QPP Resource Center

Welcome to Telligen’s Quality Payment Program Resource Center under the Small, Underserved and Rural Support contract (SURS). Our goal is to ensure small practices in Iowa, Nebraska, South Dakota and North Dakota have the information, support and resources necessary to survive and thrive under the Centers for Medicare & Medicaid Services (CMS) new Quality Payment Program, or QPP for short.

Physicians, their practice managers, and other key office staff can use this site to submit QPP-related questions, stay on top of the latest policy updates & events, and access helpful tools and resources.

Learn more about Telligen’s QPP Resource Center by viewing the video below.

Panel 1

QPP Basics

Value-Based Care Has Arrived.

The change from rewarding value over volume is one that has been years in the making. Following passage the Affordable Care Act, the federal government began transitioning from rewarding for quantity (fee-for-service) to rewarding for quality and cost. This goal is summed up by what the Centers for Medicare & Medicaid calls the Triple Aim — better health, better care and lower costs.

Get Ready for Change.

QPP is more than physician reimbursement — it will drive the future of the U.S. healthcare system and a new generation of technology to support it. The ultimate goal is to move toward a value-based healthcare system that ensures high-quality, affordable healthcare.

There’s a Learning Curve.

QPP streamlines current CMS quality reporting programs (PQRS, VM & MU) and separates them into two tracks:

  1. Merit-Based Incentive Payment System (MIPS)
  2. Alternative Payment Models (APMs)

Most Providers Are Affected.

Unlike previous reporting initiatives, MACRA does not offer the option for providers to opt out of reporting by paying a penalty. This means any provider accepting Medicare Part B patients*, including physicians, physician assistants, nurse practitioners, clinical nurse specialists and nurse anesthetists, are required to report one of the two tracks in 2017.

 *For now, only physician offices — not hospitals — are governed by MACRA rules. In addition, this program only applies to payments physicians receive from Medicare. Medicaid is not included.

Penalties Are at Stake.

In the proposed rule, CMS estimates approximately half of all MIPS-eligible clinicians will earn an incentive for the first performance year, and the other half will be assessed a penalty.

Scores are Public.

All participant performances will be publicly reported on CMS’ Physician Compare website.

It’s Go Time.

Providers shouldn’t let the 2019 payment adjustment date give a false sense of security. The data used to pay providers in 2019 is derived from performance in 2017 (right now). Providers have big decisions to make, and Telligen is here to help.

Panel 2

Recent News

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MACRA Minute February Newsletter

Upcoming Deadline: Submit 2017 MIPS Performance Data

March deadlines are fast approaching for submitting 2017 MIPS performance data. Don’t wait until the last minute — submit early & often. Key dates to remember include:

  • March 1 for submitting Quality performance category data via claims
  • March 16(8 pm EST) for group reporting via the CMS web interface
  • March 31 for all other MIPS reporting, including via qpp.cms.gov

Need Help?

Telligen’s QPP advisors are here to help you move move forward with confidence. Give the Telligen QPP Resource Center a call at 844-358-4021 or send us an email.

Take Action: Top 10 MIPS Reporting Tips

With 2017 performance data submission deadlines around the corner, now is the time to act. Here are the top 10 MIPS Tips for ECs reporting data in 2018.*
(*Note: This list focuses on reporting via the QPP data submission system, not groups reporting via the CMS Web Interface or individuals reporting via claims submission).
2017 timeline
  1. Get Familiar with the new data submission system.
  2. Get Your Data Ready for the Quality, Improvement Activities, & Advancing Care Information categories.
  3. Get Your EIDM Credentials Ready, or get an EIDM account if you don’t have one (see next article for more information).
  4. Sign-In to the QPP data submission system using your EIDM account.
  5. Start Submitting your data early to familiarize yourself with the system & prepare your data.
  6. Know Your Group: ECs can report as a group or individually & can switch at anytime. For ECs reporting as a group, the data submission system will recognize your NPI & tie it to other EC’s sharing a Taxpayer Identification Number (TIN).
  7. Know Your Data: The system saves all data entered for individual ECs and the group. CMS will use data with the highest final score to calculate an individual EC’s payment adjustment.
  8. Resolve Performance Issues by submitting/updating data right up to the March 31 deadline. The system doesn’t have a “save” or “submit” button, but will automatically update as data is entered. Once CMS  receives your data, initial scores will be displayed by performance category.
  9. Submit as Often as You Like: Use the data submission system to identify any under-performing measures & issues with your data.
  10. Get Step-by-Step Instructions by referencing this video & fact sheet.

How To: Log-In to the QPP Data Submission System

ECs are encouraged to log-in early & often to become familiar with the system.  To log-in and submit data to the QPP website, you must have valid EIDM credentials:
  • The EIDM account provides user identification for accessing CMS’ systems.
  • The system will connect each user with their practice Taxpayer Identification Number (TIN). Once connected, ECs can report as a group or as individual clinicians within the practice.
  • To learn about how to create an EIDM account, see this user guide.
ECs who need assistance with the data submission system may contact CMS by email or toll free at 1-866-288-8292.
Panel 3

Events

Webinars

 Telligen QIN Coffee TalkExploring the QPP Payment Adjustment Rules 

  • Date & Time: April 12, 2018; 11 to Noon, CST
  • Description: Confused about how the payment adjustment will follow the NPI for the MIPS program? Did you know this is different from the previous years under PQRS? This event will explore general payment adjustment rules and walk participants through several scenarios. The last half will feature an open Q&A session to answer questions about QPP requirements.
  • Register Now

CMS LAN Using Improvement Activities to Enhance Performance Scores

  • Date: April 17 & 19, 2018
  • Description: Choosing the right improvement activities can benefit your patients, practice, and help you achieve a higher MIPS score. In this webinar, a panel of CMS experts will review the types of improvement activities, and show you how to leverage those activities to boost your overall MIPS score. The panelists will also review special conditions that apply to small group practices and solo practitioners.
  • Register Now

Telligen QPP: A Closer Look at ACI & Improvement Activities

  • Date & Time: May 8, 2018; 11:00 to Noon, CST
  • Description: Please join Telligen’s Sandy Swallow (QIN) and Michelle Brunsen (SURS) as they take a closer look at the Advancing Care Information (ACI) and Improvement Activities (IA) performance categories and how these changes will affect clinicians and staff in your organization.
  • Participants will Learn:
    • Key changes from 2017 to 2018
    • Requirements for Eligible Clinicians
    • Steps to be successful in 2018
  • Register Now

Conferences

Iowa Medical Group Management Association (MGMA) 2018 Spring Conference

  • Date: April 18 – 20, 2018
  • Location: Hilton Garden Inn, West Des Moines (Jordan Creek)
  • Role: Presenter & Exhibitor
    • Attend our April 19 breakout session, “Stump the Experts: FAQs on MIPS” at 1:30 p.m.
  • For More Information
  • Register

North Dakota HIMSS Spring Conference

South Dakota MGMA 2018 Conference

Community Health Services of the Dakotas (CHAD) Conference

South Dakota Chapter of HIMSS Spring HIT Forum

South Dakota Dental Association Conference

Panel 4

Contact Us

Telligen QPP Resource Center

Email: qpp-surs@telligen.com

Phone Number: 844-358-4021

Please fill out the form to submit a question or comment.

 

Learn more about Telligen at www.Telligen.com