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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

Quality and Cost Workshop

Join the Quality and Cost Workshop to prepare for these two categories of MIPS. This workshop runs Feb. 14 through July 11 and includes 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:

 

Feb. 19 Webinar

Submitting Your 2018 MIPS Data: Advice for Solo and Small Group Practices

Register today for this CMS webinar on Tuesday, Feb. 19 from 10 to 11 a.m. CT. This event will focus on the methods by which you can submit your 2018 MIPS data including the QPP portal, your 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. The event will feature a panel of experts familiar with the range of data submission options available to small group practices and individual clinicians.

Feb. 20 Office Hours

Coding Claims for MIPS Quality and Cost Measures

Register today for this webinar on Wednesday, Feb. 20, from noon to 1 p.m. CT. Accurate scoring for the Quality and Cost measures by CMS requires complete information added to the Medicare Part B claims, as well as complete data in the EHR or registry. Quality Data Codes are needed, as well as patient diagnosis and treatment information that may impact the scoring and the measure of complexity of care. Hierarchal Condition Codes for complexity have a direct relationship to the Cost category measures. TMF panelists will unravel the mysteries of this coding complexity.

Feb. 21 Webinar

Submitting Your 2018 MIPS Data: Advice for Solo and Small Group Practices

Register today for this CMS webinar on Thursday, Feb. 21 from 2:30 to 3:30 p.m. CT. This event will focus on the methods by which you can submit your 2018 MIPS data including the QPP portal, your 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. The event will feature a panel of experts familiar with the range of data submission options available to small group practices and individual clinicians.

March 6 Office Hours
Let's Talk QPP: Deep Dive Into 2019 MIPS Improvement Activities Category

Register today for this webinar on Wednesday, March 6, from noon to 1 p.m. CT. Although there are not many changes in this category for 2019, the activities chosen may have a significant impact on the scores in other MIPS categories. TMF staff will provide an overview of this category and discuss methods to make the most of your improvement activities in 2019. All questions are welcome.

March 19 Webinar

MIPS Q&A Town Hall for Solo and Small Group Practices

Register today for this CMS webinar on Tuesday, March 19, 2:30 p.m. to 3:30 p.m. CT. This event features a panel of experts that understand MIPS and work regularly with small practices to help them succeed. Join CMS for an open Question and Answer Town Hall event where panelists will present preliminary 2017 conclusions about small practice participation in MIPS and answer frequently asked questions by small group practices.

March 20 Office Hours
Let's Talk QPP: Deep Dive Into 2019 MIPS Cost Category

Register today for this webinar on Wednesday, March 20, from noon to 1 p.m. CT. Although clinicians do not directly report Cost measures, their activities do affect the score. This year eight episode-based measures were added to the two existing measures. Each has a little different audience of clinicians that can directly impact the measures. Tune in as TMF staff provides insight into this category for 2019.

March 21 Webinar

MIPS Q&A Town Hall for Solo and Small Group Practices

Register today for this CMS webinar on Thursday, March 21, 10 a.m. to 11 a.m. CT. This event features a panel of experts that understand MIPS and work regularly with small practices to help them succeed. Join CMS for an open Question and Answer Town Hall event where panelists will present preliminary 2017 conclusions about small practice participation in MIPS and answer frequently asked questions by small group practices.

March 27 Special Office Hours
Special Office Hours: Health Information Exchanges

Register today for this webinar on Wednesday, March 27, from noon to 1 p.m. CT. This event will include representatives from some Health Information Exchanges (HIEs) to discuss the benefits of joining an HIE and describe what HIEs have to offer the practice that may enhance the clinician's focus on patient-centered care.

Texas • Arkansas • Missouri • Oklahoma • Puerto Rico