Physician & Practice Timeline®

CMS has taken several actions to provide immediate relief to all those affected by the hurricane along the east coast. Actions include temporarily waiving or modifying certain Medicare, Medicaid, and CHIP requirements; creating special enrollment opportunities for individuals to access healthcare immediately; and taking steps to ensure dialysis patients obtain critical life-saving services. For more information please visit the CMS website.

The Centers for Medicare & Medicaid Services (CMS) is interested in learning how to make Items and Services feedback for the Merit-based Incentive Payment System (MIPS) timely, applicable, and actionable for clinicians and their staff. They are looking for practice managers and administrative staff willing to be interviewed. All participants must work for practices that have participated in MIPS and plan to continue participating in 2018. Sessions will last 1 hour, and participants will receive $150 for participating. If you or anyone you know is interested, please email: cmsqualityteam@ketchum.com.

MIPS performance feedback reports and final scores for the first year of the Quality Payment Program (QPP) are now available for review. Reports can be accessed at the QPP portal using Enterprise Identity Data Management (EIDM) credentials. If you have not previously established an EIDM account, please visit the EIDM user guide. Reports are also available for MIPS APM participants in a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) (i.e. Track 1).

To better understand your feedback report, see the 2017 MIPS Payment Adjustment Fact Sheet.

CMS has updated its Quality Payment Program Look-Up Tool to include 2018 MIPS eligibility and predictive qualifying APM participant data in one place. The predictive quality payment status is based on calculations from claims with dates of service between January 1, 2017 and August 31, 2017.

CMS has announced that physician practices/groups may now log into the CMS QPP website to check their 2018 eligibility for Medicare’s Merit-based Incentive Payment System (MIPS). Groups will be able to see the eligibility status of every clinician in the group (based on their National Provider Identifier or NPI) to find out whether they need to participate during the 2018 performance year for MIPS. Exempt individual clinicians will still need to report if their group is eligible and chooses to report as a group. The look-up tool can be found at https://qpp.cms.gov/participation-lookup.