Tagged with MIPS Merit-based Incentive Payment System
CMS has published an updated 2018 CMS Quality Reporting Document Architecture Category III (QRDA III) Implementation Guide (IG) for Eligible Clinicians and Eligible Professionals (EPs). The update includes renaming of the Merit-based Incentive Payment System (MIPS) Advancing Care Information performance category, as well as changes to the MIPS performance period reporting.
CMS has announced plans to publish an addendum to the electronic clinical quality measure (eCQM) value sets to align with the most recent releases to terminologies.
CMS has advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration, which, when approved and adopted, would waive Merit-Based Incentive Payment System (MIPS) requirements for clinicians who participate sufficiently in certain Medicare Advantage plans that involve taking on risk.
On July 12, CMS published its proposed policy, payment, and quality provisions changes to the Medicare Physician Fee Schedule (MPFS) for Calendar Year (CY) 2019.
The New York Department of Health has released an update regarding its Medicaid Electronic Health Records (EHR) Incentive Program which provides financial incentives to eligible professionals (EPs) and hospitals to promote the transition to EHRs.
The Medicare Payment Advisory Commission (MedPAC) has released its March 2018 Report to Congress on Medicare payment policy, detailing its payment update recommendations to Congress, which the Commissioners voted on in January.
CMS has released and updated version of its Extreme and Uncontrollable Circumstances policy for the 2017 MIPS transition year. The updates policy now includes counties affected by Hurricane Nate and additional counties affected by the California wildfires.
CMS has announced the results of the final 2018 Value Modifier and the adjustment factor that will be applied to clinicians receiving an upward payment adjustment.
CMS has launched a new data submission system for clinicians participating in the Quality Payment Program (QPP), designed to reduce administrative burdens and streamline the data submission process.
Providers and insurance groups are in favor of CMS’ plans to develop a demonstration project that will test the effects of allowing clinicians to receive credit for financial risk-based arrangements with Medicare Advantage (MA) plans.
CMS has released final rules for the 2018 Medicare Physician Fee Schedule (MPFS) and the Quality Payment Program (QPP). The rules, scheduled to take effect January 1, 2018, address changes within the fee schedule as well as other Medicare Part B payment policies, such as changes to the Medicare Shared Savings Program.
CMS, on October 31st, announced that electronic clinical quality measures (eCQMs) in CMS quality programs will be transitioned to use the Clinical Quality Language (CQL) standard (CQL Release 1, Standard for Trial Use (STU) 2) for logic expression. Additionally, CMS has issued revised technical release notes (TRNs) for the addendum to the electronic clinical quality measure (eCQM) annual update specifications for 4th Quarter 2017 reporting and 2018 reporting periods.
CMS has published guidelines detailing requirements as to how Merit-Based Incentive Payment System (MIPS)-eligible clinicians must attest in order to prove they have made a good-faith effort to implement and use EHR technology that supports the timely exchange of healthcare information.
CMS has introduced a new MIPS Eligible Measure Applicability process to allow providers who were unable to submit the required number of quality measures the opportunity to earn the maximum score for that reporting category.
CMS has released an addendum to the electronic clinical quality measure (eCQM) annual update specifications originally published in May 2017. This addendum updates eCQM value sets for the 2018 performance period for Eligible Professionals (EPs) and Eligible Clinicians (ECs).
On June 20th, CMS released its 2018 Medicare Quality Payment Program (QPP) proposed rule. Officially titled, “CY 2018 Updates to the Quality Payment Program,” the rule includes key policy updates that seek to streamline reporting requirements and simplify participation under the Merit-Based Incentive Payment System (MIPS) [Track 1] and the Advanced Alternative Payment Model (Advanced APM) [Track 2] pathways created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
CMS has issued a proposed rule that would update payment policies for the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS). The ESRD PPS proposed rule is one of several for CY 2018 that reflect a broader strategy to relieve regulatory burdens for providers; support the patient-doctor relationship in healthcare; and promote transparency, flexibility, and innovation in the delivery of care.
CMS has posted new resources on the Quality Payment Program website to help clinicians successfully participate in the first year of the Merit-based Incentive Payment System (MIPS).
Florida House and Senate leaders have agreed to approximately $650 million in cuts to hospital payments through Medicaid. The state plans to cut its share of Medicaid payments by $250 million in the upcoming budget, which reduces federal matching dollars by more than $400 million.
CMS has sent over 800,000 letters to clinicians, with notification that they will not be evaluated under the MACRA Merit-based Incentive Payment System (MIPS) in 2017. Federal officials predict only about one-third of clinicians will have to file quality reports this year under the new Medicare payment system.