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The Centers for Medicare & Medicaid Services (CMS) is committed to transforming the health care delivery system--and the Medicare and Medicaid programs--by putting additional focus on patient-centered care, innovation and outcomes. As part of its continuing Patients over Paperwork initiative, CMS is actively soliciting feedback from the medical community through Requests for Information (RFIs), listening sessions, and clinical onsite engagements with front-line clinicians and staff to learn how our administrative requirements and processes affect their daily work and ability to innovate in care delivery. This RFI solicits additional public comment on ideas that reduce unnecessary administrative burdens for clinicians, providers, patients and their families. Through these efforts, CMS aims to increase quality of care, lower costs, improve program integrity and make the health care system more effective, simple and accessible. Public comments will be accepted through Aug. 12, 2019.


Web link
Date Added: 06/13/2019
Date Last Modified: 06/13/2019

The Centers for Medicare & Medicaid Services (CMS) has issued the FY 2020 Inpatient Prospective Payment System (IPPS) and Long-term Acute Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule. Submit a formal comment by June 24, 2019.


Microsoft Word
Date Added: 05/07/2019
Date Last Modified: 05/07/2019

The Centers for Medicare & Medicaid Services (CMS) has moved Quality Payment Program (QPP) resources from CMS.gov to the newly redesigned Quality Payment Program Resource Library on qpp.cms.gov. Following feedback from clinicians and others in the health care community, we wanted to make QPP information and resources available in one place. We’ve also made it easier for you to find the resources you’re looking for by including a search function that allows you to search for resources by year, reporting track, performance category, and by document type (e.g., fact sheet, user guide, measure specifications).


Web link
Date Added: 11/01/2018
Date Last Modified: 11/01/2018

Many questions surround how the Merit-based Incentive Payment System (MIPS) applies to clinicians in accountable care organizations (ACOs). This Q&A article answers questions about ACOs raised during the TMF Quality Innovation Network’s Sept. 19, 2018, webinar “MIPS for ACOs.”


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Date Added: 10/24/2018
Date Last Modified: 10/24/2018

MIPS eligible clinicians or groups may request for the Centers for Medicare & Medicaid Services to review their performance feedback and score through a process called targeted review by Oct. 15, 2018, at 7 p.m. CT, if they believe an error has been made in the 2019 payment adjustment calculation. View this 2017 MIPS Performance Feedback Statement to learn more.


Adobe PDF
Date Added: 10/04/2018
Date Last Modified: 10/04/2018

This is a notice regarding a current call for nominations for the Centers for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS) Improvement Activities (IA) Technical Expert Panel (TEP). As part of its improvement activity development process, CMS is seeking feedback from a group of stakeholders, consumers, patients and experts who can contribute direction and thoughtful input on the improvement activities during development and maintenance.


Web link
Date Added: 09/13/2018
Date Last Modified: 09/12/2018

The Centers for Medicare & Medicaid Services (CMS) updated its Quality Payment Program Participation Status Tool to include 2018 Qualifying APM Participant (QP) and MIPS APM status. The tool has been updated based on calculations from the first snapshot of data from APM entities. The first snapshot includes data from Medicare Part B claims with dates of service between January 1 and March 31, 2018.


Web link
Date Added: 08/15/2018
Date Last Modified: 08/15/2018

If you submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, you can now view your performance feedback and MIPS final score. CMS originally displayed a single payment adjustment amount, which included an additional adjustment for exceptional performance available to MIPS eligible clinicians and groups with a final score of 70 or greater. However, based on feedback from various clinicians and groups, we have updated the system so that your MIPS payment adjustment, and if applicable, your additional adjustment for exceptional performance, are now displayed separately. The system will continue to display your total MIPS payment adjustment, which is a sum of your MIPS performance and exceptional performance.


Web link
Date Added: 08/09/2018
Date Last Modified: 08/09/2018

Video provides an overview of how to access 2017 performance feedback data for a clinician who voluntarily submitted data for 2017.


Video
Date Added: 07/31/2018
Date Last Modified: 07/31/2018

CMS video demonstrates how MIPS-eligible clinicians or groups can request a targeted review of their 2019 MIPS payment adjustment.


Video
Date Added: 07/31/2018
Date Last Modified: 07/31/2018

Video provides an overview of how to access 2017 MIPS performance feedback for Alternative Payment Model (APM) Entities.


Video
Date Added: 07/31/2018
Date Last Modified: 07/31/2018

Video demonstrates how to access 2017 MIPS performance feedback for a clinician whose performance was scored separately from his or her group.


Video
Date Added: 07/31/2018
Date Last Modified: 07/31/2018

The TMF MIPS Toolbox is a free online application, provided by TMF Health Quality Institute, to help clinicians in its region manage their participation in the Quality Payment Program’s Merit-based Incentive Payment System (MIPS).


Adobe PDF
Date Added: 07/24/2018
Date Last Modified: 07/24/2018

View this flyer from the Centers for Medicare & Medicaid Services (CMS) for information on upcoming Office Hours presentations for 2017 Performance Feedback and Targeted Review, as well as the upcoming webinar series on the Merit-based Incentive Payment System (MIPS) Year 2 (2018) Performance Category.


Adobe PDF
Date Added: 07/23/2018
Date Last Modified: 07/23/2018

Read this letter from the Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma.


Adobe PDF
Date Added: 07/17/2018
Date Last Modified: 07/17/2018

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