MACRA Minute: April 2018


Girls jump to the New Year 2018Happy (QPP) New Year!

Congratulations and great job to everyone who participated in the first year QPP data submission!  The MIPS data submission period for 2017 closed April 3, 2018. CMS is now reviewing the data and would like to thank all participating clinicians, vendors, and organizations.

Preliminary data shows approximately 80% of MIPS EC participated in the first reporting year. As we prepare for Year 2, remember the Telligen QPP Resource Center team offers free technical assistance to ECs looking wanting to optimize their score and/or begin the reporting process.

Reach us by phone at 844-358-4021 or send us an email.

New: Preliminary Performance Feedback Report

ECs who submitted 2017 data through the QPP website can now review their preliminary performance feedback data. Keep in mind, your final score and feedback will not be available until July 1, 2018.

ECs can access preliminary and final feedback using the same EIDM credentials for submitting and viewing data during the submission period.

Between now and June 30, 2018, scores may change based on the following:

  • Special status scoring considerations (ex. hospital-based clinicians)
  • All-Cause Readmission Measure for the Quality category
  • Claims Measures to include the 60-day run out period
  • CAHPS for MIPS Survey Results
  • Advancing Care Information hardship application status
  • Improvement study participation and results
  • Creation of performance period benchmarks for Quality measures that didn’t have a historical benchmark

Don’t have an EIDM account? 

Start the process now! Refer to the Enterprise Identity Management (EIDM) User Guide for instructions. If you have questions about your preliminary data, please contact us at 844-358-4021 or by email. Or you can contact the QPP by phone: 1-866-288-8292 / TTY: 1-877-715-6222 or email.

New: Check Your Year 2 MIPS Eligibility Status

An updated version of CMS’ MIPS participation look-up tool is now available for ECs to check their 2018 eligibility status. To use the tool, ECs will need their National Provider Identifier (or NPI) ready.

Changes to Low-Volume Threshold

To reduce the burden on small practices, CMS has changed the eligibility threshold for 2018. Clinicians and groups are now excluded from MIPS if they:

  • Billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS); OR
  • Furnished covered professional services under the PFS to 200 or fewer Medicare Part B -enrolled beneficiaries.

What Does This Mean for ECs? 

To be included in MIPS for the 2018 performance period, ECs need to have

  1. Billed more than $90,000 in Medicare Part B allowed charges for covered professional services under the PFS; AND
  2. Furnished covered professional services under the PFS to more than 200 Medicare Part B enrolled beneficiaries.

Note: The 2018 look-up tool for Alternative Payment Model (APM) participants will be updated at a later time.

Find out whether you’re eligible for MIPS today, and take steps to earn a positive payment adjustment in 2020.

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