best practices and lessons learned from the QIN-QIOs with the Service Center to ensure that you receive seamless and consistent support. Connect with the Service Center at 1-866-288-8292 (TTY 1-877-715-6222) or via email at QPP@cms.hhs.gov. The CMS Regional Offices will continue to assist in connecting clinicians in all practice sizes to valuable program resources, such as the Service Center, educational resources, webinars, etc. The Regional Offices are a local presence and work closely with clinicians (as well as beneficiaries, stakeholders, and others) to provide education and address questions. Finally, the Quality Payment Program website will remain a centralized location for resources, information, features, and an unparalleled user experience. You can also subscribe to receive updates about new resources including free webinars, newsletters, and other updates on the website.
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.