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Quality Payment Program  (132)
 

The Merit-based Incentive Payment System (MIPS) has provided the same data submission mechanisms since it began in 2017. The guidance regarding reporting with more than one submission method has changed for 2019, and this article addresses those changes.


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Date Added: 08/06/2019
Date Last Modified: 08/06/2019

The Centers for Medicare & Medicaid Services recently released a Medicare Learning Network Matters article about reporting Patient Relationship Categories and Codes on Medicare claims.


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Date Added: 08/02/2019
Date Last Modified: 08/02/2019

The Medicare Annual Wellness Visit (AWV), including Personalized Prevention Plan Services (PPPS), is an excellent way to perform needed services and capture Merit-based Incentive Payment System (MIPS) Quality measure data at the same time. Annual wellness visits encourage patients to take an active role in accurately assessing and managing their health, resulting in improved well-being and quality of life. Wellness care services and revenues strengthen infrastructure for providing comprehensive and coordinated care. AWVs allow clinicians to be proactive in identifying patient health risks, while fulfilling the requirements of MIPS Quality measures.


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Date Added: 07/29/2019
Date Last Modified: 07/29/2019

The Quality category requirement for the Merit-based Incentive Payment System (MIPS) is to report six measures, with one being an outcome measure, or a high-priority measure if no outcome measures are available. The 2019 Single Source documents are available for both claims measure reporting and MIPS clinical quality measures (CQMs) (or registry) reporting. These are very helpful resources when you are choosing measures you may be able to report.


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Date Added: 07/01/2019
Date Last Modified: 07/01/2019

The Centers for Medicare & Medicaid Services (CMS) draws information from PECOS and NPPES to supply participants’ information for the Quality Payment Program (QPP). Based on information obtained from these systems, providers are tied to one or more tax identification numbers for QPP eligibility and reporting, making accurate PECOS and NPPES data essential to having your information correct for QPP.


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Date Added: 06/28/2019
Date Last Modified: 06/28/2019

The TMF Quality Innovation Network is proud to have provided technical assistance to participate in the Quality Payment Program 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. Beginning July 18, the Centers for Medicare & Medicaid Services (CMS) will begin facilitating assistance for large practices and organizations. The Quality Payment Program Service Center will serve as the 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. Please read this notice for more information. (PDF)


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Date Added: 06/12/2019
Date Last Modified: 06/12/2019

Join the 2019 Promoting Interoperability Workshop to prepare for this category of the Merit-based Incentive Payment System (MIPS). Download this information sheet for details and to register. First live session takes place June 11, 2019. Register now.


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Date Added: 05/15/2019
Date Last Modified: 05/15/2019

In 2019, the Merit-based Incentive Payment System (MIPS) requires 2015 Edition certified electronic health record technology (CEHRT) to be used for reporting both the Promoting Interoperability and Quality categories. This article answers common questions about using and updating 2015 Edition CEHRT effectively.


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Date Added: 05/14/2019
Date Last Modified: 05/14/2019

Understanding Hierarchical Condition Categories (HCC) and their applicability to the Merit-based Incentive Payment System (MIPS) is important as clinicians work to receive recognition for the care they deliver to patients with complex conditions. Beneficiaries with complex health conditions may take additional time and resources to achieve positive health outcomes, and HCC helps recognize the complexity of that care.


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Date Added: 05/13/2019
Date Last Modified: 05/13/2019

Coding encompasses more than just the claim codes used for reimbursement and quality data submission. This article addresses common questions regarding the use of coding for all collection methods for the Quality and Cost categories of the Merit-based Incentive Payment System (MIPS).


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Date Added: 05/13/2019
Date Last Modified: 05/13/2019

This document highlights Quality Payment Program (QPP) performance categories related to antibiotic stewardship. Updated for 2019 performance year.


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Date Added: 02/08/2018
Date Last Modified: 03/19/2019

This document highlights Quality Payment Program (QPP) performance categories related to cardiac health and the Million Hearts initiative. Updated for 2019 performance year.


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Date Added: 02/08/2018
Date Last Modified: 03/19/2019

This document highlights Quality Payment Program (QPP) performance categories related to chronic care management. Updated for 2019 performance year.


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Date Added: 02/08/2018
Date Last Modified: 03/19/2019

This document highlights Quality Payment Program (QPP) performance categories related to diabetes care. Updated for 2019 performance year.


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Date Added: 02/08/2018
Date Last Modified: 03/19/2019

This document highlights Quality Payment Program (QPP) performance categories related to immunizations. Updated for 2019 performance year.


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Date Added: 02/08/2018
Date Last Modified: 03/19/2019

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