Quality Payment Program Consultation
SCORH and Alliant Quality are working together to help small practices in South Carolina with 15 or fewer clinicians under one tax ID number to understand and participate in the CMS Quality Payment Program (QPP)/MACRA/MIPS.
South Carolina clinicians participating in the Medicare program are preparing for payment reform through the Center for Medicare and Medicaid Services’ Quality Payment Program (QPP). From the QPP Small Underserved and Rural Support Website: “The Quality Payment Program (QPP) aims to improve Medicare by helping clinicians shift to a payment system focused on quality and patient outcomes. Small practices with 15 or fewer clinicians, including those in rural locations, health professional shortage areas, and medically underserved areas are a crucial part of the health care system. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provides direct technical assistance to help individual Merit-based Incentive Payment System (MIPS) eligible clinicians and small practices in these settings participate in the program. The QPP—SURS (Small, Underserved, and Rural Support) initiative is comprised of local, experienced organizations that help clinicians in small and rural practices navigate the Quality Payment Program, while making sure they are able to focus on the needs of their patients.” SCORH is proud to do our part to support eligible clinicians from all across our state to navigate these changes.
We are available to provide direct technical assistance at no cost to help Merit-based Incentive Payment System (MIPS) eligible clinicians participate in the Quality Payment Program.
We assist practices with the following:
- Select & report on appropriate measures and activities to satisfy requirements of each
- MIPS performance category – Quality, Improvement Activities, Advancing Care, Information and Cost
- Engage in continuous quality improvement
- Optimize health information technology (HIT)
- Evaluate options for joining an Advanced Alternative Payment Model (APM)
- QPP/MIPS Technical Assistance Available To Small Practices
- MIPS Participation Status Lookup Tool
- Medicare Learning Network
- 12-15-17 Overcoming Challenges to MIPS for Solo Practitioners and small group practices
- QPP Workshop Presentation
- MACRA/ Quality Payment Program: Pick Your Pace
- MACRA/Quality Payment Program/MIPS
- Quality Payment Program: Practice Improvement Activities
- Quality Payment Program: Advancing Clinical Information
- MACRA Participation Without an Electronic Health Record
- Quality Payment Program: Cost
- MACRA/Quality Payment Program/MIPS Clinical Quality and Selecting Measures
- MACRA for Critical Access Hospitals
- MACRA Practice Improvement Activities: How To Avoid a Penalty
- QPP+SURS July Webinar Information
- CMS August Webinar
- QPP Workshops
SCORH Hosts QPP Regional Workshops Around South Carolina
Visit our events page to find a QPP workshop near you.
(1/4/18) Now Available: CMS Data Submission System for Clinicians in the Quality Payment Program
CMS Launches New Data Submission System on QPP.CMS.GOV for Clinicians in the Quality Payment Program
On Tuesday, January 2, the Centers for Medicare & Medicaid Services (CMS) launched a new data submission system for clinicians participating in the Quality Payment Program. Clinicians can now submit all of their 2017 Merit-based Incentive Payment System (MIPS) data through one platform on the qpp.cms.gov website. Data can be submitted and updated any time from January 2, 2018 to March 31, 2018, with the exception of CMS Web Interface users who will have a different timeframe to report quality data from January 22, 2018 to March 16, 2018. Clinicians are encouraged to log-in early to familiarize themselves with the system.
How to Login to the Quality Payment Program Data Submission System
To login and submit data, clinicians will use their Enterprise Identity Management (EIDM)credentials.
- The EIDM account provides CMS customers with a single user identification they can use to access many CMS systems.
- The system will connect each user with their practice Taxpayer Identification Number (TIN). Once connected, clinicians will be able to report data for the practice as a group, or for individual clinicians within the practice.
- To learn about how to create an EIDM account, see this user guide.
As data is entered, clinicians will see real-time initial scoring within the MIPS performance categories. Data is automatically saved and clinician records are updated in real time. This means a clinician can begin a submission, leave without completing it, and then finish it at a later time without losing the information.
Payment Adjustment Calculations
Payment adjustments will be calculated based on the last submission or submission update that occurs before the submission period closes on March 31, 2018.
There are two eligibility look-up tools available to confirm a clinician’s status in the Quality Payment Program. Clinicians who may be included in MIPS should check their National Provider Identifier (NPI) in the MIPS Participation Status Tool, which will be updated with the most recent eligibility data, to confirm whether they are required to submit data under MIPS for 2017. For clinicians who know they are in an MIPS APM or Advanced APM, CMS is working to improve the Qualifying APM Participant (QP) Look-up Tool to include eligibility information for Advanced APM and MIPS APM participants. We anticipate sharing this updated tool in January 2018.
For More Information
To learn more about the Quality Payment Program data submission system, please review this fact sheet or view any of the following training videos:
- Merit-based Incentive Payment System (MIPS) Data Submission
- Advancing Care Information (ACI) Data Submission for Alternative Payment Models (APMs)
- Data Submission via a Qualified Clinical Data Registry and Qualified Registry
Visit qpp.cms.gov to explore measures and activities and to review guidance on MIPS, APMs, what to report, and more.
Go to the Quality Payment Program Resource Library on CMS.gov to review Quality Payment Program resources.
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222).