downloadchevron-downchevron-rightchevron-with-circle-downchevron-with-circle-upcheckcircle-with-minuscircle-with-plusexporthelp-with-circleinboxlinkmailold-phonestar-outlinedstaruserv-cardcloseclosecloseBack to top
Top

Resource Library


Full Resource Library

173 Resources

  • PDF 748KB
      |  
    PY 2017
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Visual aid showing 2017 performance data for the Quality Payment Program.

  • PDF 956KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Overview of the Quality performance category in the 2018 performance period.

  • PDF 760KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to emergency medicine clinicians in 2018.

  • 2018 Cost 101 Guide
    Created 11/05/2018
    PDF 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Cost
      |  
    Technical Guides and User Guides
    Guide detailing how to participate in the Cost performance category of MIPS in 2018.

  • PDF 728KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to podiatrists in 2018.

  • PDF 691KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to optometrists in 2018.

  • PDF 738KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to ophthalmologists in 2018.

  • PDF 751KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to primary care clinicians in 2018.

  • PDF 742KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to pathologists in 2018.

  • PDF 705KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to orthopedists in 2018.

  • PDF 3MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Improvement Activities
      |  
    Technical Guides and User Guides
    Guide detailing how to participate in the Improvement Activities performance category of MIPS in 2018.

  • PDF 399KB
      |  
    PY 2019
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    This is the executive summary in the 2019 Quality Payment Program final rule, which will make payment and policy changes to the Quality Payment Program starting January 1, 2019,

  • PDF 746KB
      |  
    PY 2019
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    This factsheet provides a high-level overview of the Quality Payment Program final policies for the 2019 performance period.

  • ZIP 15MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Lists the 2018 criteria used to audit and validate data submitted in each performance category

  • PDF 426KB
      |  
    PY 2019
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    A list of payment arrangements with CMS Multi-Payer Alternative Payment Models (APMs) that CMS has determined to be Other Payer Advanced APMs for Qualifying Participants (QPs) during the 2019 performance period

  • PDF 1MB
      |  
    PY 2019
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    A guide to help clinicians get started participating in the Merit-based Incentive Payment System (MIPS) during the 2019 performance year.

  • PDF 521KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    This document explains the sampling methodology for the 15 clinical quality measures submitted via the Centers for Medicare & Medicaid Services (CMS) Web Interface.

  • 2018 Quality Benchmarks
    Created 10/23/2018
    ZIP 540KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Lists and explains 2018 benchmarks used to assess performance in the Quality performance category

  • PDF 194KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Lists a series of webinars for Accountable Care Organizations (ACOs) and groups that are submitting data via the CMS Web Interface for the 2018 performance period.

  • PDF 357KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Provides information on how MIPS payment adjustments will be applied to payments in calendar year (CY) 2019 based on clinicians’ 2017 MIPS final scores.

  • PDF 2MB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Provides an overview of the determination of Qualifying Participants (QPs) and Partial QPs, how CMS will identify eligible clinicians participating in Advanced APMs, and how to calculate payment amount threshold scores.

  • PDF 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to anesthesiologists and certified nurse anesthetists in 2018.

  • PDF 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to cardiologists in 2018.

  • ZIP 218KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    N/A

  • PDF 679KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Visual aid showing how to submit data for the 2018 performance period.

  • PDF 665KB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Visual aid showing how to participate in the Quality Payment Program (QPP) during 2018.

  • 2018 MIPS Scoring 101 Guide
    Created 10/03/2018
    PDF 4MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide providing details about how scores are calculated for MIPS in the 2018 performance year.

  • PDF 422KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Lists the 2018 MIPS quality measures impacted by ICD-10 code updates effective October 1, 2018.

  • PDF 457KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Provides an overview of the self-nomination process and necessary requirements to self-nominate for qualified registries.

  • PDF 238KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Snapshot of who will receive payment adjustments and how payment adjustments work.

  • PDF 1MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide is intended to help those who are requesting CMS to review their 2019 MIPS payment adjustment and lists steps to request a targeted review.

  • PDF 649KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet providing an overview of the 2019 MIPS payment adjustment targeted review process.

  • ZIP 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides an overview of the EMA process and lists individual quality measures for both registry and claims data submission

  • PDF 656KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Describes the process for assigning beneficiaries to a group or a virtual group participating in the Merit-based Incentive Payment System (MIPS) in 2018

  • PDF 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Highlights measures and activities for MIPS performance categories that apply to radiologists in 2018

  • PDF 434KB
      |  
    PY 2019
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Provides a list of Medicaid payment arrangements that CMS has determined to be Other Payer Advanced APMs for the Calendar Year (CY) 2019 QP Performance Period and discusses criteria that must be met.

  • PDF 1MB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Technical Guides and User Guides
    Provides an overview of APM Entity or Eligible Clinician Initiated Other Payer Advanced APM Determination Proceeds(Eligible Clinician Initiation Process).

  • 2017 Quality Benchmarks
    Created 08/29/2018
    ZIP 1MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Zip file containing MIPS benchmark information for the Quality performance category.

  • 2017 Qualified Registries
    Created 08/27/2018
    PDF 1MB
      |  
    PY 2017
      |  
    Both
      |  
    Quality
      |  
    Technical Guides and User Guides
    List of qualified registries able to report data for the Quality, Advancing Care Information, and Improvement Activities performance categories on behalf of MIPS clinicians in 2017.

  • XLSX 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides a list of 2018 Qualified Clinical Data Registries (QCDRs) for MIPS.

  • XLSX 125KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides a list of 2018 Qualified Registries for MIPS.

  • PDF 843KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Cost
      |  
    Fact Sheets
    Provides a broad overview of the 2018 Cost performance category

  • PDF 444KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Details how to submit Quality data through claims in 2018

  • 2019 Virtual Groups Toolkit
    Created 08/16/2018
    ZIP 1MB
      |  
    PY 2019
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Includes an agreement template, sample email, and a general overview of virtual groups and the election process

  • ZIP 3MB
      |  
    PY 2019
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Contains resources for QCDRs and Qualified registries to self-nominate for the 2019 performance year.

  • PDF 4MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide addresses MIPS performance feedback as displayed on qpp.cms.gov and offers additional resources.

  • PDF 525KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet providing a general overview of payment adjustments based on 2017 MIPS final scores.

  • ZIP 8MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Provides information on the measures necessary to submit data through the CMS Web Interface in 2018.

  • 2018 Exceptions FAQs
    Created 08/03/2018
    PDF 469KB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Lists questions and answers on topics relating to 2018 hardship exceptions

  • PDF 413KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    A CMS approved list of survey vendors for the 2018 CAHPS for MIPS Survey

  • PDF 474KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Includes an overview of Predictive Qualifying Participant (QP) Status Analysis, Predictive QP and Partial QP determination steps, how eligible clinicians and beneficiaries were determined, and how thresholds were calculated.

  • ZIP 10MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Provides guidance for the 2018 QPP individual measure specifications and measure flows for claims and registry submissions.

  • 2018 Cost Measures
    Created 07/27/2018
    ZIP 926KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Cost
      |  
    Measure Specifications and Benchmarks
    Provides overview of the 2018 TPCC and MSBP Cost measures calculation and methodology.

  • PDF 543KB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Discusses the Other MIPS APM Quality Performance Category in Year 2 (2018) of the QPP.

  • PDF 2MB
      |  
    PY 2017
      |  
    Both
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide describes EIDM roles for the ACO Security Official and the ACO's Web Interface Submitter only.

  • PDF 2MB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Technical Guides and User Guides
    Provides instructions on how ACOs can create an EIDM account in 2018.

  • PDF 2MB
      |  
    PY 2017
      |  
    Both
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide for users who need an EIDM account and/or Physician Quality and Value Program role to submit or access QPP data.

  • PDF 2MB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Technical Guides and User Guides
    Provides instructions on how to create an EIDM account in 2018.

  • PDF 515KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet provides more information about receiving your MIPS performance feedback.

  • PDF 778KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Outlines criteria providers must meet to receive a bonus payment in each performance category in 2018.

  • PDF 630KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Provides a list of eligibility requirements to participate in 2018 MIPS, and a comparison of 2017 and 2018 final policies.

  • PDF 748KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Promoting Interoperability
      |  
    Fact Sheets
    Displays transition from ACI to PI and who the PI category now applies to.

  • PDF 430KB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Provides an overview of 2018 Medicare Shared Savings Program and MIPS Interactions in Year 2 (2018) of the QPP.

  • PDF 5MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    undefined

  • ZIP 433KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Provides details on measure development for the 30-Day All-Cause Hospital Readmission Measure

  • ZIP 512KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    30-day All-Cause Hospital Readmission measure specification sheet.

  • ZIP 11MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Promoting Interoperability
      |  
    Measure Specifications and Benchmarks
    Details 2018 PI measures, transition measures, and corresponding calculations

  • XLSX 694KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Details 2018 QCDR measures and corresponding calculations

  • PDF 571KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Improvement Activities
      |  
    Fact Sheets
    Provides an overview of the 2018 Improvement Activities performance category

  • PDF 1MB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Includes the nomination form to be considered for a clinician champion.

  • PDF 321KB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Provides a list of criteria to become a clinician champion.

  • PDF 1MB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Specialty Guides
    Contains an overview on how Medicare Health Plans (inc. Medicare Advantage) make a request for Other Payer Advanced PM Determination for the QPP via the Health Plan Management System.

  • PDF 944KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Promoting Interoperability
      |  
    Fact Sheets
    Provides an overview of the 2018 Promoting Interoperability performance category

  • PDF 301KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides FAQs for vendors for the CAHPS for MIPS Survey.

  • PDF 1MB
      |  
    PY 2018
      |  
    APMs
      |  
    Quality
      |  
    Fact Sheets
    Provides an overview of scoring of the Quality performance category in MIPS APMs in Year 2 (2018) of the QPP.

  • PDF 571KB
      |  
    PY 2018
      |  
    APMs
      |  
    Quality
      |  
    Fact Sheets
    Outlines MIPS Quality performance category scoring scenarios under the APM scoring standard.

  • ZIP 4MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Measure Specifications and Benchmarks
    Provides detail and rationale for measure and activity development in QPP.

  • PDF 361KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Provides an overview of the self-nomination process, QCDRs, and necessary requirements to self-nominate.

  • PDF 888KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Provides an overview of Frequently Asked Questions (FAQs) surrounding All-Payer Combination Option and Other Payer Advanced APMs under QPP.

  • 2018 Improvement Activities
    Created 05/03/2018
    ZIP 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Improvement Activities
      |  
    Fact Sheets
    Provides a list of the 2018 Improvement Activities.

  • PDF 1MB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Technical Guides and User Guides
    Includes an overview of submitting CMS Multi-Payer Model Requests for Other Advanced APM Determinations, including commercial payers

  • PDF 11MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Outlines group participation requirements in Year 2 of QPP.

  • PDF 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Registration guide for those who want to submit quality measures through Web Interface in 2018

  • PDF 364KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Improvement Activities
      |  
    Technical Guides and User Guides
    Document detailing the Improvement Activities performance category data validation criteria.

  • PDF 415KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Provides an overview of CMS Web Interface in 2018

  • PDF 109KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Improvement Activities
      |  
    Fact Sheets
    Fact sheet providing details on how to choose, submit, and report for the MIPS Improvement Activities performance category.

  • PDF 218KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    List of survey vendors approved to administer the CAHPS for MIPS survey for 2017.

  • ZIP 3MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Zip file of MIPS data validation criteria.

  • PDF 665KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides an example of a CAHPS for MIPS Survey in 2018

  • PDF 633KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Provides an overview of CAHPS for MIPS Survey in 2018

  • PDF 608KB
      |  
    PY 2018
      |  
    Both
      |  
    Improvement Activities
      |  
    Fact Sheets
    Provides an overview of scoring of IA in MIPS APMs in Year 2 (2018) of QPP.

  • PDF 382KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Contains definitions relevant to the All-Payer Combination Option.

  • PDF 8MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide detailing how to participate in MIPS as a group in 2017.

  • ZIP 10MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Quality measure specification supporting documents including claims registry information and webpage release notes.

  • PDF 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides a participation form/application for vendors for the CAHPS for MIPS Survey.

  • PDF 403KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides information on the minimum business requirements for vendors for the CAHPS for MIPS Survey.

  • ZIP N/A
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Lists 2018 Claims Registry Measures

  • PDF 515KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Fact sheet detailing how to submit data through claims for the Quality performance category and gives billing staff helpful data collection and submission tips.

  • PDF 554KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Advancing Care Information
      |  
    Fact Sheets
    Fact sheet detailing specific information on the Advancing Care Information performance category.

  • PDF 351KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Technical Guides and User Guides
    List displaying the APMs that CMS operates.

  • PDF 372KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Includes a list of the different types of APM List and Advanced APM Determinations Based on Final Criteria.

  • PDF 479KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Document detailing how to proceed with MIPS participation if clinicians were affected by natural disasters in 2017.

  • PDF 386KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Technical Guides and User Guides
    Provides Managed Care Organizations (MCOs) an overview of the submission process (conducted by the States), and to outline information necessary for States to collect from MCOs.

  • PDF 377KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet describes the process and methodology that CMS will use to identify eligible clinicians who, through their participation in APMs, are qualifying APM participating for a year and will be eligible to receive the 5% APM incentive payment.

  • PDF 902KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Technical Guides and User Guides
    Provides an overview on submitting Medicaid requests for Other Payer Advanced APM Determinations and walks through the Payer Initiated Submission Form.

  • PDF 9MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Detailed instructions on how to use the CMS web interface.

  • XLSX 19KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Web interface excel to XML mapping.

  • PDF 510KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    A data dictionary for web interface excel templates.

  • ZIP 13MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Advancing Care Information
      |  
    Measure Specifications and Benchmarks
    2017 MIPS Advancing Care Information measures and transition measures specification sheets.

  • 2017 MIPS 101 Scoring Guide
    Created 01/24/2018
    PDF 3MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    MIPS scoring guide for the 2017 performance period.

  • PDF 441KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Includes an overview of the All-Payer Combination Option and steps for submitting Medicare Health Plan payment arrangement information to CMS for Other Payer Advanced APM Determinations.

  • ZIP 238KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Lists the determinants used to assess the non-patient facing status of 2018 MIPS eligible clinicians

  • PDF 4MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Advancing Care Information
      |  
    Technical Guides and User Guides
    Guide detailing how to participate in the Advancing Care Information performance category of MIPS in 2017.

  • XLSX 3MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Web interface excel template with change log included.

  • PDF 501KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet comparing the EHR Incentive Programs and MIPs with information on how to determine which program to participate in.

  • PDF 1MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Detailed instructions on how to use the CMS web interface excel templates.

  • PDF 547KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet detailing how to submit 2017 transition year data to the Quality Payment Program.

  • XLSX 5MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Web interface excel template with sample data included.

  • PDF 450KB
      |  
    PY 2018
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Includes an overview of the CMS Multi-Payer Model and the All-Payer Combination Option, discusses Steps for submitting CMS Multi-Payer Model payment arrangement information to CMS for Other Payer Advanced APM Determinations.

  • 2017 Cost Measures
    Created 12/29/2017
    ZIP 751KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Cost
      |  
    Measure Specifications and Benchmarks
    Cost measure information forms for Medicare Spending per Beneficiary and Total per Capita Costs for all Attributed Beneficiaries.

  • ZIP N/A
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Quality claims & registry measures.

  • ZIP 21MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Measure Specifications and Benchmarks
    Web Interface coding and measure documents.

  • PDF 4MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Guide listing the MIPS 2017 CMS-approved Qualified Clinical Data Registries.

  • PDF 670KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet provides a brief overview of the CMS process for determining whether payment arrangements with payers other than Medicare meet the criteria for Other Pay Advanced APM under the All-Payer Combination Option.

  • PDF 318KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Document explains how an attribution-eligible beneficiary is defined for the Advanced APM track of the Comprehensive Care for Joint Replacement Model solely for purposes of making QP determinations in the Quality Payment Program.

  • PDF 756KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to optometrists.

  • PDF 337KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Infographic detailing how eligible clinicians can participate in MIPS in 2017.

  • PDF 1MB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet provides an overview of the final policies regarding the All-Payer Combination Option and Other Payer Advanced Alternative Payment Models.

  • PDF 621KB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    This factsheet provides a high-level overview of the Quality Payment Program final policies for the 2018 performance period.

  • PDF 203KB
      |  
    PY 2018
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    This is the executive summary in the 2018 Quality Payment Program final rule with comment and interim final rule with comment, which made payment and policy changes to the Quality Payment Program starting January 1, 2018,

  • PDF 409KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to radiologists.

  • PDF 1MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Describes the process for assigning beneficiaries to groups participating in MIPS.

  • PDF 1MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Explains the sampling methodology for the 15 clinical quality measures reported via the CMS Web Interface.

  • PDF 399KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to podiatrists.

  • 2017 MIPS 101 Guide
    Created 11/01/2017
    PDF 8MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide provides a detailed overview and introduction for year 1 of MIPS.

  • 2018 Virtual Groups Toolkit
    Created 11/01/2017
    ZIP 1MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Zip file of Virtual Group Agreement Checklist, Agreement Template, Election Process Fact Sheet, Overview Fact Sheet.

  • PDF 457KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Fact sheet detailing how to self-nominate and successfully qualify to become a qualified registry.

  • 2017 QCDR Fact Sheet
    Created 10/16/2017
    PDF 673KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Fact sheet detailing how to self-nominate and successfully qualify to become a QCDR.

  • PDF 2MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Guide to help Qualified Registry and Qualified Clinical Data Registry vendors to self-nominate for MIPS.

  • PDF 252KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Cost
      |  
    Fact Sheets
    Fact sheet providing detailed information on episode-based cost measures.

  • PDF 769KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Advancing Care Information
      |  
    Fact Sheets
    Fact sheet detailing how to attest to the prevention of information blocking, under the PI performance category.

  • PDF 388KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Table detailing ACO MIPS performance category and eligibility status.

  • PDF 592KB
      |  
    PY 2017
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Details the strategic objectives for the Quality Payment Program.

  • PDF 445KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to anesthesiologists and certified registered nurse anesthetists.

  • PDF 498KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to orthopedists.

  • PDF 341KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to ophthalmologists.

  • PDF 463KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to emergency medicine clinicians.

  • ZIP 2MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Contains materials about the QCDR self-nomination process, including fact sheets, a user guide, and a measures submission template.

  • ZIP 860KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides an overview of the EMA process and lists individual quality measures for both registry and claims data submission.

  • XLSX 38KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides a template for self-nomination to submit measures as a way to become a QCDR registry.

  • PDF 2MB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Provides an in-depth overview of the self-nomination process for both QCDRs and qualified registries.

  • PDF 621KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Contains an overview of the self-nomination and qualification process to become a qualified registry for the QPP in Year 2.

  • PDF 295KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet provides details pertaining to supplemental service payments and criteria required to receive these payments.

  • PDF 2MB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Technical Guides and User Guides
    A toolkit for any entities or individuals interested in developing APMS.

  • PDF 2MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Fact sheet providing an overview of the Quality performance category.

  • PDF 604KB
      |  
    PY 2017
      |  
    APMs
      |  
    Quality
      |  
    Fact Sheets
    Provides MIPS Quality performance category scoring scenarios, under the APM scoring standard, for groups submitting quality measure data via Web Interface and ACOs.

  • PDF 2MB
      |  
    PY 2017
      |  
    Both
      |  
    Quality
      |  
    Technical Guides and User Guides
    A QRDA III implementation guide for eligible clinicians.

  • PDF 1MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to cardiologists.

  • PDF 414KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Fact sheet providing an overview of how to submit MIPS data through the CMS Web Interface.

  • PDF 1MB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Specialty Guides
    Provides a non-exhaustive sample of measures that may apply to primary care clinicians.

  • PDF 171KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet detailing how the Quality Payment Program and Shared Savings Program work together.

  • PDF 1MB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet providing details on how predictive qualifying APM participant status was determined.

  • PDF 567KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide providing an overview of the Quality Payment Program including participation requirements and reporting periods.

  • PDF 340KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Example of how to complete the CAHPS for MIPS Survey.

  • PDF 192KB
      |  
    PY 2017
      |  
    APMs
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet providing general information about MIPS APMs, the scoring standard, performance period, and how the scoring standard is applied.

  • PDF 673KB
      |  
    PY 2018
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Contains an overview of the self-nomination and qualification process to become a qualified clinical data registry (QCDR) for QPP in Year 2.

  • PDF 367KB
      |  
    PY 2017
      |  
    Both
      |  
    Overview
      |  
    Technical Guides and User Guides
    Guide providing technical assistance resources to help clinicians successfully participate in the Quality Payment Program.

  • PDF 230KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet outlining 2017 MIPS participation requirements.

  • PDF 221KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Fact Sheets
    Overview of the CAHPS for MIPS Survey, including FAQs and requirements.

  • PDF 193KB
      |  
    PY 2017
      |  
    Both
      |  
    Overview
      |  
    Fact Sheets
    Fact sheet providing technical assistance resources for small practices.

  • ZIP 310KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Quality
      |  
    Technical Guides and User Guides
    Zip file containing patient-facing encounter code information including a fact sheet and list.

  • PDF 83KB
      |  
    PY 2017
      |  
    MIPS
      |  
    Advancing Care Information
      |  
    Fact Sheets
    Fact sheet outlines the steps for EHR Vendors participating in the Quality Payment Program.

  • PDF 387KB
      |  
    PY 2017
      |  
    APMs
      |  
    Improvement Activities
      |  
    Technical Guides and User Guides
    Document detailing the improvement activities performance category score CMS will assign participants in each MIPS APMs for the 2017 performance year.

Related Content


Get Help From CMS

Phone1-866-288-8292
TTY PhoneTTY: 1-877-715-6222

Subscribe to Updates