February 2019

New: Year 2 Data Submission

The QPP data submission period for Year 2 (2018) began on January 2, 2019. You may now log in through the QPP website and upload your data files or attest for Quality, Improvement Activities and Promoting Interoperability.

Data must be submitted by April 2, 2019, at 7:00 p.m., CT to receive credit. You can add and correct data anytime until the submission deadline. For example, if you enter Quality data today, you can attest for Improvement Activities any time before the submission deadline.

CMS recently added a series of data submission videos to the QPP resource library. These videos can help guide you through the data submission process or you can reference the Data Submission User Guide. You can also view a recording of Telligen’s data submission webinar at:

Deep Dive Into MIPS Data Submission for Year Two. For further assistance, please contact us at: 1-844-358-4021 Monday – Friday 8 a.m. – 5 p.m. CT or qpp-surs@telligen.com.


Upcoming Webinars: Mark Your Calendar

Telligen Webinars

Telligen QPP Year 3: We Have the Answers . . . Call In and See –Join Nebraska’s Great Plains QIN and Telligen SURS to review FAQs about MIPS Year 3. February 13, 2019, Noon to 1 p.m., CT

APM 201 Series: Moving from MIPS to an APM: What You Need to Know –Hosted by Telligen QIN QIO, Telligen SURS and COMPASS PTN

  • Session One: Going Forward in the New APM Models – In December, CMS released their final ACO rule, Pathways to Success. In this webinar, Dr. Donald Klitgaard will explain what participation in an APM will look like going forward. February 19, 2019 11:00 a.m. to Noon CT
  • Session Two: Overcoming the Challenges of Transitioning to an APM – In part two of this series, we will share challenges that practices encounter when transitioning from the fee-for-service model to an Alternative Payment Model or ACO. We will  provide steps to help you move toward an APM in the future. We will also hear from a small practice who recently made the transition. April 16, 2019 Noon to 1:00 p.m., CT
  • Session Three: Sharing APM Success Stories – In part three of this series, practices will share tips that helped them navigate through a successful ACO transition. June 18, 2019 Noon to 1:00 p.m., CT

CMS Webinars

Submitting 2018 MIPS Data –February’s LAN will focus on preparing small practices for the upcoming submission deadline.

MIPS Question and Answer Town Hall Event for Solo and Small Group Practices –March’s LAN features a panel of experts who understand MIPS and work regularly with small practices to help them succeed in MIPS.


Past Webinars

Did you know that Telligen and CMS record all of their webinars? View them below.


Reminder: New Log-In System for the QPP Website

On December 19, 2018, CMS transitioned to a new system used to create identity management accounts and request access to the QPP website. The previous system, EIDM, has been replaced by HCQIS Access Roles and Profile System. All users will manage access to the organizations they represent for reporting quality data and viewing MIPS feedback directly through the QPP website.

If you had an EIDM account, a HARP account was created for you. You can log in with your EIDM user name and password. We highly recommend testing your login.

If you don’t have an EIDM account, you’ll need to register for a HARP account. For a step-by-step guide on signing up for a HARP account, please refer to the Register for a HARP Account guide here: QPP Access User Guide.


Reminder: Check Your 2019 MIPS Eligibility

To view your eligibility status for the 2019 performance period under the Merit-based Incentive Payment system, visit: QPP Participation Status Tool and enter in your National Provider Identifier. 

How CMS Determines 2019 MIPS Eligibility Status

Review of PECOS data and Medicare Part B claims for services provided during two 12-month segments, known as the MIPS determination period.

  • First Segment: October 1, 2017 through September 30, 2018
    • Includes a 30-day claims run out period
  • Second Segment: October 1, 2018 through September 30, 2019
    • Does not include claims run out period 

The QPP Participation Status Tool update shows preliminary 2019 eligibility status based on data from October 1, 2017 through September 30, 2018.  


Now Available: 2019 MIPS Measures and Activities

The QPP website now includes 2019 MIPS Measures and Activities. CMS has also updated their Explore Measures tool for the 2019 performance period.

The website now includes 2019 MIPS measures and activities for the four performance categories of Quality, Cost, Improvement Activities, and Promoting Interoperability.


Your Telligen Team: Meet Pam Ballou-Nelson

Pam Ballou-Nelson

Pam Ballou-Nelson is a principal consultant with MGMA. She helps the SURS team and small practices understand cost measures within the MIPS program, and their relationship to practice operations. 

Pam is an RN with a BSN in nursing from the University of Utah. She also has an MA in communications from Wheaton College, and a MSPH and PhD, in Public Health from Walden University. 

Pam’s 35 plus years of experience in health care settings have resulted in a strong understanding of health care policy and practice, while participating in many health care challenges and changes.

Her skill set covers public and population health, patient activation, ambulatory practice management, clinical quality measure development and compliance, health system transformation, informatics, leadership development and extensive educational and mentoring involvement with medical staff and community. 

Pam currently lives in Castle Rock, Colorado with her husband and two cats.


Resources: Now Available from CMS & CDC

CMS QPP Resources 

Filter options are now making it easier to search by keyword, performance year, reporting track, performance category or type of resource. 

For example, if you filter to 2019 for the Quality Performance Category, you will find all 2019 Quality resources, including the 2019 Quality Fact Sheet, 2019 Benchmarks and 2019 Quality Measure Specifications and Supporting Documents. 

We encourage you to explore the new resource library and check out the new resources available:


CDC Opioid Training Sessions

The modules offer free continuing education, and are part of a series of interactive online training that feature CDC Guidelines for Prescribing Opioids for Chronic Pain, clinical scenarios, tools and resource libraries to enhance learning. 

View additional modules on the CDC Interactive Training Series webpage.


Quality Measures Tip: Heart Health

February is Heart Health Month

February is heart health awareness month. Help keep your patients’ hearts healthy by encouraging proper screening and treatment. There are many measures that support heart health including: 317 – Screening for High Blood Pressure and 236 – Controlling High Blood Pressure.


This material was prepared by Telligen QPP-SURS Resource Center, the Quality Payment Program for Iowa, Nebraska, North Dakota and South Dakota, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. HHSM-500-2017-00012C.






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