Quality Payment Program Updates from CMS
Now Available: 2018 CMS-Approved Qualified Registries and QCDRs
- 2018 Qualified Registries Qualified Posting – A Qualified Registry is a CMS-approved entity that collects clinical data from an individual MIPS-eligible clinician, group, and/or virtual group and submits the data to CMS on their behalf for purposes of MIPS. These approved Qualified Registries will be able to report data (measures and/or activities) for the Quality, Advancing Care Information, and Improvement Activities performance categories for the 2018 performance period.
- 2018 Qualified Clinical Data Registries (QCDRs) Qualified Posting – A QCDR is also a CMS-approved entity that collects clinical data from an individual MIPS-eligible clinician, group, and/or virtual group and submits the data to CMS on their behalf for purposes of MIPS. However, QCDR reporting is different from a Qualified Registry as it is not limited to quality measures within MIPS, QCDRs may also report on approved QCDR measures.
Now Available: New 2018 Quality Payment Program Resources on CMS.gov
The Centers for Medicare & Medicaid Services (CMS) has recently posted documents on CMS.gov that include the measures and activities for each of the four Merit-based Incentive Payment System (MIPS) performance categories in 2018. These resources include:
- 2018 Improvement Activities: Provides information about specific Improvement Activities and activity weights (medium vs. high).
- 2018 Quality Measures Specifications: Includes descriptions of, and requirements for, each of the Quality performance category measures.
- Quality Measure Specifications Supporting Documents: Provides additional information for clinicians submitting quality measures via claims and registries.
- 2018 Quality Measure Benchmarks: Details the benchmarks that each Quality performance category measure is assessed against to determine how many points the measure earns.
- 2018 Cost Measures: Includes measure information for the two 2018 Cost performance category measures for MIPS: Medicare Spending Per Beneficiary (MSPB) and Total Per Capita Costs for All Attributed Beneficiaries (TPCC).
- 2018 MIPS ACI Measures and Transition Measures: Includes additional details on each objective, measure, and transition measure in the Advancing Care Information performance category.
Note: CMS posted a new Enterprise Identity Data Management (EIDM) User Guide, which details how to create an EIDM account and/or ‘Physician Quality and Value Program’ role to submit or access Quality Payment Program data. (There is also a specific EIDM user guide for Accountable Care Organizations.)
For More Information
- Visit qpp.cms.gov to explore measures 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 new and existing QPP resources.
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222).