July 2021 MACRA Minute

Applications for the 2021 MIPS Promoting Interoperability Performance Category Hardship Exception and Extreme and Uncontrollable Circumstances Exceptions are Now Open.

Applications are now open for the MIPS Promoting Interoperability Performance Category Hardship Exception and Extreme and Uncontrollable Circumstances Exception for the 2021 Performance Year. Those interested must submit their applications to CMS by December 31, 2021.

Who is Eligible for a Promoting Interoperability Hardship Exception?

MIPS eligible clinicians, groups, and virtual groups may submit a MIPS Promoting Interoperability Performance Category Hardship Exception Application whether they’re reporting traditional MIPS or the APM Performance Pathway. Exceptions are granted if they:

  • Are a small practice;
  • Have decertified EHR technology;
  • Have sufficient Internet connectivity;
  • Face extreme and uncontrollable circumstances such as disaster, practice closure, severe financial distress or vendor issues; or
  • Lack control over the availability of CEHRT.

NOTE: If you’re already exempt from submitting Promoting Interoperability data, you don’t need to apply.

Who is Eligible for an Extreme and Uncontrollable Circumstances Exception?

MIPS eligible clinicians, groups, and virtual groups may submit an application to reweight any or all MIPS performance categories if they’ve been affected by extreme and uncontrollable circumstances extending beyond the Promoting Interoperability performance category. These circumstances must:

  • Cause you to be unable to collect information necessary to submit for a MIPS performance category;
  • Cause you to be unable to submit information that would be used to score a MIPS performance category for an extended period of time (for example, if you were unable to collect data for the quality performance category for 3 months), and/or;
  • Impact your normal process, affecting your performance on cost measures and other administrative claims measures.

NOTE: For the 2021 Performance Year CMS will continue to use the Extreme and Uncontrollable Circumstances policy to allow clinicians, groups, virtual groups, and APM Entities to submit an application requesting reweighting of performance categories due to the current COVID-19 public health emergency.

How Do I Apply?

In order to apply, you must create a HCQIS Access Roles and Profile (HARP) account to submit an Extreme and Uncontrollable Circumstances Application. For more information on how to obtain a HARP account, refer to the Register for a HARP Account document in the QPP Access User Guide.

Once you sign into QPP with your HARP credentials, click ‘Exceptions Application’ on the left-hand navigation and then select ‘Extreme and Uncontrollable Circumstances’ or ‘Promoting Interoperability Hardship.’

How Do I Know if I’m Approved?

If you submit an application for either exception, you’ll be notified by email if your request was approved or denied. If approved, this will also be added to your eligibility profile on the QPP Participation Status Tool.

For More Information

Visit the MIPS Promoting Interoperability Performance Category Hardship Exception and Extreme and Uncontrollable Circumstances Exception QPP webpages for more information and link to the application.

Download the 2021 MIPS Promoting Interoperability Hardship Exception Application Guide and the 2021 Extreme and Uncontrollable Circumstances Exception Application Guide now available on the QPP Resource Library

2019 Quality Payment Program (QPP) Performance Information Now Available on Care Compare

The Centers for Medicare & Medicaid Services (CMS) has added new Quality Payment Program performance information for doctors, clinicians, groups, and Accountable Care Organizations (ACOs) to the Doctors and Clinicians section of Medicare Care Compare and in the Provider Data Catalog (PDC). CMS is required to report MIPS eligible clinicians’ Final Scores, MIPS eligible clinicians’ performance under each MIPS performance category, names of eligible clinicians in Advanced APMs and, to the extent feasible, the names and performance of such Advanced APMs. Performance information for doctors and clinicians is displayed using measure-level star ratings, percent performance scores, and checkmarks.

Medicare patients and caregivers can use the Care Compare website to search for and compare doctors, clinicians, and groups who are enrolled in Medicare. Publicly reporting 2019 Quality Payment Program (QPP) performance information helps empower patients to select and access the right care from the right provider.

Visit the Care Compare: Doctors and Clinicians Initiative page for details about the 2019 QPP performance information that has been added to Care Compare profile pages and the PDC:

  • Presentation: 2019 Quality Payment Program: Doctors and Clinicians Performance Information Published on Medicare Care Compare
  • 2019 Quality Payment Program Performance Information Published on Care Compare Fact Sheet
  • 2019 Clinician Performance Information
  • 2019 Group Performance Information
  • 2019 ACO Performance Information
  • 2019 Doctors and Clinicians Star Ratings Fact Sheet
  • 2019 Clinician and Group Star Rating Cut-offs
  • 2019 Doctors and Clinicians Measures and Activities Plain Language Crosswalk

If you have any questions about public reporting for doctors and clinicians on Care Compare, visit the Care Compare: Doctors and Clinicians Initiative page or contact the Quality Payment Program at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov. To receive assistance more quickly, consider calling during non-peak hours—before 10 AM and after 2 PM ET. Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

July Telligen QPP Connect Live Call

As part of the Performers of Excellence Award program, we are hosting a call-in series called Telligen QPP Connect Live! Each month we highlight a topic with a few slides to kick off the call/start the conversation and then you can ask questions (on the topic or anything else you would like).  These calls will happen the 3rd Wednesday of every month from 12:00 – 1:00 Central. On July’s call we will review the 2021 MIPS Data Validation Criteria basics process. As always, we will have time at the end of the presentation for any MIPS questions you have. Please join us on Wednesday July 21st at noon CST using the link below

Join Zoom Meeting

https://telligen.zoom.us/j/99104893418?pwd=MFRNZWdOV3ZwaEQ3VkQ3aDJidWJIZz09

Meeting ID: 991 0489 3418

Passcode: 784640

One tap mobile

+19294362866,,99104893418# US (New York)

+16699006833,,99104893418# US (San Jose)

Dial by your location

        +1 929 436 2866 US (New York)

        +1 669 900 6833 US (San Jose)

        877 853 5257 US Toll-free

        888 475 4499 US Toll-free

Meeting ID: 991 0489 3418

Upcoming Webinars

  • CMS Webinars

Reminder you can view previous CMS webinars on various MIPS categories in the Webinar Library on the QPP website.

  • Telligen Webinars

Our monthly webinar for June provided details on the 2021 MIPS Hardship Exception Applications. You can view the recording or download the slides from our website.

New Resources in the QPP Resource Library

The following resources were updated or added in June:

                2021 Medicare Part B Claims Measure Specifications and Supporting Documents

                2021 Qualified Registries Posting

                2021 Quality Benchmarks

                QPP COVID-19 Response

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