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Submitted URL: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-...
Effective URL: https://qpp.cms.gov/
Submission: On January 31 via api from AU — Scanned from DE
Effective URL: https://qpp.cms.gov/
Submission: On January 31 via api from AU — Scanned from DE
Form analysis 2 forms found in the DOM
GET /participation-lookup
<form action="/participation-lookup" method="get" autocomplete="off"><label class="sr-only" for="npi">NPI Number</label><span class="qppds ds-text-input-container"><input data-testid="" type="tel" class="qpp-c-text-input form-control" id="npi"
name="npi" placeholder="NPI Number" minlength="" maxlength="10" autocomplete="off" data-track-category="MainContent" data-track-action="EnteredNPI" data-track-label="NPI Input" value=""></span><button data-testid="ds-btn"
class="qpp-c-button qpp-c-button--white" type="submit">Check Status<svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-right" class="svg-inline--fa fa-chevron-right fa-w-10 " role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512">
<path fill="currentColor"
d="M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z">
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</svg></button></form>GET https://public.govdelivery.com/accounts/USCMS/subscriber/qualify
<form action="https://public.govdelivery.com/accounts/USCMS/subscriber/qualify" target="_blank" accept-charset="UTF-8" method="get" rel="noopener noreferrer"><input type="hidden" name="topic_id" value="USCMS_12196"><label class="sr-only"
for="email-subscribe">Email address</label><input id="email-subscribe" class="form-control" type="email" name="email" placeholder="Enter your Email"><button class="btn btn-subscribe js-subscribe-submit" type="submit"
name="commit">Subscribe</button></form>Text Content
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Update
As announced via QPP listserv, we’re applying our automatic MIPS extreme and
uncontrollable circumstances policy to individual MIPS eligible clinicians for
the 2021 performance year in response to the ongoing COVID-19 public health
emergency. Individual MIPS eligible clinicians will have all 4 performance
categories reweighted to 0% and receive a neutral payment adjustment in 2023
unless they submit data. This policy doesn’t apply to groups, virtual groups or
APM Entities. Learn More.
Close
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* About
The Quality Payment Program
* * QPP Overview
* HCD Research Program
* MIPS
Merit-based Incentive Payment System
* ELIGIBILITY
* How MIPS Eligibility is Determined
* MIPS Eligibility Determination Periods
* Check Participation Status
* Eligibility
* How MIPS Eligibility is Determined
* MIPS Eligibility Determination Periods
* Check Participation Status
* PARTICIPATION
* Participation Options Overview
* Individual or Group Participation
* Virtual Group Participation
* APM Entity Participation
* Participation
* Participation Options Overview
* Individual or Group Participation
* Virtual Group Participation
* APM Entity Participation
* REPORTING OPTIONS
* Reporting Options Overview
* Traditional MIPS
* APM Performance Pathway
* MIPS Value Pathways
* Submit a Candidate MVP
* Reporting Options
* Reporting Options Overview
* Traditional MIPS
* APM Performance Pathway
* MIPS Value Pathways
* Submit a Candidate MVP
* REPORTING FACTORS
* Reporting Factors Overview
* Special Status
* Exception Applications
* How to Register for CMS Web Interface and the CAHPS for MIPS Survey
* Reporting Factors
* Reporting Factors Overview
* Special Status
* Exception Applications
* How to Register for CMS Web Interface and the CAHPS for MIPS Survey
* TRADITIONAL MIPS REQUIREMENTS
* Quality Requirements
* Promoting Interoperability Requirements
* Improvement Activities Requirements
* Cost Requirements
* Explore Measures & Activities
* Traditional MIPS Requirements
* Quality Requirements
* Promoting Interoperability Requirements
* Improvement Activities Requirements
* Cost Requirements
* Explore Measures & Activities
* APM PERFORMANCE PATHWAY REQUIREMENTS
* Quality Requirements
* Promoting Interoperability Requirements
* Improvement Activities Requirements
* APM Performance Pathway Requirements
* Quality Requirements
* Promoting Interoperability Requirements
* Improvement Activities Requirements
* APMs
Alternative Payment Models
* * APMs Overview
* MIPS APMs
* Advanced APMs
* All-Payer Advanced APMs
* APM Determination Periods
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* Resources
Help, Support and Resources
* * COVID-19 Response
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* Sign In
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and Register
page
MODERNIZING MEDICARE TO PROVIDE BETTER CARE AND SMARTER SPENDING FOR A HEALTHIER
AMERICA.
CHECK YOUR
PARTICIPATION STATUS
Enter your National Provider Identifier (NPI) number.
NPI NumberCheck Status
Want to check eligibility for all clinicians in a practice at once? You can view
practice eligibility after signing in.
LATEST UPDATES
SUBMISSION WINDOW IS OPEN
PERFORMANCE YEAR 2021
You can now sign in to submit and review your data for Performance Year 2021.
You can submit and update your data any time until March 31, 2022 at 8 pm ET
when the submission window closes.
Sign In
PRELIMINARY MIPS ELIGIBILITY IS AVAILABLE
PERFORMANCE YEAR 2022
You can review your preliminary MIPS eligibility information, based on claims
and PECOS data from Segment 1 of the MIPS determination period (October 1, 2020
– September 30, 2021), on the QPP Participation Status Tool or by signing in to
the QPP website.
Check Your Participation Status
2022 PHYSICIAN FEE SCHEDULE (PFS) FINAL RULE IS AVAILABLE
PERFORMANCE YEAR 2022
The 2022 PFS Final Rule which includes finalized QPP policies for 2022 and 2023,
is now available for viewing.
Download the Final Rule Resources
MIPS FACILITY-BASED SCORING NOT AVAILABLE FOR PERFORMANCE YEAR (PY) 2021
PERFORMANCE YEAR 2021
In response to the impact of the ongoing COVID-19 public health emergency (PHE),
the Hospital VBP Program will not be calculating total performance scores for
Fiscal Year (FY) 2022.
As a result, facility-based clinicians and groups will need to submit data for
the quality performance category. Clinicians without available measures can
submit an Extreme and Uncontrollable Circumstances Application, citing
“COVID-19” as the triggering event.
Learn More
EXPLORE THE
PHASES OF PARTICIPATION
01 / 06
Check
Eligibility
Collect
Data
Verify
Eligibility
Report
Data
Review
Feedback
Receive
Payment
CHECK ELIGIBILITY AND REVIEW
PARTICIPATION OPTIONS
Check your preliminary eligibility to: inform whether you
will need to participate in MIPS and to help you plan your
participation in the program. Easily check your eligibility
using the QPP Participation Status Tool.
Learn more about MIPS eligibility Explore participation options
COLLECT DATA
Review your reporting options, understand your reporting
requirements and begin to collect data.
Learn more about MIPS reporting options
VERIFY ELIGIBILITY
Verify your eligibility and reporting factors throughout the
year to determine if you are required to report to MIPS or if
you are a QP that is exempt from MIPS. Since final eligibility
will not be determined until the end of the performance
year, learn more about MIPS Determination Periods and
APM Determination Periods to align your eligibility.
Check the QPP Participation Status Tool
for your most current status
REPORT DATA
Report your MIPS data, if applicable, to earn a MIPS
payment adjustment (positive, neutral, or negative).
Learn more about reporting options
REVIEW FEEDBACK
Review your MIPS performance feedback and payment
adjustment, if applicable.
RECEIVE PAYMENT
Receive a MIPS payment adjustment (positive, neutral, or
negative), or, if you are a QP, potentially earn a 5%
incentive payment.
EXPERT ADVICE
ASK AN ADVISOR
Support for small, underserved, and rural practices is available at no cost.
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FEATURED RESOURCES
2020 MIPS PERFORMANCE FEEDBACK FAQS
This resource reviews the information available in your performance feedback,
answers frequently asked questions, and identifies the information you should
expect to see based on your QPP access.
View documentation
2021 MIPS EMA AND DENOMINATOR REDUCTION GUIDE
View documentation
2021 APM PERFORMANCE PATHWAY (APP) TOOLKIT
Download zip file
2021 TRADITIONAL MIPS SCORING GUIDE
View documentation
See more reference documents & training materials
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1-866-288-8292 (TRS: 711)
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