Resources
Quality Payment Program
The well-being of your patients is your greatest concern; ours is to make sure you remain financially viable so you can deliver the care they deserve.
Mountain-Pacific can help your practice take an integrated approach to the Quality Payment Program. We know the rules. We stay current on updates and clarifications. We avail ourselves of CMS learning opportunities and will ensure that you benefit from all we know. Below are some tools and resources to help you navigate the Quality Payment Program.
2019 Merit-based Incentive Payment System (MIPS) Changes Flyer PDF
See this flyer for a brief overview of the important changes for MIPS eligible clinicians for 2019.
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QPP: Billing Office Information PDF
Get an overview of the QPP scoring system and evaluation/performance timeframe through 2022, as well as links to informative resources for your billing office with this informative one-page flyer from HealthInsight.
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2019 MIPS Opt-In and Voluntary Reporting Policy Fact Sheet PDF
This comprehensive fact sheet from CMS provides detailed information on the new MIPS opt-in policy as well as the existing voluntary participation option, with a specific focus on the key differences between the two options as it relates to general participation, scoring, and payment adjustments.
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Steps to Success for MIPS 2019 PDF
A six step guide to reporting in the Merit-based Incentive Payment System (MIPS).
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No Cost Online MIPS Estimator Link
This comprehensive, accurate, easy-to-use, online tool is available at no cost to support clinicians and health care organizations to succeed in the MIPS. The Estimator from Stratis Health provides clinicians individualized, instant feedback about their MIPS status and accelerates planning for quality improvement. Access all of the information needed about MIPS in one place to prepare for reporting, self-assess current performance across the MIPS categories, determine how to make workflow changes to improve patient outcomes, and work towards improving your MIPS score to achieve the highest possible reimbursement.
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MIPS Reporting Year 2018 Reimbursement Calculator Excel
Non-Advanced APM entity, non-CMS Web Interface Reporters may use this tool, created by Great Plains Quality Innovation Network, to calculate 2018 reimbursement.
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QPP Participation Status (MIPS and APM) Link
On this CMS webpage, clinicians can enter their 10-digit National Provider Identifier (NPI) number to receive their QPP Participation Status, which includes APM Participation as well as MIPS Participation information.
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2019 Merit-based Incentive Payment System Quick Start Guide PDF
This informative guide from CMS introduces qualified entities to the information they need to know to get started for MIPS in 2019.
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2019 MIPS Participation and Eligibility Fact Sheet PDF
This CMS fact sheet provides an overview of the eligibility criteria for participating in the Merit-based Incentive Payment System (MIPS) in 2019.
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2019 QPP Final Rule Overview Fact Sheet PDF
This CMS fact sheet provides a high-level comprehensive overview of the Quality Payment Program final policies for the 2019 performance year.
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Quality Fact Sheet PDF
This CMS fact sheet discusses the MIPS Quality performance category for 2019 and includes an overview of quality measures and how to collect and submit quality data.
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2019 Quality Measure Benchmarks Fact Sheet PDF
In program year 2019, a clinician or group can receive anywhere from 3 to 10 points for each MIPS measure (not including any bonus points) that meets the data completeness standards and case minimum requirements by comparing measure performance to established Benchmarks. Learn more about Quality benchmarks and how they can affect your MIPS score with this CMS factsheet.
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2019 QPP MIPS Clinical Quality Measures Single Source File – Measures 001 – 195 Excel
These spreadsheets from CMS are tools that eligible clinicians can use to search for common CPT codes, measure numbers, etc. within each individual registry measure for the 2017 Quality Payment Program (QPP). This may assist in identifying measures that may apply to your practice based on common codes that you may utilize when seeing beneficiaries. This spreadsheet is the Single Source File for Measures: 001 – 195.
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2019 QPP MIPS Clinical Quality Measures Single Source File – Measures 204 – 398 Excel
These spreadsheets from CMS are tools that eligible clinicians can use to search for common CPT codes, measure numbers, etc. within each individual registry measure for the 2017 Quality Payment Program (QPP). This may assist in identifying measures that may apply to your practice based on common codes that you may utilize when seeing beneficiaries. This spreadsheet is the Single Source File for Measures: 204 – 398.
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2019 QPP MIPS Clinical Quality Measures Single Source File – Measures 400 – 474 Excel
These spreadsheets from CMS are tools that eligible clinicians can use to search for common CPT codes, measure numbers, etc. within each individual registry measure for the 2017 Quality Payment Program (QPP). This may assist in identifying measures that may apply to your practice based on common codes that you may utilize when seeing beneficiaries. This spreadsheet is the Single Source File for Measures: 400 – 474.
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CMS Quality Payment Program – Quality Measure Requirements Page Link
This performance category measures health care processes, outcomes, and patient care experiences. Use this interactive CMS website to review and select up to six quality measures that meet your needs or specialty. Then download a CSV file of the selected measures for your records.
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2019 Final Rule Removed Quality Measures PDF
View this quick reference document from HealthInsight to see which Quality measures were removed from the 2019 MIPS Quality Performance Category in the 2019 Final Rule.
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2019 QPP Measure Specification and Measure Flow Guides PDF
CMS released two guides to help with guidance on the 2019 MIPS clinical quality measure (CQMs) submissions. The 2019 QPP Measure Specification and Measure Flow Guide for MIPS Clinical Quality Measures gives detailed descriptions of the quality measures, intended to be utilized by individual MIPS eligible clinicians submitting CQMs via Quality Clinical Data Registry (QCDR) or Qualified Registries and by groups submitting via Qualified Registry for the 2019 QPP.
The 2019 QPP Measure Specification and Measure Flow Guide for Medicare Part B Claims Measures gives detailed descriptions of the quality measures, intended to be utilized by individual MIPS eligible clinicians submitting individual measures via Medicare Part B claims for the 2019 QPP.
2019 Claims Data Submission Fact Sheet PDF
This CMS factsheet details how to submit quality data through claims in 2019.
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Cost Category Information for Providers PDF
View this informational one-page flyer from HealthInsight for a high-level overview of the Cost Category, how the score is calculated and review helpful hints.
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Cost Fact Sheet PDF
View this CMS fact sheet for a comrehensive overview of what the MIPS Cost Performance Category is and how CMS scores for cost, as well as other valuable links.
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CMS Quality Payment Program – Cost Requirements Page Link
Cost is an important part of MIPS because it measures resources that clinicians use to care for patients and the Medicare payments for care (items and services) given to a beneficiary during an episode of care. Use this interactive CMS website to review and select cost measures.
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MIPS: Summary of 2019 Cost Measures PDF
This document from CMS provides a comprehensive overview of cost measures in relation to the MIPS in the 2019 performance year.
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Cost Performance Category: Episode Measures PDF
Beginning with the 2019 MIPS performance period, eight episode-based measures are also being used to evaluate cost. Episode-based measures differ from the TPCC and MSPB measures because episode-based measure specifications only include items and services that are related to the episode of care for a clinical condition or procedure as opposed to including all services that are provided to a patient over a given time. Below are the links to the Measure Information Forms for each measure, provided by CMS. Use these overviews to find out more about the measures:
- Elective Outpatient Percutaneous Coronary Intervention (PCI)
- Knee Arthroplasty
- Revascularization for Lower Extremity Chronic Critical Limb Ischemia
- Routine Cataract Removal with Intraocular Lens (IOL) Implantation
- Screening/Surveillance Colonoscopy
- Intracranial Hemorrhage or Cerebral Infarction
- Simple Pneumonia with Hospitalization
- ST-Elevation Myocardial Infarction (STEMI) with Percutaneous Coronary Intervention (PCI)
Total Per Capita Cost (TPCC) PDF
The Total Per Capita Costs for All Attributed Beneficiaries (TPCC) measure is a payment-standardized, annualized, risk-adjusted, and specialty-adjusted measure that evaluates the overall cost of care provided to beneficiaries attributed to clinicians, as identified by a unique Taxpayer Identification Number/National Provider Identifier (TIN-NPI). The Total Per Capita Costs for All Attributed Beneficiaries measure can be reported at the TIN or the TIN-NPI level. See this document from CMS to learn more.
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Medicare Spend Per Beneficiary (MSPB)
The Medicare Spending Per Beneficiary (MSPB) clinician measure assesses the cost to Medicare of services performed by an individual clinician during an MSPB episode, which comprises the period immediately prior to, during, and following a patient’s hospital stay. See this document from CMS to learn more.
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Promoting Interoperability Fact Sheet
Get overview information and descriptions about MACRA, MIPS and APMs and a deep-dive description of the Promoting Interoperability performance category under MIPS.
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2019 PI Information Blocking Fact Sheet
This CMS factsheet describes the requirements for MIPS eligible clinicians to prevent actions that block the exchange of health information.
Quality Payment Program – Promoting Interoperability (formerly Advancing Care Information) Requirements
This performance category promotes patient engagement and electronic exchange of information using certified electronic health record technology (CEHRT). CMS re-named the advancing care information (ACI) performance category to promoting interoperability (PI) to focus on interoperability, improving flexibility and relieving burden. This interactive webpage provides an overview about PI objectives and measures and how to report them. You can also use the online interactive tool to select your measures.
EHR Adoption
Resources for those providers needing help with EHR adoption.
Access HealthInsight’s EHR database
Wyoming – Prescription Drug Monitoring Program Videos
The CMS Quality Improvement Organization (QIO) Program has made an effort to record and post information about individual state Prescription Drug Monitoring Programs (PDMPs). The purpose of these short recordings is to promote use and increase understanding of the similarities and differences between state PDMPs. See the videos and slides for Wyoming below:
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Quality Payment Program – Improvement Activities Requirements
This performance category gauges participation in activities that improve clinical practice. Get information about the Improvement Activities category under MIPS and then review and select activities that best fit your practice. Then download a CSV file of the selected activities for your records.
Integrating with the Quality Payment Program: Making Current Improvement Activities Work for You
Get a brief overview about MACRA and the Quality Payment Program and then learn about the Improvement Activities category under MIPS.
Improvement Activities Fact Sheet
View this CMS fact sheet to see what the MIPS Improvement Activities Performance Category is and how to choose and submit Improvement Activities that apply to your practice, as well as other valuable links.
2019 Improvement Activities Inventory
Use this link to download a full list of the 2019 Improvement Activities in an Excel sheet and PDF.
MIPS Virtual Groups Toolkit
To help you understand and complete the election process to participate in MIPS as a virtual group in 2019 CMS has released this toolkit, which includes the 2019 virtual groups overview fact sheet, an overview of the election process, sample email and template to use for the virtual group agreement. The link provides access to a downloadable zip file with all the materials.
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HARP User Guide
The HCQIS Access Roles and Profile (HARP) is a secure identity management portal provided by CMS. Creating a HARP account provides users with a user ID and password that can be used to sign into many CMS applications, as well as providing a single location for users to modify their user profile, change their password, update their challenge question, and add and remove two-factor authentication devices. Use this link to download the four new guides that make up the new HARP User Guide. These guides will help you know how to get started, how to register for a HARP account, how to connect to an organization, and how to manage access for security officials.
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HARP Frequently Asked Questions
The HCQIS Access Roles and Profile (HARP) is a secure identity management portal provided by CMS. View this page to get answers to frequently asked questions and other help for the new HARP system.
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QPP CMS Portal Reporting Guide
A guide showing how to submit Quality Payment Program data through the CMS portal.
How to Access Performance Feedback for Groups (13 min)
This video will provide an overview of how to access 2017 MIPS performance feedback for clinicians who participated as a group.
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How to Request a Targeted Review (7 min)
Demonstrates how MIPS eligible clinicians or groups can request a targeted review of their 2019 MIPS payment adjustment.
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How to Access Performance Feedback for APM Entities (7 min)
Provides an overview of how to access 2017 MIPS performance feedback for Alternative Payment Model (APM) Entities.
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How to Access Performance Feedback for Individuals (9 min)
Demonstrates how to access 2017 MIPS performance feedback for a clinician whose performance was scored separately from his or her group.
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How to Access Performance Feedback for Voluntary Submitters (4 min)
Provides an overview of how to access 2017 performance feedback data for a clinician who voluntarily submitted data for 2017.
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What is a Qualifying Alternative Payment Model (APM) Participant? (13 min)
In this lesson, JP Sharp, CMS Innovation Center MACRA Lead, provides an in-depth discussion on Qualifying APM Participants (QPs), who are participating in Advanced APMs. You will learn about the statutory threshold for determining QPs, the four steps to calculating QP status, the performance period for QPs, and options for those clinicians who may not meet the QP threshold.
Introduction to Advanced Alternative Payment Models (5 min)
In this lesson, JP Sharp, CMS Innovation Center MACRA Lead, explains Advanced Alternative Payment Models (APMs) under the Quality Payment Program. You will learn about the basics of Alternative Payment Models, Advanced APMs and the benefits of participating in an Advanced APM.
What is the Quality Payment Program? (3 min)
In this lesson, Molly MacHarris, MIPS Program Lead with the Center for Clinical Standards and Quality, provides a concise introduction to the new CMS Quality Payment Program. You will gain insight into the two pathways offered by the program, specifically the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). You will also learn about the foundation of the Quality Payment Program as well as its strategic goals.
HHS Video: Delivery System Reform: Paying for What Works (3 min)
This video describes how the U.S. Department of Health and Human Services and the Quality Payment Program are working to improve the health care system for both providers and patients.
HARP Videos
Create a QPP Account
Reviews how to register for create a new HARP account.
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Connect to an Organization: Practice
Reviews how to request access (“connect”) to a practice so you can view, submit and manage data on behalf of the practice.
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Connect to an Organization: APM Entity
Reviews how to request access (“connect”) to an Alternative Payment Model (APM) Entity so you can view, submit and manage data on behalf of the APM.
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Connect to an Organization: Registry
Reviews how to request access (“connect”) to a Registry or QCDR so you can submit data on behalf of your customers.
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Connect to an Organization: Virtual Group
Reviews how to request access (“connect”) to a virtual group so you can view, submit and manage data on behalf of the virtual group.
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Security Officials: Approving Role Requests
Shows how a security official can approve and deny requests from staff users.
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2019 Medicare Shared Savings Program and QPP Interactions Overview
This CMS resource provides an overview of the interactions between the Medicare Shared Savings Program (SSP) and the Quality Payment Program (QPP) during the 2019 performance period.
2019 List of Medicare Health Plan Other Payer APMs
This document from CMS specifically outlines payment arrangements by Medicare Health Plans that qualify as “other-payer” Advanced Alternative Payment Models (APMs) for 2019.
2019 QPP Multi-Payer Other Payer Advanced APMs
A list of payment arrangements with CMS Multi-Payer APMs that CMS has determined to be Other Payer Advanced APMs for Qualifying Participants (QPs) during the 2019 performance period.
2019 Medicaid Other Payer Advanced APMs in the QPP
Provides a list of Medicaid payment arrangements that CMS has determined to be Other Payer Advanced APMs for the Calendar Year 2019 QPP Performance Period and discusses criteria that must be met.
Question & Answer: The Quality Payment Program and Accountable Care Organizations
As Accountable Care Organizations (ACOs) are becoming more common, many practices and systems have questions related to how they fit into the Medicare Quality Payment Program’s Merit-based Incentive Payment System (MIPS) with their ACO connection. Few ACOs in 2017 meet the criteria for an Advanced Alternative Payment Model (APM), and the majority would fall into a MIPS APM model. This article contains edited Q&As with questions from MIPS APMs and answers from the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) Support Team.
A Guide to Physician-Focused Alternative Payment Models
American Medical Association and the Center for Healthcare Quality and Payment Reform
Introduction to Advanced Alternative Payment Models
This video teaches about the basics of Alternative Payment Models (APM), Advanced APMs, and the benefits of participating in an Advanced APM.
eCQI Resource Center Tool Library
The electronic Clinical Quality Improvement (eCQI) page on the eCQI Resource Center offers tools and resources that provide a foundation for the development, testing, certification, publication, implementation, reporting, and continuous evaluation of quality measures and their improvement. You can refine the tool list by selecting a category of interest and/or a role that best describes your needs, or you can also click a specific tool from the list below to view additional details.
The Payment Reform Glossary
Center for Healthcare Quality and Payment Reform
The Building Blocks of Successful Payment Reform: Designing Payment Systems that Support Higher–Value Health Care
Network for Regional Healthcare Improvement
Accelerating the Implementation of Value-Based Care and Payment – Recommendations from the 2016 National Payment Reform Summit
Network for Regional Healthcare Improvement
Click here to see our upcoming webinars and events.
3/14/2019, MIPS Tips – Facility-based Scoring – Webinar
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2/14/2019, MIPS Tips – Open Office: Lessons Learned from 2017 & 2018 – Webinar
This session focuses on MIPS reporting by sharing information from the 2017 feedback reports.
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1/17/2019, MIPS Tips – 2018 Data Submission Office Hours – Webinar
This webinar focuses on the security risk assessment (SRA), which is a common audit failure in the promoting interoperability performance category. Presenters will help you learn how to ensure your clinic has completed it accurately.
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12/13/2018, MIPS Tips – 2019 QPP Final Rule
CMS publishes an updated set of administrative rules regarding QPP each year. This session provides a review of the most recent set of rules affecting the 2019 Performance Year.
10/25/2018, MIPS Tips – What is Hierarchical Condition Category (HCC) and How Does It Impact the MIPS Cost Category?
This session will review the measures of the cost category with an emphasis on how HCC coding is used for risk scoring. Risk scoring affects the expected cost and can have a significant impact on the ratios used for scoring.
9/18/2018, MIPS Tips – Quality Improvement and MIPS
This session focuses on using QPP and feedback reports for improvement and innovations in your clinic/organization.
8/16/2018, MIPS Tips – Feedback Reports
7/17/2018, Understanding MIPS for Specialties: Advice for Solo and Small Group Practices
6/14/18, MIPS Epic EHR Workflows
6/13/18, CPC+ Epic workflows LAN
6/12/2018, Using Data and Strategy to Succeed in MIPS Year Two: Advice for Solo and Small Group Practices
6/7/2018, MIPS Tips – Advanced Alternative Payment Models (Advanced APMs)
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5/15/2018, Succeeding in MIPS: Advice from Peers in Solo & Small Group Practices
5/10/2018, MIPS Tips – Year 2 Deep Dive and Aligned MIPS Strategy
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4/17/2018, Using Improvement Activities to Enhance Performance Scores for Solo Practitioners and Small Group Practices
4/12/2018, MIPS Tips – MIPS & Cybersecurity
Our new MIPS Tips events will include: a brief overview of the steps you need to take to report to the Merit-based Incentive Payment System (MIPS) in 2017; what you need to do to be successful in 2018; a question-and-answer session with Medicare Quality Payment Program experts from HealthInsight and Mountain-Pacific Quality Health.
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3/28/2018, MIPS Tips
Our new MIPS Tips events will include: a brief overview of the steps you need to take to report to the Merit-based Incentive Payment System (MIPS) in 2017; what you need to do to be successful in 2018; a question-and-answer session with Medicare Quality Payment Program experts from HealthInsight and Mountain-Pacific Quality Health.
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3/20/2018, How to Prepare for MIPS Cost Scoring: Practical Advice for Solo Practitioners and Small Group Practices
3/8/2018, MIPS Tips
Our new MIPS Tips events will include: a brief overview of the steps you need to take to report to the Merit-based Incentive Payment System (MIPS) in 2017; what you need to do to be successful in 2018; a question-and-answer session with Medicare Quality Payment Program experts from HealthInsight and Mountain-Pacific Quality Health.
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2/28/2018, MIPS Tips
Our new MIPS Tips events will include: a brief overview of the steps you need to take to report to the Merit-based Incentive Payment System (MIPS) in 2017; what you need to do to be successful in 2018; a question-and-answer session with Medicare Quality Payment Program experts from HealthInsight and Mountain-Pacific Quality Health.
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2/20/2018, MIPS Data Submission: Practical Advice for Small Group Practices and Solo Practitioners
2/8/2018, MIPS Tips
Our new MIPS Tips events will include: a brief overview of the steps you need to take to report to the Merit-based Incentive Payment System (MIPS) in 2017; what you need to do to be successful in 2018; a question-and-answer session with Medicare Quality Payment Program experts from HealthInsight and Mountain-Pacific Quality Health.
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1/24/2018, MIPS Tips
Our new MIPS Tips events will include: a brief overview of the steps you need to take to report to the Merit-based Incentive Payment System (MIPS) in 2017; what you need to do to be successful in 2018; a question-and-answer session with Medicare Quality Payment Program experts from HealthInsight and Mountain-Pacific Quality Health.
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1/25/2018, MIPS Data Submission: Practical Advice for Small Group Practices and Solo Practitioners
1/11/2018, MIPS Tips
Our new MIPS Tips events will include: a brief overview of the steps you need to take to report to the Merit-based Incentive Payment System (MIPS) in 2017; what you need to do to be successful in 2018; a question-and-answer session with Medicare Quality Payment Program experts from HealthInsight and Mountain-Pacific Quality Health.
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12/14/2017, Overcoming Challenges to MIPS for Solo Practitioners and Small Group Practices
11/16/2017, MIPS Question and Answer Town Hall Event for Small Practices and Solo Practitioners
9/19/2017, QPP Webinar Series – 2 minute Warning
Join this information session to understand what it means to participate in MIPS with a test, partial and full reporting submission, and the benefits to participating to the greatest extent possible this year. Leave the session with a clear plan for gathering and reporting your performance data in each MIPS category. The first part of this session will include a review of all the steps you need to take to report for 2017. The second half will be an open question and answer session with MIPS experts.
9/12/2017, Picking Quality Measures and Improvement Activities for MIPS Reporting
8/1/2017, The Mechanics Of MIPS Data Submission
7/11/2017, QPP Webinar Series – Improving Your Score with eCQI
This learning session includes information about using the electronically enabled clinical quality improvement (eCQI) process to select areas for improvement and how to use a methodology to guide the improvement process.
6/27/2017, QPP Webinar Series – Submission and Scoring Methods
This webinar offers an in-depth look at how to score the different MIPS categories (Improvement Activities, Advancing Care Information, Quality and Costs) and their submission methods.
6/20/2017, QPP Webinar Series – Nine Steps to Reporting MIPS
Get a quick summary of MACRA and the Merit-based Incentive Payment System (MIPS) and learn the nine essential steps for ensuring readiness for MIPS requirements.
6/8/2017, Preparing For MIPS In The Small Group Practice
5/23/2017, QPP Webinar Series – MIPS Deep Dive: Advancing Care Information and Costs
This session includes a deeper dive into two components of the MIPS portion of the Quality Payment Program: Advancing Care Information and Costs. Also, get information about tools you can immediately use to assess your costs and how to improve interoperability.
5/16/2017, QPP Webinar Series – MIPS Deep Dive
Dive into the MIPS portion of the Quality Payment Program and get information about how you can be successful in MIPS, how to choose quality measures, how to improve quality measures, documentation and reporting and how to complete an improvement activity.
5/9/2017, QPP Webinar Series – QPP Overview
This learning session offers a broad overview of the Quality Payment Program, including who it impacts, what it is, when it starts, how it fits into the big health care picture and how to be successful in it.
Influenza Prevention Strategies for Adults 65 and Older
The National Foundation for Infectious Diseases (NFID) has partnered with mdBriefCase Group Inc. to offer a complimentary online Continuing Medical Education (CME) activity offering strategies to help prevent influenza in patients age 65 years and older. This on-demand program provides a framework for counseling adults age 65 years and older on the importance of annual influenza vaccination through case-based scenarios and can benefit all providers in all Task areas.
Upon completion of this activity, participants will be able to:
- Describe the benefit of influenza vaccination in adults age 65 years and older
- List the vaccine options available for seasonal influenza vaccination of adults age 65 years and older
- Differentiate vaccine products approved for seasonal influenza in adults age 65 years and older
- Effectively counsel older adult patients about the importance of seasonal influenza vaccination
Please note that participants will be required to create an mdBriefCase account to access the online program, but there is no fee to participate in this activity. If interested, the program can be accessed at Influenza Prevention Strategies.
The Medicare Learning Network® (MLN)
Learning Management System (LMS)
See this tool to learn how to access the LMS.
Quality Payment Program (QPP) in 2017: Pick Your Pace – A CMS Module
How do you know if your medical practice needs to participate in the Quality Payment Program in 2017? The Medicare Learning Network Management Systems offers a simple, online and self-paced course on participating in the Quality Payment Program and picking a pace that works for your practice. The course provides information on:
- The basics of the Quality Payment Program;
- Steps to take to actively participate in the Quality Payment Program to avoid a payment penalty and possibly earn a positive payment adjustment;
- Factors to consider in choosing how to participate in the program through either the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (APM).
Users will be required to create an account in the Medicare Learning Network Management System to view the course.
Accreditation Council for Continuing Medical Education (ACCME) Designation Statement: The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 American Medical Association (AMA) Physician’s recognition Award (PRA) Category 1 Credit TM
Quality Payment Program Overview (May 2017) (Contact hours: 37 minutes)
Learn about the origin and goals of Medicare’s Quality Payment Program (QPP); recognize the four performance categories within the Merit-based Incentive Payment System (MIPS); identify the three criteria to be considered an Advanced Alternative Payment Model (Advanced APM); and use resources available for QPP. Users will be required to create an account in the Medicare Learning Network Management System to view the course. The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires June 1, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.
Quality Payment Program 2017 Merit-based Incentive Payment System: Improvement Activities Performance Category (July 2017) (Contact hours: 24 minutes)
Learn about the Improvement Activities performance category requirements, and how this category fits into the larger Quality Payment Program; the steps you need to take to report Improvement Activities data to CMS; and the basics about scoring. Users will be required to create an account in the Medicare Learning Network Management System to view the course. The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires July 14, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.
Quality Payment Program 2017: Merit-based Incentive Payment System (MIPS) Quality Performance Category (August 2017) (Contact hours: 25 minutes)
Learn about the Quality performance category requirements, and how this category fits into the larger Quality Payment Program. Users will be required to create an account in the Medicare Learning Network Management System to view the course. The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires August 3, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.
Quality Payment Program in 2017: Advanced Alternative Payment Models (October 2017) (Contact hours: 28 minutes)
Learn about Advanced Alternative Payment Models (APMs), including identifying Advanced APMs and CMS Advanced APMs and how to participate in the Quality Payment Program via an Advanced APM. Users will be required to create an account in the Medicare Learning Network Management System to view the course. The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires October 30, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.
2019 Facility-based Measurement Fact Sheet
Describes the process used to assess performance at the facility level for select Merit-based Incentive Payment System (MIPS) eligible clinicians, groups, and virtual groups whose primary health care responsibilities take place in hospital settings.
QPP Newsletters
Jun-2018
May-2018
Apr-2018
Mar-2018
Feb-2018
Jan-2018
Dec-2017
Nov-2017
Oct-2017
Sep-2017
Aug-2017
Jun-2017
Apr-2017
Specialty Packets
Our specialty packets contain applicable measures for the Quality, Promoting Interoperability and Improvement Activities categories along with helpful scoring information. Use these as a starting point for your 2019 MIPS action plan or to review your current plan to confirm you are on the right track.
Anesthesiology and CRNA Measures
Cardiology Measures
Dermatology Measures
Emergency Medicine Clinicians Measures
Gastroenterology Measures
General Surgeons Measures
Hospitalists Measures
Ophthalmology Measures
Orthopedic Measures
Physical and Occupational Therapists Measures
Radiology Measures
Disease Topic Packets
The Quality Payment Program (QPP) and Mountain-Pacific’s Diabetes Program
Mountain-Pacific Quality Health sponsors Diabetes Empowerment Education Program (DEEP)TM classes across the state. We can help you meet QPP requirements under the Merit-based Incentive Payment
System (MIPS) by highlighting two Performance Categories: Improvement Activities and Quality Measures. See this tool to learn more.
QPP ABS Crosswalk Checklist
Checklist for Core Elements of Outpatient Antibiotic Stewardship with Quality Payment Program Crosswalk.
The Hospital Value-Based Purchasing (VBP) Program
CMS’ Hospital Value-Based Purchasing (VBP) Program rewards acute care hospitals with incentive payments for the quality of care they give to people with Medicare. Visit this page to find out more about this program and view helpful resources and links.
Cardiac Reporting Toolkit
A Guide to Cardiac Quality and Alignment with the CMS Quality Payment Program