2019 Final Rule is Here!

News Icon Graphic 3Last week CMS released the 2019 QPP Final Rule outlining what the changing and expanding program will look like in its third year. 

A summary of key policies for QPP Year 3 include:

  • Expanding MIPS EC criteria to include physical therapists, occupational therapists, speech-language pathologists, audiologists, clinical psychologists, and registered dietitians or nutrition professionals.
  • Adding a third element to the low-volume threshold determination (number of covered professional services) and providing an opt-in participation option.
  • Offering facility-based scoring so that facility-based clinicians aren’t required to submit individual data.
  • Requiring a smaller set of objectives and measures with performance-based scoring for the Promoting Interoperability category.
  • Continuing the small practice bonus, but including it in the Quality performance category score instead of as a standalone bonus.
  • Streamlining the definition of a MIPS comparable measure for Advanced APMs.
  • Updating the MIPS APM measure sets that apply for purposes of the APM scoring standard.
  • Increasing use of Certified EHR Technology (CEHRT) by requiring 75 percent of ECs in each APM entity use CEHRT.
  • Extending the 8 percent revenue-based nominal amount standard for Advanced APMs through performance year 2024.

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