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QPP Resources

Understanding the Quality Payment Program

How to Avoid Negative Payment Adjustment for 2021

Learn how to avoid the 9% penalty by reporting MIPS in 2021.


MIPS 101 Guide for the 2020 Performance Year

View this CMS Guide to understand more about the basics of the MIPS program, including resources to help you get started.


Updating Your PECOS and NPPES Information

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that a unique identifier be assigned to each health care provider and health plan. Accordingly, CMS uses enrollment systems, including the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) and the National Plan & Provider Enumeration System (NPPES), to manage provider information and identifiers. Learn more about this and how it applies to your participation in the Quality Payment Program with this resource.


What is Direct Email?

This one-pager from Comagine Health and Mountain-Pacific Quality Health outlines what a Direct email is and how to use it at a high level.


2020 MIPS Exceptions Application Fact Sheet

This CMS document addresses the extreme and uncontrollable circumstances exception application as it applies to MIPS-eligible clinicians affected by natural disasters or a public health emergency (e.g., COVID-19 pandemic), as well as the MIPS Promoting Interoperability (PI) hardship exception application for the 2020 performance period.


2020 QPP Network Security Update Fact Sheet

This CMS resource contains instructions for updating web browsers so that users can access the Quality Payment Program Website at qpp.cms.gov during the fall 2020 federal network security update.


QPP 2020 MIPS Checklist

This checklist is a tool for eligible clinicians and staff to prepare for and submit data for the 2020 MIPS program.


Telehealth Implementation & Workflow Tips During the COVID-19 Emergency

During the COVID-19 emergency, it is important for everyone to practice social distancing and stay at home. The Medicare population, especially those with comorbid conditions, are most at risk. Telehealth provides an opportunity for patients to stay home and receive healthcare for non-emergency medical conditions. This document aids understanding this important tool.


2020 MIPS Participation is as Easy as 1-2-3!

2020 MIPS Participation is as easy as 1-2-3 with this informational pamphlet from Comagine Health. Find out the first steps when getting started with MIPS. Successfully submitting data to the Merit Based Incentive Payments System (MIPS) in 2020 will help you avoid up to a -9% penalty, and or earn up to +9% adjustment on professional fees submitted on your Part B Medicare claims in 2022.


2020 MIPS Quick Start Guide

A CMS guide to help clinicians get started participating in MIPS during the 2020 performance period.


Avoiding the Penalty for 2020

For 2020 reporting, which determines your 2022 payment, CMS has set the performance threshold at 45 points. View this informative document from Comagine Health to help understand how eligible clinicians can meet the performance threshold and avoid a payment penalty.


2020 QPP Final Rule Overview Fact Sheet

This CMS fact sheet provides a high-level overview of the Quality Payment Program (QPP) final policies for the 2020 performance year.


Why Report MIPS?

See this flyer from Comagine Health for an easy overview of the benefits of reporting MIPS.


2020 MIPS Changes Flyer

There were many important changes to MIPS performance categories since the beginning of the program — which we are here to help you navigate. See this flyer created by Comagine Health for a brief overview of the 2020 changes for qualified participants.


QPP Participation Status (MIPS and APM)

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.

Quality Resources

2020 MIPS Quality User Guide

This CMS guide details how to participate in the Quality performance category of MIPS in 2020.


2020 Quality Data Code Worksheet for Claims Reporting

This Excel worksheet will assist with Quality Data Codes for reporting Quality Measures for MIPS using claims in 2020, and features the QDC codes for the 55 claims measures located in each measure specification in the 2020 Medicare Part B Claims Measure Specifications and Supporting Documents.


Q&A: Finding Quality Measures Using Single Source Documents

The Quality category requirement for MIPS is to report six measures. Finding applicable measures for your practice may be challenging. Review this Q & A resource for answers about these very helpful Single Source documents when choosing measures to report.


The Medicare Annual Wellness Visit and MIPS Quality Measures

The Medicare Annual Wellness Visit (AWV), including Personalized Prevention Plan Services (PPPS), is an excellent way to perform needed services and capture MIPS Quality measure data at the same time. Review this resource to find out more about how AWVs can assist in capturing valuable Quality data.


2020 Step-by-Step Guide to Report Quality Measures - Medicare Part B Claims

Clinicians in small practices (= 15 clinicians) that submit at least one Quality measure will earn bonus points in MIPS, and only small practices can submit quality measures via Medicare Part B claims in 2020. Use this guide to navigate reporting Quality measures using Medicare Part B claims.


2020 Quality Measures List With Telehealth Guidance

This CMS resource provides a list of Quality measures that currently include telehealth for the 2020 performance period.


2020 QPP Final Rule - Updates for QCDRs and Registries

This CMS fact sheet summarizes policy updates finalized in the CY 2020 PFS Final Rule, available here, as it pertains to QCDRs and Qualified Registries for the 2020 and 2021 performance period of MIPS.


2020 Qualified Clinical Data Registries (QCDRs) Qualified Posting

Provides a list of the 2020 QCDRs for the MIPS from CMS.


2020 Clinical Quality Measure Specifications and Supporting Documents

This Zip file from CMS provides comprehensive descriptions of the 2020 clinical quality measures for the MIPS Quality performance category. This includes the Single Source file spreadsheets, which are tools that eligible clinicians can use to search for common CPT codes, measure numbers, etc. within each individual registry measure. This may assist in identifying measures that may apply to your practice based on common codes that you may utilize when seeing beneficiaries.


2020 Quality Measure Benchmark Fact Sheet

Learn more about Quality benchmarks and how they can affect your MIPS score with this CMS fact sheet. This resource provides an overview of how we establish MIPS Quality measure benchmarks, how benchmarks are used for scoring, and the information in the 2020 Quality Benchmarks and 2020 Multi-Performance Rate Measures files.


CMS Explore Measures Tool - Quality Performance Category

The CMS Quality Payment Program website allows clinicians to search a comprehensive list of Quality measures by year, and includes links to the Medicare Part B Claims Measure Specifications, the CMS Web Interface Measure Specifications, the Quality Benchmarks and all supporting documents.


Removed and Added 2020 Quality Measures

This resource from Comagine Health allows you to easily see the Quality measures that have been removed and added in the 2020 Performance Year for MIPS.


2020 Part B Claims Reporting Quick Start Guide

A guide from CMS to help clinicians in small practices get started with using Medicare Part B claims to report participation in the Quality performance category of MIPS during the 2020 performance period.


2020 Quality Quick Start Guide

A CMS guide to help clinicians get started participating in the Quality performance category of MIPS during the 2020 performance period.


2020 Qualified Registries Qualified Posting

Provides a list of the 2020 Qualified Registries for the MIPS from CMS.


2020 MIPS Quality Measures List

A detailed list of the 2020 MIPS Quality Measures from CMS.


CMS Quality Payment Program - Quality Measure Requirements Page

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.

Cost Resources

Where Do I Go? A Guide to Where to Seek Care

Ensuring patients know where to go to receive the appropriate level of care can help MIPS-eligible providers and clinics improve their Cost performance category scores. This one-page guide from Mountain-Pacific Quality Health Foundation will help your patients know where to go when they need care.


2020 Cost User Guide

This CMS guide details how to participate in the Cost performance category of MIPS in 2020.


Q&A: Hierarchical Condition Categories

Understanding Hierarchical Condition Categories (HCC) and their applicability to the MIPS is important as clinicians work to receive recognition for the care they deliver to patients with complex conditions. Review this Q & A to get answers about HCC and how it could impact your Cost score in MIPS.


CMS Explore Measures Tool - Cost Performance Category

The CMS Quality Payment Program website allows clinicians to search a comprehensive list of measures by year, including information from the Cost forms and codes.


2020 Cost Quick Start Guide

A comprehensive CMS guide to help clinicians get started participating in the Cost performance category of MIPS during the 2020 performance period.


2020 MIPS Summary of Cost Measures

This document from CMS provides a summary of Cost measures in relation to MIPS.


Cost Performance Category: Episode-based Measures

Episode-based measures are being used to evaluate cost — beginning with eight added in the 2019 MIPS performance period, and 10 more added in 2020. 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. This CMS Zip file has the PDFs of each Measure Information Form for all 18 measures, along with the 2020 TPCC and MSPB-C PDFs (also found separately in the Cost resources).


CMS Quality Payment Program – Cost Requirements Page

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.


MIPS: Total Per Capita Costs for All Attributed Beneficiaries

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 to learn more.


Medicare Spending 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 to learn more.

Promoting Interoperability Resources

2020 MIPS Promoting Interoperability User Guide

A CMS guide to help clinicians get started participating in the Promoting Interoperability performance category of the MIPS during the 2020 performance year.


Security Risk Analysis

The Security Risk Analysis (SRA) is a requirement for the Promoting Interoperability (PI) category of MIPS as well as the HIPAA Security Rule. Review this resource to find out more about SRAs that can help your practice achieve better PI scoring.


2020 Promoting Interoperability Measure Specifications

This Zip file contains a detailed overview of the requirements for the 2020 Promoting Interoperability performance category objectives and measures straight from CMS.


2020 Promoting Interoperability Quick Start Guide

A comprehensive CMS guide to help clinicians get started participating in the Promoting Interoperability performance category of MIPS during the 2020 performance period.


CMS Explore Measures Tool - Promoting Interoperability Performance Category

The CMS Quality Payment Program website allows clinicians to search a comprehensive list of the Promoting Interoperability measures by year, including their documentation requirements.


Patient Engagement Playbook

Patient engagement can have big benefits for your practice and your patients: Better communication, better care, and better outcomes. Health information technology (health IT) is a powerful tool to help you get there — so learn how to make it work for you, using the Patient Engagement Playbook as your guide. The Playbook is an evolving resource from the Office of the National Coordinator for Health Information Technology for clinicians, practice staff, hospital staff, and other innovators: A compilation of tips and best practices.


CMS Quality Payment Program – Promoting Interoperability Requirements Page

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, 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

View this page of resources specifically for those providers needing help with EHR adoption from Comagine Health and others.

Improvement Activities Resources

New Improvement Activity for the 2020 MIPS Performance Year Addendum

View the new CMS Improvement Activity, added for COVID-19, to the 2020 Performance Year inventory.


2020 Deleted Improvement Activities

This CMS resource provides a quick view of the activities that were deleted from the 2020 Improvement Activities inventory.


CMS Explore Measures Tool - Improvement Activity Performance Category

The CMS Quality Payment Program website allows clinicians to search a comprehensive list of the Improvement Activities by year.


2020 Improvement Activities Quick Start Guide

This CMS guide helps clinicians get started participating in the Improvement Activities performance category of MIPS during the 2020 performance period.


2020 MIPS Data Validation Criteria - Improvement Activities

CMS Zip file listing the 2020 criteria used to audit and validate data submitted for the MIPS Improvement Activities performance category.


2020 Improvement Activities Inventory

Zip file with the full list of CMS 2020 Improvement Activities in both PDF and Excel format.


CMS Quality Payment Program - Improvement Activities Requirements Page

This performance category gauges participation in activities that improve clinical practice. This interactive webpage from CMS provides an overview about the Improvement Activities category under MIPS, allows you to review and select activities that best fit your practice, and download a CSV file of the selected activities for your records.

Submission, Feedback and Payment Resources

2020 Scoring Guide

Guide providing details about how scores are calculated for MIPS in the 2020 performance year.


Q&A: Data Submission Methods in 2020 MIPS

MIPS has provided the same data submission mechanisms since it began in 2017. The guidance regarding reporting with more than one submission method has changed. MIPS also uses new terminology to describe these changes. Review this Q & A for important information to assist with your MIPS submission methods.


Audit Readiness - What You Need to Know

Under MIPS, CMS will conduct an annual data validation process. Clinicians are randomly selected for audit, and while it is unknown how many clinicians will receive a request, historical programs audited approximately one in 10 clinicians. This resource will guide you through what information you should retain in case of an audit.


2020 MIPS Payment Adjustment Fact Sheet

This CMS fact sheet provides a general overview of the 2020 payment adjustments based on MIPS final scores for the 2018 performance year.


HARP Account Setup Checklist

The CMS HCQIS Access Roles and Profile (HARP) replaced the Enterprise Identity Management service (EIDM) in 2018. A HARP account is required for submitting data to the CMS Web Portal in order to report for the Quality Payment Program. Use this informative and simple flyer to understand the steps needed to complete your HARP account setup.


HARP Frequently Asked Questions

The HCQIS Access Roles and Profile (HARP) is a secure identity management portal provided by CMS. View this webpage to get answers to frequently asked questions and other help for the new HARP system.

Hospital and Facility Resources

2020 Facility-Based Quick Start Guide

CMS guide providing an overview of the process to assess performance at the facility level for select MIPS-eligible clinicians, groups and virtual groups whose primary health care responsibilities take place in hospital settings.


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 CMS webpage to find out more about this program and view helpful resources and links.

Videos

Manual Attestation of Promoting Interoperability Measures (9 min)

This short video from CMS provides an overview on how to successfully report MIPS data to the Promoting Interoperability performance category and meet the reporting requirements. It also explains how to modify the Promoting Interoperability score by manually attesting to measures.


Opt-in as a QPP Eligible Clinician (3 min)

This short video from CMS explains how to report MIPS data as an opt-in eligible clinician for the 2019 performance period of the Quality Payment Program. Please note that the opt-in decision is permanent and cannot be changed in the future.


Introduction and Overview of 2019 Data Submission (3 min)

This short video from CMS provides an overview of how to submit MIPS data through the QPP website for the 2019 performance period.


Opting in as a Registry (3 min)

This short video from CMS provides an overview on how a Qualified Registry can report MIPS data and make an election for an opt-in eligible participant through the Registry Dashboard on the Quality Payment Program website. Please note that the opt-in decision is permanent.


Manual Attestation of Improvement Activities Measures (3 min)

This short video from CMS provides an overview of how a third-party intermediary, such as a Qualified Registry, can report MIPS data on behalf of a group within the Quality Payment Program portal, as well as how to modify the Improvement Activity score by manually attesting to measures.


File Upload and Quality Scoring (4 min)

This short video from CMS explains how to upload and review MIPS Quality performance category data in the Quality Payment Program portal and provides an overview of how Quality data is scored during the 2019 MIPS data submission period.


MIPS Value Pathways (MVPs) Overview (3 min)

This video from CMS provides an overview of the MIPS Value Pathways (MVPs) participation framework that was finalized in the 2020 Quality Payment Program final rule and will begin in the 2021 performance year.


How to Add a New Clinician Role for the QPP (5 min)

This video from CMS provides step-by-step instructions on how to add the new clinician role for the QPP. The new role allows clinicians to view their MIPS eligibility details, performance feedback and payments adjustment without having to request access.



HARP Videos

Security Officials: Approving Role Requests

Shows how a security official can approve and deny requests from staff users.


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.


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.


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.


Create a QPP Account

Reviews how to register for and create a new HARP account.

Advanced Alternative Payment Models

Identify and Evaluate APMs for Your Region

Utilize the information in this section to identify the type of APMs/Accountable Organizations (AOs) in your area, including those that are advanced APMs. The landscape changes rapidly and the two lookup tools below are state-based tools to identify and evaluate Medicare ACOs.


Identify and Compare APMs (Including ACOs) in a Region or Area

Often systems, clinics, or providers are not aware of what APMs they are involved with. Learn how to identify and compare APMs in your specific region/area by looking this information up with this helpful walkthrough from Comagine Health.

Find out what Medicare ACOs are in your state and what their performance is on key measures. This data is from Medicare Public Use Files and is updated annually. For more information on ACO options, see our other resources, the QPP Advanced Alternative Payment Models overview and the Identify and Compare APMs (Advanced Payment Models – including ACOs) in a Region or Area walkthrough below.


ACO Lookup Tool Version 1

Broader version – looking at multiple ACOs with 2018 data.


ACO Lookup Tool Version 2

Focused version – taking a closer look at one ACO. Same 2018 data.



Checklists/Information/Readiness

Once you've identified the Accountable Organizations (AOs) in your area, further review will help determine compatibility of the AO with your goals. The toolkit below has some critical definitions, a checklist to evaluate AOs you are interested in and a checklist to evaluate your own readiness.


Annual Wellness Visit Toolkit

The Medicare Annual Wellness Visit (AWV) is designed to encourage and support individuals in taking an active role in accurately assessing and managing their health and improving their well-being and quality of life. The AWV was created by the Centers for Medicare & Medicaid Services (CMS) in 2011 and is a free benefit for Medicare patients. This page is designed to help practices and providers find the tools and resources they need to successfully implement or improve their AWV process.


Excelling with Annual Wellness Visits

Learn more about how a clinic achieved success with Medicare Annual Wellness Visits (AWVs).


CMS Chronic & Principal Care Management Services: Implementation Guidance

Implementing CMS' chronic and principal care management (CCM/PCM) services provides an opportunity to put a framework around care coordination, chronic disease management and care management for high-risk patients. Additionally, CCM/PCM services lead to enhanced reimbursement, including for team-based care and work that the care team is already performing. This short, straightforward guidance can help with implementing and capturing reimbursement for the CMS CCM and PCM services.


Advanced Payment Models Toolkit

Are you confused about Alternative Payment Models (APMs), Advanced APMs, MIPS APMs and Accountable Organizations (AOs) such as Accountable Care Organizations (ACOs), Convener Participants (CPs) and Direct Contracting Entities (DCEs)? This toolkit from Comagine Health combines definitions and checklists to help you determine your compatibility with eligible AOs in your region. There are also readiness checklists for Primary Care and Specialists, along with other important resources to consider. Each page can be printed separately so that you can decide what tools you need.


Are You Considering Joining an Accountable Care Organization (ACO)?

Use this informative sheet from Mountain-Pacific Quality Health to better understand the pros, cons, aspects to consider and questions to ask when considering joining an ACO.



General APM Information

Additional resources and tools from CMS and other partners.


2021 APM Performance Pathway Quick Start Guide

This guide aims to help MIPS APM participants (Individual, Group, or APM Entity) know what steps to take during the 2021 Performance Year in preparation for the 2022 submission Period.


2020 APM Incentive Payment Fact Sheet

View this CMS fact sheet to find out more about the APM incentive payment in 2020, including who is eligible to receive it, how CMS determines your 2020 APM Incentive Payment, and other frequently asked questions and answers.


2020 All-Payer Combination Option & Other Payer Advanced Alternative Payment Models FAQ Sheet

This FAQ from CMS answers questions regarding the All-Payer Combination Option and Other Payer Advanced Alternative Payment Models (APMs) under the QPP.


2020 Promoting Interoperability for MIPS ACO/APM Participants

This one-page resource can assist MIPS APM Participants with their reporting for Performance Year 2020. Please check with your ACO/APM leadership to ensure that all the performance categories are adequately


Accountable Care Organizations (ACOs): General Information

This CMS website includes a wealth of information for ACOs - including three toolkits:


2020 Medicare Shared Savings Program and QPP Interactions Guide

This CMS resource provides an overview of the interactions between the Medicare Shared Savings Program (SSP) and the Quality Payment Program (QPP) during the 2020 performance period.


2020 and 2019 Comprehensive List of APMs

This CMS fact sheet displays the comprehensive list of Alternative Payment Models (APMs) for the 2020 and 2019 performance periods.


2020 MIPS APMs Improvement Activities

This CMS fact sheet shows the improvement activities performance category score they will assign participants in each MIPS APMs for the 2020 performance year.


Roadmap for Driving High Performance in Alternative Payment Models

This tool from the Health Care Payment Learning & Action Network is designed to help health care stakeholders navigate the inherent challenges and opportunities in APM implementation. It contains key insights, promising practices, and the most current strategies for designing and implementing successful APMs, delivered via an interactive web experience.


A Guide to Physician-Focused Alternative Payment Models

View this informative guide on APMs from the American Medical Association and the Center for Healthcare Quality and Payment Reform.

Quality Improvement Resources

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.


eCQI Toolkit

Mountain-Pacific Quality Health's electronic Clinical Quality Improvement (eCQI) toolkit utilizes aspects of an agile delivery cycle, which focuses on achieving value added changes quickly and efficiently, one change at a time. These systematic improvement cycles are called "sprints." The goal of each sprint is to provide value added results for your organization approximately every 2-6 weeks and is based on the PDSA iterative quality improvement cycle.


The Payment Reform Glossary

Learn more about payment reform with this comprehensive guide from the Center for Healthcare Quality and Payment Reform.

Webinars

MIPS Tips: MIPS Tips: Wrapping Up 2020 Reporting and Quality and Cost for 2021 (recording)


MIPS Tips: Wrapping Up 2020 Reporting and Quality and Cost for 2021 (slides)


MIPS Tips: 2021 Performance Year - What You Need to Know (recording)


MIPS Tips: 2021 Performance Year - What You Need to Know (slides)


MIPS Tips: Looking at Cost and Year-End Readiness (recording)


MIPS Tips: Looking at Cost and Year-End Readiness (slides)


MIPS Tips: Building a Foundation for Promoting Interoperability and Timely Updates (recording)


MIPS Tips: Building a Foundation for Promoting Interoperability & Timely Updates (slides)


MIPS Tips: Making the Most of Your Improvement Activities (recording)


MIPS Tips: Making the Most of Your Improvement Activities (slides)


MIPS Tips: MIPS in a COVID-19 World (recording)


MIPS Tips: MIPS in a COVID-19 World (slides)


MIPS Tips: Essentials for the 2020 MIPS Performance Period (recording)


MIPS Tips: Essentials for the 2020 MIPS Performance Period (slides)


MIPS Tips: Why MIPS is Important for Billing and Coding Professionals — Jan. 30, 2019 (recording)

Many important issues and considerations face billing and coding staff when thinking about MIPS. This webinar is for office managers and billing and coding staff who want to learn more about MIPS billing and coding and how it can help your practice and clinicians improve their MIPS scores.


MIPS Tips: Why MIPS is Important for Billing and Coding Professionals — Jan. 30, 2020 (slides)


MIPS Tips: 2019 Year-End Readiness and Prep for Performance Year 2020 (recording)


MIPS Tips: 2019 Year-End Readiness (slides)


MIPS Tips: The MIPS Cost Category — Sept. 18, 2019 (recording)

Learn how to use your Cost category data to achieve better health and lower cost.


MIPS Tips: The MIPS Cost Category — Sept. 2019 (slides)


MIPS Tips: Strengthening Primary Care — June 20, 2019 (recording)


MIPS Tips: Strengthening Primary Care — June 20, 2019 (slides)


MIPS Tips: Interoperability and the Exchange of Data — May 17, 2019 (recording)


MIPS Tips: Interoperability and the Exchange of Data — May 17, 2019 (slides)


MIPS Tips: QPP for New Clinicians or Practice Managers — April 2019 (recording)


MIPS Tips: QPP for New Clinicians or Practice Managers — April 2019 (slides)


MIPS Tips: Facility-Based Scoring — March 14, 2019 (recording)


MIPS Tips: Facility-Based Scoring — March 14, 2019 (slides)


MIPS Tips: Open Office: Lessons Learned From 2017 & 2018 — Feb. 14, 2019 (recording)

This session focuses on MIPS reporting by sharing information from the 2017 feedback reports.


MIPS Tips: Open Office: Lessons Learned From 2017 & 2018 — Feb. 14, 2019 (slides)


MIPS Tips: Security Risk Analysis — Jan. 17, 2019 (recording)

This webinar focuses on the security risk assessment (SRA), which is a common audit failure in the promoting interoperability performance category. Presenters help you learn how to ensure your clinic has completed it accurately.


MIPS Tips: Security Risk Analysis — Jan. 17, 2019 (slides)


MIPS Tips: Overview of Changes for QPP in 2019 — Dec. 13, 2018 (recording)

CMS publishes an updated set of administrative rules regarding QPP each year. In this session we review the most recent set of rules affecting the 2019 Performance Year.


MIPS Tips: Overview of Changes for QPP in 2019 — Dec. 13, 2018 (slides)


MIPS Tips: MIPS Reporting Requirements Refresher: What is the Minimum to Avoid Penalty? (slides)

This session offers a refresher on basic reporting requirements, instructions for making sure your EIDM account is ready to go and tactics for avoiding the disincentive (get to at least 15 points).


MIPS Tips: QPP Cost Category and HCC Coding Overview — Oct. 25, 2018 (recording)

Review of the Cost category measures 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.


MIPS Tips: QPP Cost Category and HCC Coding Overview — Oct. 25, 2018 (slides)


MIPS Tips: Focus on Quality: Using QPP and Feedback Reports — Sept. 18, 2018 (recording)

This session focuses on using QPP and feedback reports for improvement and innovations in your clinic/organization.


MIPS Tips: Focus on Quality: Using QPP and Feedback Reports — Sept. 18, 2018 (slides)


MIPS Tips: Feedback Reports — Aug. 16, 2018 (recording)


MIPS Tips: Feedback Reports — Aug. 16, 2018 (slides)


MIPS Tips: Advanced Alternative Payment Models (Advanced APMs) — June 7, 2018 (recording)


MIPS Tips: Advanced Alternative Payment Models (Advanced APMs) — June 7, 2018 (slides)


MIPS Tips: Year 2 Deep Dive and Aligned MIPS Strategy — May 10, 2018 (recording)


MIPS Tips: Year 2 Deep Dive and Aligned MIPS Strategy — May 10, 2018 (slides)


MIPS Tips: MIPS & Cybersecurity: April 12, 2018 (recording)


MIPS Tips: MIPS & Cybersecurity — April 12, 2018 (slides)


MIPS Tips: March 28, 2018 (recording)


MIPS Tips: March 28, 2018 (slides)


MIPS Tips: March 8, 2018 (recording)


MIPS Tips: March 8, 2018 (slides)


MIPS Tips: Feb. 28, 2018 (recording)


MIPS Tips: Feb. 28, 2018 (slides)


MIPS Tips: Feb. 8, 2018 (recording)


MIPS Tips: Feb. 8, 2018 (slides)


MIPS Tips: Jan. 24, 2018 (recording)


MIPS Tips: Jan. 24, 2018 (slides)


MIPS Tips: Jan. 11, 2018 (recording)


MIPS Tips — Jan. 11, 2018 (slides)

MIPS Tips: Q&A Overview — Jan. 11, 2018: All of the questions and answers that were discussed during the Jan. 11, 2018, MIPS Tips session


QPP Webinar Series: 2 Minute Warning — Sept. 19, 2017 (recording)

Learn 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 includes a review of all the steps you need to take to report for 2017. The second half is an open question-and-answer session with MIPS experts.


QPP Webinar Series: 2 Minute Warning — Sept. 19, 2017 (slides)


QPP Webinar Series: Improving Your Score With eCQI — July 11, 2017 (recording)

This session includes information on using the eCQI process to select areas for improvement and how to use a methodology to guide the improvement process.


QPP Webinar Series: Improving Your Score with eCQI — July 11, 2017 (slides)


QPP Webinar Series: Submission and Scoring Methods — June 27, 2017 (recording)

In-depth session on how to score each category.


QPP Webinar Series: Submission and Scoring Methods — June 27, 2017 (slides)


QPP Webinar Series: Nine Steps to Reporting MIPS — June 20, 2017 (slides)


QPP Webinar Series: MIPS Deep Dive: Advancing Care Information and Costs — May 23, 2017 (recording)

This session offers a deeper dive into two components of the MIPS portion of QPP, including costs and advancing care information. We review tools you can use today to assess your costs, along with ways to improve interoperability.


QPP Webinar Series: MIPS Deep Dive: Advancing Care Information and Costs — May 23, 2017 (slides)


QPP Webinar Series: MIPS Deep Dive: Quality and Improvement Activities — May 16, 2017 (recording)

This session offers a deeper dive into the MIPS portion of QPP, including information on how you can be successful in the MIPS program, how to choose quality measures, how to improve quality measures, documentation and reporting, and how to complete an improvement activity.


QPP Webinar Series: MIPS Deep Dive: Quality and Improvement Activities — May 16, 2017 (slides)


QPP Webinar Series: QPP Overview — May 9, 2017 (recording)

Broad overview of the QPP program including who it impacts, what it is, when it will start, how it fits into the big picture and how to be successful in the QPP program.


QPP Webinar Series: QPP Overview — May 9, 2017 (slides)

Specialty Resources

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 2020 MIPS action plan or to review your current plan to confirm you are on the right track.


2020 Anesthesiology and CRNA Measures


2020 Cardiology Measures


2020 Dermatology Measures


2020 Emergency Medicine Measures


2020 General Surgery Measures


2020 Hospitalist Measures


2020 Oncology Measures


2020 Ophthalmology Measures


2020 Optometry Measures


2020 Orthopedic Measures


2020 Pathology Measures


2020 Physical and Occupational Therapy Measures


2020 Podiatry Measures


2020 Primary Care Measures


2020 Radiology Measures


2020 Urology Measures



CMS Specialty Packets

These specialty packets from CMS highlight measures and activities for MIPS performance categories that apply to MIPS eligible clinicians in 2020.

2020 Measures and Activities for Anesthesiologists and Certified Nurse Anesthetists


2020 Measures and Activities for Cardiologists


2020 Measures and Activities for Chiropractors


2020 Measures and Activities for Clinical Psychologists


2020 Measures and Activities for Dentists


2020 Measures and Activities for Dermatologists


2020 Measures and Activities for Dietitians and Nutrition Professionals


2020 Measures and Activities for Emergency Medicine Clinicians


2020 Measures and Activities for Family Medicine Clinicians


2020 Measures and Activities for Gastroenterologists


2020 Measures and Activities for Nurse Practitioners


2020 Measures and Activities for Obstetricians and Gynecologists


2020 Measures and Activities for Occupational and Physical Therapists


2020 Measures and Activities for Ophthalmologists


2020 Measures and Activities for Optometrists


2020 Measures and Activities for Orthopedists


2020 Measures and Activities for Pathologists


2020 Measures and Activities for Physician Assistants


2020 Measures and Activities for Podiatrists


2020 Measures and Activities for Radiologists


2020 Measures and Activities for Speech Language Pathologists