MIPS Eligible Clinicians Can Now View Performance Scores for 2017 Claims Data on qpp.cms.gov
If you’re an eligible clinician who submitted 2017 Quality performance data for MIPS via claims, you’ll now be able to view your performance scores through the MIPS data submission feature. Reminder: claims data submission is only an option if you’re participating in MIPS as an individual (not as part of a group).
Submitting Quality Performance Data via Claims
If you’ve already submitted quality data via claims, you don’t have to take any additional action. Claims-based quality measures are calculated automatically by CMS based on the Quality Data Codes (G-codes) submitted on your 2017 claims. You can simply login at qpp.cms.gov and view your calculated individual measures' scores and category score for Program Year 2017.
Please note, scoring of claims data is subject to change monthly based on the processing of any additional 2017 claims and adjustments up to 90 days after the end of 2017. It is possible that claims or adjustments that were submitted towards the end of 2017 have not yet processed. Please check back after March 31st, 2018.
Still Time to Submit Claims for 2017
If you still have 2017 claims you’d like to submit for the Quality performance category, make sure to submit them now. Claims, which are processed by Medicare Administrative Contractors (MACs) (including claims adjustments, re-openings, or appeals), must get to the national Medicare claims system data warehouse (National Claims History file) by March 1, 2018 to be analyzed. The MACs can provide you with specific instructions on how to bill.
To prepare for 2017 submission, review the following resources on the Quality Payment Program website:
The Centers for Medicare & Medicaid Services (CMS) has identified an additional advancing care information identifier for use with the 2017 CMS Quality Reporting Document Architecture Category III (QRDA III) Implementation Guide (IG) Version 1.0 for Eligible Clinicians and Eligible Professionals Programs. The identifier ACI_IACEHRT_1 for Advancing Care Information Improvement Activities Bonus should be used when submitting for an ACI bonus for the use of certified electronic health record technology (CEHRT) for an improvement activity. An updated version of the 2018 CMS QRDA III IG will be published to reflect the addition of this identifier. This announcement is for vendors and data submitters about the additional identifier missing from the table ‘Advancing Care Information Objectives and Measures Identifiers’.
If you have not yet submitted QRDA III data to the Quality Payment Program for 2017 and need to account for the ACI_IACEHRT_1, you can simply include this measure identifier as part of your advancing care information section of your submission file.
If you have already submitted QRDA III data to the Quality Payment Program for 2017 and need to include the ACI_IACEHRT identifier, you can either:
Additional QRDA-Related Resources
You can find additional QRDA related resources, as well as current and past implementation guides, on the eCQI Resource Center and the CMS eCQM Library. For questions related to the QRDA Implementation Guides and/or Schematrons, visit the ONC QRDA JIRA Issue Tracker. For questions related to Quality Payment Program/Merit-based Incentive Payment System data submissions, visit the Quality Payment Program website or contact us by phone 1-866-288-8292, TTY: 1-877-715-6222 or email QPP@cms.hhs.gov.
On Tuesday, February 27, 2018 at 2:00 p.m. ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar that will provide an overview of QCDR measures development, processes and expectations. This webinar is intended to assist with the measure development of QCDR measures for future program years of MIPS. Please know that CMS is not accepting additional QCDR measure submissions for 2018.
Title: 2018 QCDR Measures Workgroup
Date: Tuesday, February 27, 2018
Time: 2:00-4:00 p.m. ET
Description: On Tuesday, February 27, 2018 at 2:00 p.m. ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar that will provide an overview of the development, criteria, and evaluation of QCDR Measures. Among the topics to be presented during the webinar, CMS will provide information regarding:
Audience: Current and Prospective Qualified Clinical Data Registries
Event Registration: https://engage.vevent.com/rt/cms/index.jsp?seid=1003
The audio portion of this webinar will be broadcast through the web. You can listen to the presentation through your computer speakers. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@ketchum.com. Phone lines will be available for the Q&A portion of the webinar.
For More Information
CMS Will Answer Questions about MIPS Submission Feature During Three “Office Hours” Sessions
Deadlines are fast approaching to submit data for the 2017 Merit-based Incentive Payment System (MIPS) performance period. The 2017 submission period runs through March 31, 2018 with two exceptions:
1. Groups using the CMS Web Interface have until March 16, 2018 at 8pm ET to submit data.
2. Individual Eligible Clinicians submitting quality data via claims, must submit claims by March 1, 2018.
To help individual eligible clinicians and groups prepare for submission, CMS will be hosting three “Office Hours” sessions over the next several weeks. CMS subject matter experts will answer commonly asked questions about the submission feature on qpp.cms.gov, as well as answer attendees’ questions live. Registrants will also have the opportunity to email their questions prior to the sessions.
Review the Office Hour topics and register below. Please note that Qualified Registries, Qualified Clinical Data Registries and Web Interface Reporters should utilize their support calls for data submission support.
Date: February 14, 3:30-4:30pm ET
Title: Quality Payment Program Data Submission Office Hours: Individual Eligible Clinician and Group Submission
Date: February 28, 3-4pm ET
Title: Quality Payment Program Data Submission Office Hours: MIPS Quality Data Submission
Date: March 14, 3-4pm ET
Title: Quality Payment Program Data Submission Office Hours: MIPS Attestation for Advancing Care Information and Improvement Activities
Please note: Space for these sessions is limited. Register now to secure your spot. The audio portion of the sessions will be broadcast through the web. You can listen to the presentation through your computer speakers.
For step-by-step instructions on how to submit MIPS data, check out this video and fact sheet. Questions about your participation status or MIPS data submission? Contact the Quality Payment Program Service Center by:
Deadlines are fast approaching if you plan to submit data for the 2017 Merit-based Incentive Payment System (MIPS) performance period. Don’t wait until the last minute to submit your data. Submit early and often. The two key dates are:
Now is the time to act. Here are the top 10 things you need to do and know if you are an eligible clinician. This list focuses on reporting via the qpp.cms.gov data submission feature, not on group reporting on via the CMS Web Interface and not on individual reporting on Quality measures via claims submission data.
Note: If you’re not sure if you are required to report for MIPS, enter your National Provider Identifier (NPI) in the MIPS Lookup Tool to find out whether you need to report. Additionally, if you know you are in a MIPS APM or Advanced APM, you can use the APM Lookup Tool.
If you are in an ACO or other APM, make sure you are working with your ACO or APM to make sure they have any patient information they need to report. Remember you need to report on Advancing Care Information measures on your own.
Questions about your participation status or MIPS data submission? Contact the Quality Payment Program Service Center by:
Southern Tier Lyme Support, Inc and Binghamton University are offering 5.5 CME credits through Upstate Medical to physicians (MD and DO) at this years Southern Tier Lyme Conference.
Registration for the May 5th conference at Binghamton University will open for medical professionals starting 2/15/2018 at www.southerntierlymesupport.org. The cost of the conference is $75 for physicians and $5 for all other medical professionals and the public.
Thursday March 29, 2018
7:30 a.m. - 4:30 p.m.
125 E. Main St.
Rochester, NY 14604
For more information and to register: www.starrochester.com
Agenda highights advances in regional systems of care for stroke patients
Who Should Attend
This activity is intended for primary care physicians, internists, neurologists, neurosurgeons, emergency physicians, family physicians, radiologists, cardiologists, nurses, physician assistants, nurse practitioners and EMS personnel who care for patients with cerebrovascular disorders
At the conclusion of this activity participants should be able to:
$100 early registration, $150 after March 16th,
Students: $50 early registration, $75 after March 16th
MCMS President Peter Ronchetti, MD discusses how prior authorizations requests from payers are costly and delay patient care. http://on.rocne.ws/2DVct4R
PROPOSED EXECUTIVE BUDGET – A look at how the governor’s proposed 2018-19 executive budget impacts the medical malpractice market.
CMS Launches New Data Submission System on QPP.CMS.GOV for Clinicians in the Quality Payment Program
On Tuesday, January 2, the Centers for Medicare & Medicaid Services (CMS) launched a new data submission system for clinicians participating in the Quality Payment Program. Clinicians can now submit all of their 2017 Merit-based Incentive Payment System (MIPS) data through one platform on the qpp.cms.gov website. Data can be submitted and updated any time from January 2, 2018 to March 31, 2018, with the exception of CMS Web Interface users who will have a different timeframe to report quality data from January 22, 2018 to March 16, 2018. Clinicians are encouraged to log-in early to familiarize themselves with the system.
How to Login to the Quality Payment Program Data Submission System
To login and submit data, clinicians will use their Enterprise Identity Management (EIDM) credentials.
As data is entered, clinicians will see real-time initial scoring within the MIPS performance categories. Data is automatically saved and clinician records are updated in real time. This means a clinician can begin a submission, leave without completing it, and then finish it at a later time without losing the information.
Payment Adjustment Calculations
Payment adjustments will be calculated based on the last submission or submission update that occurs before the submission period closes on March 31, 2018.
There are two eligibility look-up tools available to confirm a clinician s status in the Quality Payment Program. Clinicians who may be included in MIPS should check their National Provider Identifier (NPI) in the MIPS Participation Status Tool, which will be updated with the most recent eligibility data, to confirm whether they are required to submit data under MIPS for 2017. For clinicians who know they are in an MIPS APM or Advanced APM, CMS is working to improve the Qualifying APM Participant (QP) Look-up Tool to include eligibility information for Advanced APM and MIPS APM participants. We anticipate sharing this updated tool in January 2018.
To learn more about the Quality Payment Program data submission system, please review this fact sheet or view any of the following training videos:
Visit qpp.cms.gov to explore measures and activities and to review guidance on MIPS, APMs, what to report, and more.
Go to the Quality Payment Program Resource Library on CMS.gov to review Quality Payment Program resources.
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222).