MACRA Minute April 2019


Hello Spring, We’ve Missed You!

MIPS data submission ended on April 2, you can now view preliminary feedback in the QPP Portal.


MIPS Preliminary Performance Feedback is Available

The MIPS data submission period ended on April 2. You can view preliminary performance feedback in the QPP Portal. While not all data is available yet, this preliminary feedback will provide an idea of what your final score will be. The following data is not yet available and may affect your score:

  • All Cause Readmission Measure
  • Cost Measure Data
  • Special Status Scoring Consideration
  • Claims Measures
  • CAHPS for MIPS Survey Results
  • Hardship Application Status
  • Improvement Study Participation
  • Quality Measure Benchmark Updates

Final performance scores and feedback will be released this summer. Once final scores are released, you will log into the portal to verify all data submission information is correct.


Upcoming CMS Webinars

April LAN Webinar: Lessons Learned: How to Succeed in MIPS for Solo and Small Group Practices
This event features a panel of solo and small practice clinicians, practice managers and experts who learned how to succeed in MIPS.

May LAN Webinar: How to Maximize Your Score in the Cost Category; Practical Advice for Solo and Small Group Practices

This event will focus on learning how cost scores are calculated, how much they impact overall MIPS scores and how you can identify and adapt in areas that are impacting your cost score the most. 


Upcoming Telligen Webinars

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 Three: Sharing APM Success Stories – In part three of this series, practices will share their journeys, and provide tips and strategies that helped them navigate through a successful ACO transition. 

Promoting Interoperability for MIPS: What You Need to Know Now to Maximize Your Score 

The MIPS Promoting Interoperability performance category has changed most of all four categories in 2019. Join Michelle Brunsen and Kelly Smith, Telligen’s Health IT Advisors for small, underserved and rural practices. They will help you understand these changes and what you need to do so you can get the best possible PI score. 


CMS Podcast Episode 2

CMS: Beyond the Policy Podcast Episode 2

This episode highlights some of the key perspectives from participants at the 2019 CMS Quality Conference. The 2019 CMS Quality Conference convened 3,000 thought-leaders from across the healthcare spectrum to share insights and ideas on how we can put patients first, promote healthcare choice, drive value and unleash innovation. https://www.cms.gov/podcast/episode-2-2019-cms-quality-conference


Facility Based Scoring

New in 2019!
If you are a facility-based clinician, you may receive a score based on your facility’s performance in the Hospital Value-Based Purchasing Program. If you:

  • billed at least 75 percent of your services in a hospital setting
  • billed at least one service in an inpatient hospital or emergency room AND
  • can be attributed to a facility with a VBP score, then you will be identified as facility-based

CMS will automatically assign quality and cost scores to you based on this VBP score. If you submit data for the Quality category, the higher of the two scores will be used for your final score. 
To see if you are identified as facility-based, enter your NPI on the QPP participation status web page. You can preview your scores now for the VBP score. The preview is intended to give you an idea of what your score may be; this is not an actual score. You can access this preview by signing into the QPP Portal and clicking “Preview Facility Score” on the home page or in the left navigation bar.  


April 16 – CMS First Annual National Care Transitions Day

On April 16, 2019, CMS will host its first National Care Transitions Awareness Day to increase awareness of the importance of safe and effective care transitions.

Coordinating care transitions can improve patient care by reducing hospital readmissions, reducing medical errors and preventing unnecessary care.

In January, Telligen presented a webinar “Developing Provider Collaborative Care Agreements” which explored communication and safe transitions of care between primary care and specialty providers. You can watch a recording of the webinar here.


Preview Your Data Before it’s Posted to Physician Compare

This is the first year that Quality Payment Program performance information will be publicly reported. Many stakeholders asked CMS for additional time to review their data before it is publicly reported. As a result, CMS will be offering a supplemental Physician Compare preview period.

All eligible clinicians and groups should check their performance information by logging into the QPP website.

The supplemental 30-day preview period officially opened March 27, 2019 and will close on April 26, 2019. The latest 2017 performance information is available to preview. Even if you previously did not have performance information to preview, you may have updated performance information now.

In year two of the QPP and moving forward, expect a standard 30-day preview period. If you feel there is an error in your data, please contact the QPP Support Center at 1-866-288-8292. View resources below on how to preview your performance information:


Meet Your SURS Team – Catherine Ingram

Catherine Ingram is the HIT Program Assistant II for our partner HealthPOINT, at Dakota State University. The team at HealthPOINT assists SURS clinicians and practices in North and South Dakota.

Catherine has worked for HealthPOINT for eight years, starting as a senior secretary for the HT Workforce Training Program. 

In her current role, Catherine is responsible for marketing and promotional materials for HealthPOINT’s programs, and educational and training programs. She works on multiple grant projects for HealthPOINT including QPP-SURS.

Catherine graduated from Dakota State University in 2010, with a BS in Forensic Science, and has lived in Madison, South Dakota for the last 12 years. She spends most of her free time in the ice skating rink with her 10-year old daughter who is a competitive figure skater.  


New QPP Resources Available

New Resources in the QPP Resource Library
The following resources were updated or added in February:

2017 QPP Experience Report
2019 Data Validation Criteria 
2019 Qualified Clinical Data Registry List
2019 Promoting Interoperability Fact Sheet
2019 MIPS Opt-in and Voluntary Reporting Policy Fact Sheet
2019 Facility-based Preview FAQs
2019 MIPS Participation and Eligibility Fact Sheet

We encourage you to explore the resource library and check out all the great resources that are available!


April Quality Measures Tip

April is Occupational Therapy Month. In Year 3 of QPP, we welcome Occupational Therapists to the program.

If you are an Occupational Therapist looking for more information on the Quality Payment Program and what you need to do to maximize your performance, please contact us: qpp-surs@telligen.com

Review our Occupational Therapist Fact Sheet for an overview of participation requirements. 



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.

Leave a Reply