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TMF QIN

Quality Payment Program

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.

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 Workshop to prepare for this category of MIPS. This workshop runs June 11 through Oct. 15. Sign up now for this workshop, which will include an implementation guide and action items, live workshop sessions and individual consultant support as needed.

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:

 

July 3 Special Office Hours
Special Office Hours: Use of Registries for Specialty Clinicians

Register today for this webinar on Wednesday, July 3, from noon to 1 p.m. CT. In this roundtable discussion, representatives from specialty registries will be present to discuss opportunities to improve Merit-based Incentive Payment System (MIPS) reporting and quality improvement using a specialty registry. In addition to the vendors, a practice that is successfully using a specialty registry will join the discussion.
July 17 Office Hours
Let's Talk QPP: Understanding Implications of Special Status Designation

Register today for this webinar on Wednesday, July 17, from noon to 1 p.m. CT. There are a number of Special Status designations for clinicians in the Merit-based Incentive Payment System (MIPS). They relate to the size of the practice, location of the physical practice, and where the clinician provides services the majority of time. Learn how the Centers for Medicare & Medicaid Services (CMS) calculates these Special Status designations.
July 31 Office Hours
Let's Talk QPP: The Medicare Annual Wellness Visit and Its Potential MIPS Impact

Register today for this webinar on Wednesday, July 31, from noon to 1 p.m. CT. The Medicare Annual Wellness Visit (AWV) is done by providers as a routine service to Medicare beneficiaries. Did you know it could potentially impact up to 25 Quality measures? In addition, Improvement Activities that impact the AWV may be used to meet the Improvement Activities and Promoting Interoperability categories. TMF consultants will discuss how you can utilize the AWV to improve your overall Merit-based Incentive Payment System (MIPS) final score.
Texas • Arkansas • Missouri • Oklahoma • Puerto Rico