Resource Library

General Resources

2019 MIPS Participation and Eligibility Fact Sheet (PDF 697KB)Quality Payment Program Access User Guide(ZIP 7MB)2019 MIPS Quick Start Guide (PDF 1MB)

Regulatory Resources

2019 QPP Final Rule Overview Factsheet(PDF 845KB)2018 QPP Final Rule Executive Summary(PDF 203KB)2018 QPP Final Rule Overview Factsheet(PDF 621KB)

Full Resource Library

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Alphabetical

Latest

2018 Qualified Clinical Data Registries (QCDRs) Qualified Posting
Updated 03/12/2019
XLSX 166KBPY 2018MIPSQualityTechnical Guides and User Guides
Provides a list of 2018 Qualified Clinical Data Registries (QCDRs) for the Merit-based Incentive Payment System (MIPS).
2018 Qualified Registries Qualified Posting
Updated 03/12/2019
XLSX 124KBPY 2018MIPSQualityTechnical Guides and User Guides
Provides a list of 2018 Qualified Registries for the Merit-based Incentive Payment System (MIPS).
2019 Qualified Clinical Data Registries (QCDRs) Qualified Posting
Updated 03/12/2019
XLSX 162KBPY 2019MIPSQualityTechnical Guides and User Guides
Provides a list of the 2019 Qualified Clinical Data Registries (QCDRs) for the Merit-based Incentive Payment System (MIPS).
2019 Promoting Interoperability Performance Category Fact Sheet
Created 03/11/2019
PDF 1MBPY 2019MIPSPromoting InteroperabilityFact Sheets
Provides an overview of Promoting Interoperability performance category during the 2019 performance period.
2019 Call for Measures and Activities
Updated 03/11/2019
ZIP 3MBPY 2019MIPSOverviewMeasure Specifications and Benchmarks
Provides details about the 2019 Annual Call for Measures and Activities process for submitting measures and improvement activities for possible inclusion in the Quality Payment Program (QPP).
2019 MIPS Opt-In and Voluntary Reporting Policy Fact Sheet
Created 03/11/2019
PDF 812KBPY 2019MIPSOverviewFact Sheets
Details the new Merit-based Incentive Payment System (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.
2019 Facility-based Preview FAQs
Created 03/11/2019
PDF 361KBPY 2019MIPSOverviewFact Sheets
This resource answers frequently asked questions about the 2019 Facility-based Preview for select Merit-based Incentive Payment System (MIPS) eligible clinicians, groups, and virtual groups whose primary health care responsibilities take place in hospital settings.
2019 MIPS Participation and Eligibility Fact Sheet
Updated 03/05/2019
PDF 697KBPY 2019MIPSOverviewFact Sheets
Provides an overview of the eligibility criteria for participating in the Merit-based Incentive Payment System (MIPS) in 2019.
2019 MIPS Data Validation Criteria
Updated 03/01/2019
ZIP 1MBPY 2019MIPSOverviewTechnical Guides and User Guides
Lists the 2019 criteria used to audit and validate data submitted in each of the Merit-based Incentive Payment (MIPS) performance categories.
2019 CAHPS for MIPS Survey Vendor Participation Form
Created 02/25/2019
PDF 816KBPY 2019MIPSQualityTechnical Guides and User Guides
An application to be submitted to CMS for consideration by organizations interested in participating as 2019 CAHPS for MIPS Survey Vendors.
2019 CAHPS for MIPS Survey Vendor Minimum Business Requirements
Created 02/25/2019
PDF 188KBPY 2019MIPSQualityTechnical Guides and User Guides
Provides information on the minimum business requirements for vendors to administer the 2019 CAHPS for MIPS Survey.
2019 CAHPS for MIPS Overview Fact Sheet
Created 02/25/2019
PDF 889KBPY 2019MIPSQualityFact Sheets
Provides an overview of the 2019 Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the Merit-based Incentive Payment System (MIPS) Survey.
2019 CAHPS for MIPS Survey - Sample Copy
Created 02/25/2019
PDF 1MBPY 2019MIPSQualityTechnical Guides and User Guides
Provides a copy of the 2019 Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the Merit-based Incentive Payment System (MIPS) Survey.
2019 CAHPS for MIPS Survey Vendor FAQs
Created 02/25/2019
PDF 359KBPY 2019MIPSQualityTechnical Guides and User Guides
Provides responses to frequently asked questions for vendors related to the 2019 CAHPS for MIPS Survey.
2019 MIPS Payment Adjustment FAQs and Resources
Updated 02/22/2019
PDF 390KBPY 2017MIPSOverviewFact Sheets
Provides answers to frequently asked questions and additional resource links related to the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment.
2019 Improvement Activities Performance Category Fact Sheet
Created 02/19/2019
PDF 819KBPY 2019MIPSImprovement ActivitiesFact Sheets
Provides an overview of the 2019 Merit-based Incentive Payment System (MIPS) Improvement Activities performance category.
2019 Facility-based Measurement Fact Sheet
Created 02/19/2019
PDF 791KBPY 2019MIPSOverviewFact Sheets
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.
2019 Quality Performance Category Fact Sheet
Updated 02/19/2019
PDF 1MBPY 2019MIPSQualityFact Sheets
Discusses the Merit-based Incentive Payment System (MIPS) Quality performance category and includes an overview of quality measures and how to collect and submit quality data.
2018 Measures and Activities for Dentists
Updated 02/15/2019
PDF 1MBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to dentists in 2018.
2018 Data Submission FAQs
Updated 02/15/2019
PDF 547KBPY 2018BothOverviewFact Sheets
Factsheet providing commonly asked questions about data submission for the 2018 performance year.
2019 Clinical Quality Measure Specifications and Supporting Documents
Updated 02/14/2019
ZIP 76MBPY 2019MIPSQualityMeasure Specifications and Benchmarks
Provides comprehensive descriptions of the 2019 clinical quality measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
2019 Medicare Part B Claims Measure Specifications and Supporting Documents
Updated 02/14/2019
ZIP 21MBPY 2019MIPSQualityMeasure Specifications and Benchmarks
Provides comprehensive descriptions of the 2019 claims measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
2019 Claims Data Submission Factsheet
Created 02/08/2019
PDF 1MBPY 2019MIPSQualityFact Sheets
Details how to submit quality data through claims in 2019.
2019 Improvement Activities Inventory
Updated 02/06/2019
ZIP 507KBPY 2019MIPSImprovement ActivitiesMeasure Specifications and Benchmarks
Provides a complete list of the 2019 improvement activities and includes descriptions for each.
2018 Quality Benchmarks
Updated 02/04/2019
ZIP 565KBPY 2018MIPSQualityMeasure Specifications and Benchmarks
Lists and explains 2018 benchmarks used to assess performance in the Quality performance category.
2019 Quality Benchmarks
Updated 02/01/2019
ZIP 563KBPY 2019MIPSQualityMeasure Specifications and Benchmarks
Lists and explains 2019 benchmarks used to assess performance in the Quality performance category.
2018 QPP Data Submission User Guide
Updated 01/31/2019
PDF 3MBPY 2018BothOverviewTechnical Guides and User Guides
Details how to submit data to the Quality Payment Program (QPP)for the 2018 performance period.
2019 QCDR Measure Specifications
Updated 01/31/2019
XLSX 628KBPY 2019MIPSQualityMeasure Specifications and Benchmarks
Details 2019 Qualified Clinical Data Registry (QCDR) measures and corresponding calculations.
2018 Measures and Activities for Chiropractors
Created 01/31/2019
PDF 788KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to chiropractors in 2018.
2018 Measures and Activities for Physician Assistants
Created 01/31/2019
PDF 716KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to physician assistants in 2018.
2018 Measures and Activities for Nurse Practitioners
Created 01/31/2019
PDF 618KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to nurse practitioners in 2018.
2019 Medicare Shared Savings Program and QPP Interactions
Updated 01/30/2019
PDF 475KBPY 2019BothOverviewTechnical Guides and User Guides
Provides an overview of the interactions between the Medicare Shared Savings Program (SSP) and the Quality Payment Program (QPP) during the 2019 performance period.
2018 Data Submission - Uploading Files
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video explains how to upload a file to submit your Merit-based Incentive Payment System (MIPS) data for the 2018 performance year of the Quality Payment Program.
2018 Data Submission - Reviewing Promoting Interoperability Category Data
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video explains how to navigate to the Merit-based Incentive Payment System (MIPS) Promoting Interoperability performance category page once you have submitted your 2018 Promoting Interoperability data.
2018 Data Submission - Reviewing Improvement Activities Category Data
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video explains how to navigate to the Merit-based Incentive Payment System (MIPS) Improvement Activities performance category page once you have submitted your 2018 Improvement Activities data.
2018 Data Submission - Manual Attestation of the Promoting Interoperability Category
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video reviews how to manually attest to Merit-based Incentive Payment System (MIPS) Promoting Interoperability measures.
2018 Data Submission - Manual Attestation of the Improvement Activities Category
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video reviews how to manually attest to Merit-based Incentive Payment System (MIPS) Improvement Activities.
2018 Data Submission - Reviewing Quality Category Data
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video explains how to navigate to the Merit-based Incentive Payment System (MIPS) Quality performance category page once you have submitted your 2018 Quality data.
2018 Data Submission - Reviewing and Submitting Data as a Registry
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video will explain how a registry can review and submit Merit-based Incentive Payment System (MIPS) data for the 2018 performance year.
2018 Data Submission - Reviewing Overview Data
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video explains how to review the Merit-based Incentive Payment System (MIPS) data you submitted for the 2018 performance year of the Quality Payment Program.
2018 Data Submission - Navigation to Individual and Group Submission
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video explains how to submit Merit-based Incentive Payment System (MIPS) data for the 2018 performance year as an individual and group.
2018 Data Submission - Deleting Submitted Data
Created 01/24/2019
PY 2018MIPSOverviewVideos
This video explains how to delete 2018 Merit-based Incentive Payment System (MIPS) data you submitted.
2018 CMS Web Interface Measures and Supporting Documents
Updated 01/23/2019
ZIP 8MBPY 2018MIPSQualityMeasure Specifications and Benchmarks
Provides information on the measures necessary to submit data through the CMS Web Interface in 2018.
Connect to an Organization: APM Entity
Created 01/18/2019
PY 2018APMsOverviewVideos
This video 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.
Create a Quality Payment Program (QPP) Account
Created 01/18/2019
PY 2018BothOverviewVideos
This video reviews how to register for and create a new HARP account.
Connect to an Organization: Registry
Created 01/18/2019
PY 2018BothOverviewVideos
This video reviews how to request access (“connect”) to a Qualified Registry or Qualified Clinical Data Registry (QCDR) so you can submit data on behalf of your customers.
Connect to an Organization: Virtual Group
Created 01/18/2019
PY 2018BothOverviewVideos
This video reviews how to request access (“connect”) to a virtual group so you can view, submit and manage data on behalf of the virtual group.
Security Officials: Approving Role Requests
Created 01/18/2019
PY 2018BothOverviewVideos
This video shows how a security official can approve and deny requests from staff users.
Connect to an Organization: Practice
Created 01/18/2019
PY 2018BothOverviewVideos
This video reviews how to request access (“connect”) to a practice so you can view, submit and manage data on behalf of the practice.
2018 CMS Web Interface Excel Template
Updated 01/17/2019
XLSX 5MBPY 2018MIPSQualityTechnical Guides and User Guides
Preformatted Excel Template used by the CMS Web Interface to input submission data.
2018 CMS Web Interface Excel Template with Sample Data
Updated 01/17/2019
XLSX 3MBPY 2018MIPSQualityTechnical Guides and User Guides
Provides an example of the latest CMS Web Interface Beneficiary Excel Template populated with sample data that allows users to understand the 2018 performance year changes prior to the testing and submission periods.
2018 MIPS Data Validation Execution Report (DVER) Template
Created 01/09/2019
ZIP 30KBPY 2018MIPSQualityTechnical Guides and User Guides
Template for Qualified Clinical Data Registries (QCDRs) and Qualified Registries to use as guidance when submitting their Data Validation Execution Report (DVER).
2018 CMS Web Interface Data Dictionary
Updated 01/08/2019
PDF 564KBPY 2018MIPSQualityTechnical Guides and User Guides
Lists elements from the CMS Web Interface Excel Template to assist users as they prepare to report data using the 2018 CMS Web Interface Excel Template.
2018 CMS Web Interface User Guide
Created 01/07/2019
PDF 6MBPY 2018MIPSQualityTechnical Guides and User Guides
This user guide shows you how to access the CMS Web Interface, report data, view quality data reporting progress, and how to get help using the using the CMS Web Interface.
2018 CMS Web Interface FAQs
Updated 01/04/2019
PDF 819KBPY 2018MIPSQualityFact Sheets
This document will help answer frequently asked questions about data submission via the CMS Web Interface.
2019 QPP Final Rule Overview Factsheet
Updated 01/04/2019
PDF 845KBPY 2019BothOverviewFact Sheets
This factsheet provides a high-level overview of the Quality Payment Program final policies for the 2019 performance year.
2019 QPP Final Rule - Updates for QCDRs and Registries
Created 01/04/2019
PDF 472KBPY 2019MIPSQualityFact Sheets
Provides summary of changes which may impact Qualified Clinical Data Registries (QCDRs) or Qualified Registries during the 2019 and/or 2020 MIPS performance periods.
2019 List of Medicare Health Plan Other Payer APMs
Created 01/03/2019
PDF 422KBPY 2019APMsOverviewFact Sheets
This document specifically outlines payment arrangements by Medicare Health Plans that qualify as “other-payer” Advanced Alternative Payment Models (APMs) for 2019.
2018 Eligible Measures Applicability (EMA) Resources
Updated 01/02/2019
ZIP 1MBPY 2018MIPSQualityTechnical Guides and User Guides
Provides an overview of the EMA process and lists individual quality measures for both registry and claims data submission
2019 PI Information Blocking Factsheet
Updated 12/31/2018
PDF 583KBPY 2019MIPSPromoting InteroperabilityFact Sheets
Describes requirements for MIPS eligible clinicians to prevent actions that block the exchange of health information.
2019 Cost Performance Category Fact Sheet
Updated 12/28/2018
PDF 1MBPY 2019MIPSCostFact Sheets
Discusses the Merit-based Incentive Payment System (MIPS) Cost performance category and provides details on the Total Per Capita Costs for All Attributed Beneficiaries measure (TPCC) and the Medicare Spending Per Beneficiary measure (MSPB), as well as the eight new episode-based measures.
2018 MIPS Scoring At-A-Glance
Updated 12/28/2018
PDF 2MBPY 2018MIPSOverviewTechnical Guides and User Guides
Condensed overview of how CMS calculates scores for the 2018 performance year of the Merit-based Incentive Payment System (MIPS).
2018 CMS Web Interface: View Progress
Created 12/27/2018
PY 2018MIPSQualityVideos
Indicates where in the CMS Web Interface users can track their reporting progress, such as how many days are left until the submission is due and the number of measures that have met the minimum reporting requirement.
2018 CMS Web Interface: Resolving errors
Created 12/27/2018
PY 2018MIPSQualityVideos
Provides the workflow for identifying and resolving errors in your beneficiary data via the CMS Web Interface, the Excel upload, or Application Program Interface (API).
2019 Cost Measure Information Forms
Updated 12/27/2018
ZIP 9MBPY 2019MIPSCostMeasure Specifications and Benchmarks
Details the measure methodology for each of the 8 episode-based cost measures that are new for the Cost performance category in 2019 and provides an overview of the 2019 TPCC and MSPB cost measures that were established for the Merit-based Incentive Payment System (MIPS) in 2018.
2019 Cost Measure Code Lists
Updated 12/27/2018
ZIP 1MBPY 2019MIPSCostMeasure Specifications and Benchmarks
Details the cost measure code lists for each of the 8 episode-based cost measures that are new for the Cost performance category in 2019.
2019 Promoting Interoperability Measure Specifications
Updated 12/27/2018
ZIP 1MBPY 2019MIPSPromoting InteroperabilityMeasure Specifications and Benchmarks
Provides a detailed overview of the requirements for the 2019 Promoting Interoperability performance category objectives and measures.
2019 Cross-Cutting Quality Measures
Updated 12/27/2018
PDF 261KBPY 2019MIPSQualityMeasure Specifications and Benchmarks
Provides a list of the 2019 cross-cutting quality measures that are broadly applicable to all clinicians regardless of their specialty.
2019 CMS Web Interface Measure Specifications and Supporting Documents
Updated 12/27/2018
ZIP 9MBPY 2019MIPSQualityMeasure Specifications and Benchmarks
Provides comprehensive descriptions of the 2019 CMS Web Interface measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
2018 CMS Web Interface: PREV-10
Created 12/27/2018
PY 2018MIPSQualityVideos
Explains the three populations in PREV-10, how these populations factor into a beneficiary’s performance rate, and how you report data in this measure.
2018 CMS Web Interface: Data Irregularities
Created 12/27/2018
PY 2018MIPSQualityVideos
Provides the workflow for locating and correcting irregular and/or inconsistent data at both the measure and beneficiary levels.
2019 MIPS Summary of Cost Measures
Updated 12/27/2018
PDF 870KBPY 2019MIPSCostTechnical Guides and User Guides
Provides a summary of cost measures in relation to the Merit-based Incentive Payment System (MIPS).
2019 Qualified Registries Qualified Posting
Updated 12/27/2018
XLSX 154KBPY 2019MIPSQualityTechnical Guides and User Guides
Provides a list of the 2019 Qualified Registries for the Merit-based Incentive Payment System (MIPS).
2018 CMS Web Interface: Submission Due
Created 12/27/2018
PY 2018MIPSQualityVideos
Details how your data is saved during the submission period and how you can access your final submission data via the Data Confirmation Report for a receipt of your final submission.
2018 CMS Web Interface: Test Your Data
Created 12/27/2018
PY 2018MIPSQualityVideos
Explains how you can test your submission data before the reporting period, during the testing period. It also shows how you can view, download, and print reports.
2018 CMS Web Interface: An introduction to the CMS Web Interface
Created 12/27/2018
PY 2018MIPSQualityVideos
Provides an overview of using the CMS Web Interface and briefly goes over recent changes made to the user interface.
2018 CMS Web Interface: Planning Your Work
Created 12/27/2018
PY 2018MIPSQualityVideos
Explains the ways in which you can view and sort your beneficiary sample, clinic data, and providers in the CMS Web Interface.
2018 CMS Web Interface: Manually Enter Data by Beneficiary
Created 12/27/2018
PY 2018MIPSQualityVideos
Provides step-by-step instructions on the various ways that you can enter data manually by beneficiary in the CMS Web Interface.
2018 CMS Web Interface: Manually Enter Data by Measure
Created 12/27/2018
PY 2018MIPSQualityVideos
Provides step-by-step instructions on the various ways that you can enter data manually by measure in the CMS Web Interface.
2018 CMS Web Interface: Excel User Video
Created 12/27/2018
PY 2018MIPSQualityVideos
Explains how to download your beneficiary sample spreadsheet from the CMS Web Interface, as well as fundamental Excel template features, built-in prompts, and tips.
Quality Payment Program Access User Guide
Updated 12/20/2018
ZIP 7MBPY 2018BothOverviewTechnical Guides and User Guides
The resources in this zip file will guide users through the process of obtaining a user ID and password, connecting to an organization, and managing their access to view, submit, and update their Quality Payment Program (QPP) data.
2018 MIPS 101 Guide
Updated 12/17/2018
PDF 1MBPY 2018MIPSOverviewTechnical Guides and User Guides
Guide provides a detailed overview of the Merit-based Incentive Payment System (MIPS) for 2018.
2018 CMS Web Interface Excel Template User Guide
Created 12/10/2018
PDF 4MBPY 2018MIPSQualityTechnical Guides and User Guides
This guide provides details about how to use the Excel template to submit MIPS data through the CMS Web Interface for the 2018 performance year.
2018 MIPS Extreme and Uncontrollable Circumstances Policy
Created 11/21/2018
PDF 469KBPY 2018MIPSOverviewFact Sheets
Document detailing how to proceed with MIPS participation if clinicians were affected by natural disasters in 2018.
2018 Quality 101 Guide
Created 11/21/2018
PDF 1MBPY 2018MIPSQualityTechnical Guides and User Guides
Guide detailing how to participate in the Quality performance category of MIPS in 2018.
2018 Promoting Interoperability 101 Guide
Created 11/21/2018
PDF 1MBPY 2018MIPSPromoting InteroperabilityTechnical Guides and User Guides
Guide detailing how to participate in the Promoting Interoperability performance category of MIPS in 2018.
2018 PI Information Blocking Factsheet
Created 11/15/2018
PDF 584KBPY 2018MIPSPromoting InteroperabilityFact Sheets
Describes requirements for MIPS eligible clinicians to prevent actions that block the exchange of health information.
2018 CMS Web Interface Excel to XML Mapping
Created 11/15/2018
XLSX 18KBPY 2018MIPSQualityTechnical Guides and User Guides
Provides a mapping of the 2018 CMS Web Interface Excel Template fields to the 2016 GPRO Web Interface XML specifications.
2017 QPP Performance Data Infographic
Created 11/08/2018
PDF 748KBPY 2017BothOverviewFact Sheets
Visual aid showing 2017 performance data for the Quality Payment Program.
2018 QPP Final Rule Executive Summary
Created 11/07/2018
PDF 203KBPY 2018BothOverviewFact 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.
2018 CMS Web Interface Support Webinars
Created 11/07/2018
PDF 194KBPY 2018MIPSQualityFact 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.
2018 QPP Final Rule Overview Factsheet
Created 11/07/2018
PDF 621KBPY 2018BothOverviewFact Sheets
This factsheet provides a high-level overview of the Quality Payment Program final policies for the 2018 performance period.
2018 MIPS Measures and Activities for Pathologists
Created 11/05/2018
PDF 742KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to pathologists in 2018.
2018 Improvement Activities 101 Guide
Created 11/05/2018
PDF 3MBPY 2018MIPSImprovement ActivitiesTechnical Guides and User Guides
Guide detailing how to participate in the Improvement Activities performance category of MIPS in 2018.
2018 MIPS Quality Measures Impacted by ICD-10 Updates
Created 11/05/2018
PDF 422KBPY 2018MIPSQualityFact Sheets
Lists the 2018 MIPS quality measures impacted by ICD-10 code updates effective October 1, 2018.
2018 Measures and Activities for Orthopedists
Created 11/05/2018
PDF 705KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to orthopedists in 2018.
2018 Measures and Activities for Primary Care Clinicians
Created 11/05/2018
PDF 751KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to primary care clinicians in 2018.
2018 Measures and Activities for Podiatrists
Created 11/05/2018
PDF 728KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to podiatrists in 2018.
2018 Measures and Activities for Optometrists
Created 11/05/2018
PDF 691KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to optometrists in 2018.
2018 Measures and Activities for Ophthalmologists
Created 11/05/2018
PDF 738KBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to ophthalmologists in 2018.
2018 Measures and Activities for Emergency Medicine Clinicians
Created 11/05/2018
PDF 760KBPY 2018MIPSOverviewSpecialty 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 1MBPY 2018MIPSCostTechnical Guides and User Guides
Guide detailing how to participate in the Cost performance category of MIPS in 2018.
2018 MIPS Data Submission Infographic
Created 11/05/2018
PDF 679KBPY 2018MIPSOverviewFact Sheets
Visual aid showing how to submit data for the 2018 performance period.
2018 QPP Participation Infographic
Created 11/05/2018
PDF 665KBPY 2018BothOverviewFact Sheets
Visual aid showing how to participate in the Quality Payment Program (QPP) during 2018.
2019 MIPS Payment Adjustment Remittance Advice FAQs
Created 11/05/2018
PDF 357KBPY 2017MIPSOverviewFact 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.
2018 CMS Web Interface Sampling Methodology
Created 11/05/2018
PDF 521KBPY 2018MIPSQualityTechnical 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.
2019 QPP Final Rule Executive Summary
Created 11/05/2018
PDF 399KBPY 2019BothOverviewFact 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,
2019 QPP Multi-Payer Other Payer Advanced APMs
Created 11/02/2018
PDF 426KBPY 2019APMsOverviewFact 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
2019 MIPS Quick Start Guide
Created 11/01/2018
PDF 1MBPY 2019MIPSOverviewTechnical 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.
2018 MIPS Scoring Guide
Created 10/28/2018
PDF 4MBPY 2018MIPSOverviewTechnical Guides and User Guides
Guide providing details about how scores are calculated for the Merit-based Incentive Payment System (MIPS) in the 2018 performance year.
2019 Payment Adjustment Infographic
Created 10/14/2018
PDF 238KBPY 2017MIPSOverviewFact Sheets
Snapshot of who will receive 2019 payment adjustments and how payment adjustments work.
2019 MIPS Payment Adjustment Fact Sheet
Created 10/14/2018
PDF 525KBPY 2017MIPSOverviewFact Sheets
Fact sheet providing a general overview of 2019 payment adjustments based on Merit-based Incentive Payment System (MIPS) final scores for the 2017 performance year.
2018 MIPS Measures and Activities for Anesthesiologists and Certified Nurse Anesthetists
Created 10/14/2018
PDF 1MBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to anesthesiologists and certified nurse anesthetists in 2018.
2019 Medicaid Other Payer Advanced APMs in the Quality Payment Program
Created 10/14/2018
PDF 434KBPY 2019APMsOverviewFact 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.
2018 Group Participation in MIPS
Created 10/14/2018
PDF 11MBPY 2018MIPSOverviewFact Sheets
Outlines group participation requirements in Year 2 of QPP.
2018 CMS QRDA III Schematrons, and Sample Files for Eligible Clinicians and Eligible Professionals
Updated 10/14/2018
ZIP 222KBPY 2018MIPSQualityTechnical Guides and User Guides
2018 Quality Performance Category Fact Sheet
Created 10/14/2018
PDF 956KBPY 2018MIPSQualityFact Sheets
Overview of the Quality performance category in the 2018 performance period.
2018 CAHPS for MIPS Survey CMS Approved Survey Vendors
Created 10/14/2018
PDF 405KBPY 2018MIPSQualityTechnical Guides and User Guides
List of survey vendors approved by CMS to administer the 2018 CAHPS for MIPS Survey.
2018 Qualified Registry Self-Nomination fact sheet
Created 10/01/2018
PDF 457KBPY 2018MIPSQualityFact Sheets
Provides an overview of the self-nomination process and necessary requirements to self-nominate for qualified registries.
2017 Targeted Review Fact Sheet
Created 09/14/2018
PDF 649KBPY 2017MIPSOverviewFact Sheets
Fact sheet providing an overview of the 2019 MIPS payment adjustment targeted review process.
2017 Targeted Review User Guide
Created 09/14/2018
PDF 1MBPY 2017MIPSOverviewTechnical 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.
2018 MIPS Data Validation Criteria
Created 09/11/2018
ZIP 15MBPY 2018MIPSOverviewTechnical Guides and User Guides
Lists the 2018 criteria used to audit and validate data submitted in each performance category
2018 CMS Web Interface & CAHPS for MIPS Survey Assignment Methodology
Created 09/10/2018
PDF 656KBPY 2018MIPSOverviewTechnical 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
2018 MIPS Measures and Activities for Radiologists
Created 09/06/2018
PDF 1MBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to radiologists in 2018
2018 MIPS Measures and Activities for Cardiologists
Created 09/05/2018
PDF 1MBPY 2018MIPSOverviewSpecialty Guides
Highlights measures and activities for MIPS performance categories that apply to cardiologists in 2018.
Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced Alternative Payment Model Determinations (Eligible Clinician Initiated Submission Form)
Created 08/30/2018
PDF 1MBPY 2018APMsOverviewTechnical 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 1MBPY 2017MIPSQualityMeasure Specifications and Benchmarks
Zip file containing MIPS benchmark information for the Quality performance category.
2017 Qualified Registries
Created 08/27/2018
PDF 1MBPY 2017BothQualityTechnical 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.
2018 Cost Performance Category Fact Sheet
Created 08/21/2018
PDF 843KBPY 2018MIPSCostFact Sheets
Provides a broad overview of the 2018 Cost performance category.
2018 Claims Data Submission Fact Sheet
Created 08/21/2018
PDF 444KBPY 2018MIPSQualityFact Sheets
Details how to submit Quality data through claims in 2018
2019 Virtual Groups Toolkit
Created 08/16/2018
ZIP 1MBPY 2019MIPSOverviewTechnical Guides and User Guides
Includes an agreement template, sample email, and a general overview of virtual groups and the election process
2019 Self-Nomination Toolkit for QCDRs & Registries
Created 08/14/2018
ZIP 3MBPY 2019MIPSQualityTechnical Guides and User Guides
Contains resources for QCDRs and Qualified registries to self-nominate for the 2019 performance year.
2017 Performance Feedback User Guide
Created 08/13/2018
PDF 4MBPY 2017MIPSOverviewTechnical Guides and User Guides
Guide addresses MIPS performance feedback as displayed on qpp.cms.gov and offers additional resources.
2018 Exceptions FAQs
Created 08/03/2018
PDF 469KBPY 2018BothOverviewFact Sheets
Lists questions and answers on topics relating to 2018 hardship exceptions
2018 Predictive QP Methodology Fact Sheet
Created 08/02/2018
PDF 591KBPY 2018APMsOverviewFact 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.
2018 Quality Measure Specifications Supporting Documents
Created 07/31/2018
ZIP 10MBPY 2018MIPSQualityMeasure 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 926KBPY 2018MIPSCostMeasure Specifications and Benchmarks
Provides overview of the 2018 TPCC and MSBP Cost measures calculation and methodology.
2018 Other MIPS APM Quality Performance Category
Created 07/27/2018
PDF 543KBPY 2018BothOverviewFact Sheets
Discusses the Other MIPS APM Quality Performance Category in Year 2 (2018) of the QPP.
2018 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals
Updated 07/27/2018
PDF 5MBPY 2018MIPSQualityTechnical Guides and User Guides
2017 Enterprise Identity Data Management (EIDM) ACO User Guide
Created 07/20/2018
PDF 2MBPY 2017BothOverviewTechnical Guides and User Guides
Guide describes EIDM roles for the ACO Security Official and the ACO's Web Interface Submitter only.
2017 Enterprise Identity Data Management (EIDM) User Guide
Created 07/20/2018
PDF 2MBPY 2017BothOverviewTechnical 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.
2017 Performance Feedback Fact Sheet
Created 07/13/2018
PDF 515KBPY 2017MIPSOverviewFact Sheets
Fact sheet provides more information about receiving your MIPS performance feedback.
2018 MIPS Participation and Overview Fact Sheet
Created 07/11/2018
PDF 630KBPY 2018MIPSOverviewFact Sheets
Provides a list of eligibility requirements to participate in 2018 MIPS, and a comparison of 2017 and 2018 final policies.
2018 MIPS Bonus Overview Fact Sheet
Created 07/11/2018
PDF 778KBPY 2018MIPSOverviewFact Sheets
Outlines criteria providers must meet to receive a bonus payment in each performance category in 2018.
2018 Promoting Interoperability Infographic
Created 07/05/2018
PDF 748KBPY 2018MIPSPromoting InteroperabilityFact Sheets
Displays transition from ACI to PI and who the PI category now applies to.
2018 Medicare Shared Savings Program & MIPS Interactions
Created 07/03/2018
PDF 430KBPY 2018BothOverviewFact Sheets
Provides an overview of 2018 Medicare Shared Savings Program and MIPS Interactions in Year 2 (2018) of the QPP.
2018 30-day All-Cause Hospital Readmission Measure Specifications
Created 06/08/2018
ZIP 433KBPY 2018MIPSQualityMeasure Specifications and Benchmarks
Provides details on measure development for the 30-Day All-Cause Hospital Readmission Measure
2017 30-day All-Cause Hospital Readmission Measure
Created 06/08/2018
ZIP 512KBPY 2017MIPSQualityMeasure Specifications and Benchmarks
30-day All-Cause Hospital Readmission measure specification sheet.
2018 Promoting Interoperability Measure Specifications
Created 06/06/2018
ZIP 11MBPY 2018MIPSPromoting InteroperabilityMeasure Specifications and Benchmarks
Details 2018 PI measures, transition measures, and corresponding calculations
2018 QCDR Measure Specifications
Created 05/29/2018
XLSX 694KBPY 2018MIPSQualityMeasure Specifications and Benchmarks
Details 2018 QCDR measures and corresponding calculations
2018 Improvement Activities Performance Category Fact Sheet
Created 05/24/2018
PDF 571KBPY 2018MIPSImprovement ActivitiesFact Sheets
Provides an overview of the 2018 Improvement Activities performance category
2018 Clinician Champions Program Nomination Form
Created 05/22/2018
PDF 1MBPY 2018BothOverviewFact Sheets
Includes the nomination form to be considered for a clinician champion.
2018 Clinician Champions Program Fact Sheet
Created 05/22/2018
PDF 321KBPY 2018BothOverviewFact Sheets
Provides a list of criteria to become a clinician champion.
Submitting Medicare health plan requests for determinations
Created 05/21/2018
PDF 1MBPY 2018APMsOverviewSpecialty 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.
2018 Call for Measures & Activities
Created 05/11/2018
ZIP 4MBPY 2018MIPSOverviewMeasure Specifications and Benchmarks
Provides details about the 2018 Annual Call for Measures and Activities process for submitting measures and improvement activities for possible inclusion in the Quality Payment Program (QPP).
2018 CAHPS for MIPS survey vendors FAQs
Created 05/11/2018
PDF 301KBPY 2018MIPSQualityTechnical Guides and User Guides
Provides FAQs for vendors for the CAHPS for MIPS Survey.
2018 Quality Performance Category Scoring for Alternative Payment Models
Created 05/11/2018
PDF 1MBPY 2018APMsQualityFact Sheets
Provides an overview of scoring of the Quality performance category in MIPS APMs in Year 2 (2018) of the QPP.
2018 Quality Payment Program All-Payer Combination Option & Other Payer Advanced Alternative Payment Models Frequently Asked Questions
Created 05/11/2018
PDF 888KBPY 2018APMsOverviewFact Sheets
Provides an overview of Frequently Asked Questions (FAQs) surrounding All-Payer Combination Option and Other Payer Advanced APMs under QPP.
2018 QCDR Self-Nomination fact sheet
Created 05/11/2018
PDF 361KBPY 2018MIPSQualityFact Sheets
Provides an overview of the self-nomination process, QCDRs, and necessary requirements to self-nominate.
2018 Promoting Interoperability Performance Category Fact Sheet
Created 05/11/2018
PDF 944KBPY 2018MIPSPromoting InteroperabilityFact Sheets
Provides an overview of the 2018 Promoting Interoperability performance category
2018 Quality Performance Category Scoring Web Interface Reporters under the APM Scoring Standard
Created 05/11/2018
PDF 571KBPY 2018APMsQualityFact Sheets
Outlines MIPS Quality performance category scoring scenarios under the APM scoring standard.
2018 Improvement Activities
Created 05/03/2018
ZIP 1MBPY 2018MIPSImprovement ActivitiesFact Sheets
Provides a list of the 2018 Improvement Activities.
2018 Guide to Submitting CMS Multi-Payer Model Requests for Other Payer Advanced APM Determinations
Created 04/30/2018
PDF 1MBPY 2018APMsOverviewTechnical Guides and User Guides
Includes an overview of submitting CMS Multi-Payer Model Requests for Other Advanced APM Determinations, including commercial payers
2018 Registration Guide for the CMS Web Interface and CAHPS for MIPS Survey
Created 04/25/2018
PDF 1MBPY 2018MIPSQualityTechnical Guides and User Guides
Registration guide for those who want to submit quality measures through the CMS Web Interface in 2018.
2017 Improvement Activities Data Validation Criteria
Created 04/16/2018
PDF 364KBPY 2017MIPSImprovement ActivitiesTechnical Guides and User Guides
Document detailing the Improvement Activities performance category data validation criteria.
2018 CMS Web Interface Fact Sheet
Created 04/10/2018
PDF 415KBPY 2018MIPSQualityFact Sheets
Provides an overview of CMS Web Interface in 2018
2017 MIPS Improvement Activities Fact Sheet
Created 04/06/2018
PDF 109KBPY 2017MIPSImprovement ActivitiesFact Sheets
Fact sheet providing details on how to choose, submit, and report for the MIPS Improvement Activities performance category.
2017 MIPS Data Validation Criteria
Created 04/03/2018
ZIP 3MBPY 2017MIPSOverviewTechnical Guides and User Guides
Zip file of MIPS data validation criteria.
2017 CAHPS for MIPS Survey Vendors
Created 04/03/2018
PDF 218KBPY 2017MIPSQualityTechnical Guides and User Guides
List of survey vendors approved to administer the CAHPS for MIPS survey for 2017.
2018 CAHPS for MIPS Survey – Sample Copy
Created 03/27/2018
PDF 665KBPY 2018MIPSQualityTechnical Guides and User Guides
Provides an example of a CAHPS for MIPS Survey in 2018
2018 CAHPS for MIPS Survey Overview Fact Sheet
Created 03/27/2018
PDF 633KBPY 2018MIPSQualityFact Sheets
Provides an overview of CAHPS for MIPS Survey in 2018
2018 Scores for Improvement Activities in MIPS APMs
Created 03/23/2018
PDF 608KBPY 2018BothImprovement ActivitiesFact Sheets
Provides an overview of scoring of IA in MIPS APMs in Year 2 (2018) of QPP.
2018 All-Payer Combination Option glossary
Created 03/22/2018
PDF 382KBPY 2018APMsOverviewFact Sheets
Contains definitions relevant to the All-Payer Combination Option.
2017 MIPS Group Participation Guide
Created 03/21/2018
PDF 8MBPY 2017MIPSOverviewTechnical Guides and User Guides
Guide detailing how to participate in MIPS as a group in 2017.
2017 Quality Measure Specifications Supporting Documents
Created 03/02/2018
ZIP 10MBPY 2017MIPSQualityMeasure Specifications and Benchmarks
Quality measure specification supporting documents including claims registry information and webpage release notes.
2018 CAHPS for MIPS survey vendors Minimum Business Requirements
Created 02/27/2018
PDF 403KBPY 2018MIPSQualityTechnical Guides and User Guides
Provides information on the minimum business requirements for vendors for the CAHPS for MIPS Survey.
2018 CAHPS for MIPS survey vendors Application
Created 02/27/2018
PDF 1MBPY 2018MIPSQualityTechnical Guides and User Guides
Provides a participation form/application for vendors for the CAHPS for MIPS Survey.
2017 MIPS Claims-based Quality Measures Projections & Results
Created 02/21/2018
PY 2017MIPSQualityVideos
Video demonstrating a new website feature that allows a user from a group who submits their Quality measures using the claims based submission method to log in and view their monthly calculation of those claim based measures.
2018 Quality Measure Specifications
Created 02/09/2018
ZIP N/APY 2018MIPSQualityMeasure Specifications and Benchmarks
Lists 2018 Claims Registry Measures
2017 Claims Data Submission Fact Sheet
Created 02/07/2018
PDF 515KBPY 2017MIPSQualityFact 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.
2017 Advancing Care Information Performance Category Fact Sheet
Created 02/06/2018
PDF 554KBPY 2017MIPSAdvancing Care InformationFact Sheets
Fact sheet detailing specific information on the Advancing Care Information performance category.
2017 Comprehensive List of APMs
Created 02/05/2018
PDF 351KBPY 2017APMsOverviewTechnical Guides and User Guides
List displaying the APMs that CMS operates.
2018 Comprehensive List of APMs
Created 02/05/2018
PDF 459KBPY 2018APMsOverviewFact Sheets
Includes a list of the different types of APMs and Advanced APM determinations based on final criteria.
2017 Extreme and Uncontrollable Circumstances Policy for MIPS Fact Sheet
Created 02/02/2018
PDF 479KBPY 2017MIPSOverviewFact Sheets
Document detailing how to proceed with MIPS participation if clinicians were affected by natural disasters in 2017.
2018 CMS Quality Payment Program Guide for Managed Care Organizations Providing State Medicaid Agencies with Information and Documentation for Submitting Medicaid Requests for Other Payer Advanced APM Determinations
Created 02/01/2018
PDF 386KBPY 2018APMsOverviewTechnical 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.
2018 QPs Methodology Fact Sheet
Created 02/01/2018
PDF 2MBPY 2018APMsOverviewFact 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.
2018 Guide to Submitting Medicaid Requests for Other Payer Advanced APM Determinations (Payer Initiated Submission Form)
Created 02/01/2018
PDF 902KBPY 2018APMsOverviewTechnical 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.
2017 QPs Methodology Fact Sheet
Created 02/01/2018
PDF 377KBPY 2017APMsOverviewFact 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.
2017 CMS Web Interface Data Dictionary
Created 01/29/2018
PDF 510KBPY 2017MIPSQualityTechnical Guides and User Guides
A data dictionary for web interface excel templates.
2017 CMS Web Interface Excel to XML Mapping
Created 01/29/2018
XLSX 19KBPY 2017MIPSQualityTechnical Guides and User Guides
Web interface excel to XML mapping.
2017 CMS Web Interface User Guide
Created 01/29/2018
PDF 9MBPY 2017MIPSQualityTechnical Guides and User Guides
Detailed instructions on how to use the CMS web interface.
Advancing Care Information Measure Specifications
Created 01/24/2018
ZIP 13MBPY 2017MIPSAdvancing Care InformationMeasure Specifications and Benchmarks
2017 MIPS Advancing Care Information measures and transition measures specification sheets.
2017 MIPS 101 Scoring Guide
Created 01/24/2018
PDF 3MBPY 2017MIPSOverviewTechnical Guides and User Guides
MIPS scoring guide for the 2017 performance period.
2018 Other Payer Advanced APM Determination Process: Medicare Health Plans Fact Sheet
Created 01/23/2018
PDF 441KBPY 2018APMsOverviewFact 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.
2018 Patient Facing Encounter Codes
Created 01/23/2018
ZIP 238KBPY 2018MIPSQualityMeasure Specifications and Benchmarks
Lists the determinants used to assess the non-patient facing status of 2018 MIPS eligible clinicians
2017 MIPS Advancing Care Information 101 Guide
Created 01/17/2018
PDF 4MBPY 2017MIPSAdvancing Care InformationTechnical Guides and User Guides
Guide detailing how to participate in the Advancing Care Information performance category of MIPS in 2017.
2017 CMS Web Interface Excel Template (with change log)
Created 01/12/2018
XLSX 3MBPY 2017MIPSQualityTechnical Guides and User Guides
Web interface excel template with change log included.
2017 Participation in the EHR Incentive Programs vs. MIPS
Created 01/12/2018
PDF 501KBPY 2017MIPSOverviewFact Sheets
Fact sheet comparing the EHR Incentive Programs and MIPs with information on how to determine which program to participate in.
2017 CMS Web Interface Excel Template User Guide
Created 01/04/2018
PDF 1MBPY 2017MIPSQualityTechnical Guides and User Guides
Detailed instructions on how to use the CMS web interface excel templates.
2017 CMS Web Interface Excel Template (with sample data)
Created 01/02/2018
XLSX 5MBPY 2017MIPSQualityTechnical Guides and User Guides
Web interface excel template with sample data included.
2017 Data Submission Fact Sheet
Created 01/02/2018
PDF 547KBPY 2017MIPSOverviewFact Sheets
Fact sheet detailing how to submit 2017 transition year data to the Quality Payment Program.
2017 QCDRs and Qualified Registries Data Submission
Created 01/02/2018
PY 2017MIPSQualityVideos
Demonstration of the product features that are available to Qualified Registries and QCDRs for submitting data on behalf of individual clinicians and or groups.
2017 MIPS Data Submission
Created 01/02/2018
PY 2017MIPSOverviewVideos
Shows users who represent groups and/or individual clinicians how they can submit data for the Quality, Advancing Care Information, and Improvement Activities performance categories.
2017 Advancing Care Information (ACI) Data Submission for APMs
Created 01/02/2018
PY 2017APMsAdvancing Care InformationVideos
Walkthrough of how Advancing Care Information reporting is completed for APM entities using the user interface on qpp.cms.gov.
2018 Other Payer Advanced APM Determination Process: CMS Multi-Payer Models
Created 01/01/2018
PDF 450KBPY 2018APMsOverviewFact 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 751KBPY 2017MIPSCostMeasure Specifications and Benchmarks
Cost measure information forms for Medicare Spending per Beneficiary and Total per Capita Costs for all Attributed Beneficiaries.
2017 Quality Measure Specifications
Created 12/20/2017
ZIP N/APY 2017MIPSQualityMeasure Specifications and Benchmarks
Quality claims & registry measures.
2017 CMS Web Interface Measures and Supporting Documents
Created 12/20/2017
ZIP 21MBPY 2017MIPSQualityMeasure Specifications and Benchmarks
Provides information on the measures necessary to submit data through the CMS Web Interface in 2017.
2017 Qualified Clinical Data Registries
Created 12/19/2017
PDF 4MBPY 2017MIPSQualityTechnical Guides and User Guides
Guide listing the MIPS 2017 CMS-approved Qualified Clinical Data Registries.
2017 APMs: Medicaid Models & All-Payer Models
Created 12/14/2017
PDF 670KBPY 2017APMsOverviewFact 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.
2017 Comprehensive Care for Joint Replacement Under QPP Fact Sheet
Created 12/06/2017
PDF 318KBPY 2017APMsOverviewFact 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.
2017 CMS Web Interface User Demonstration
Created 11/29/2017
PY 2017MIPSQualityVideos
User demonstration video of the CMS Web Interface.
2017 Excel Template Introduction
Created 11/21/2017
PY 2017MIPSQualityVideos
User demonstration video of how to use the excel template to upload beneficiary samples to the CMS Web Interface.
2017 MIPS Measures for Optometrists
Created 11/17/2017
PDF 756KBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to optometrists.
2017 MIPS Participation Infographic
Created 11/16/2017
PDF 337KBPY 2017MIPSOverviewFact Sheets
Infographic detailing how eligible clinicians can participate in MIPS in 2017.
2017 All-Payer Combination Option & Other Payer Advanced APMs
Created 11/16/2017
PDF 1MBPY 2017APMsOverviewFact Sheets
Fact sheet provides an overview of the final policies regarding the All-Payer Combination Option and Other Payer Advanced Alternative Payment Models.
2017 MIPS Measures for Podiatrists
Created 11/01/2017
PDF 399KBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to podiatrists.
2017 MIPS 101 Guide
Created 11/01/2017
PDF 8MBPY 2017MIPSOverviewTechnical Guides and User Guides
Guide provides a detailed overview and introduction for year 1 of MIPS.
2017 CMS Web Interface & CAHPS for MIPS Survey Assignment Methodology
Created 11/01/2017
PDF 1MBPY 2017MIPSQualityTechnical Guides and User Guides
Describes the process for assigning beneficiaries to groups participating in MIPS.
2017 CMS Web Interface Sampling Methodology
Created 11/01/2017
PDF 1MBPY 2017MIPSQualityTechnical Guides and User Guides
Explains the sampling methodology for the 15 clinical quality measures reported via the CMS Web Interface.
2017 MIPS Measures for Radiologists
Created 11/01/2017
PDF 409KBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to radiologists.
2018 Virtual Groups Toolkit
Created 11/01/2017
ZIP 1MBPY 2018MIPSOverviewTechnical Guides and User Guides
Zip file of Virtual Group Agreement Checklist, Agreement Template, Election Process Fact Sheet, Overview Fact Sheet.
2017 QCDR & Qualified Registries Self-Nomination User Guide
Created 10/16/2017
PDF 2MBPY 2017MIPSQualityTechnical Guides and User Guides
Guide to help Qualified Registry and Qualified Clinical Data Registry vendors to self-nominate for MIPS.
2017 Qualified Registry Fact Sheet
Created 10/16/2017
PDF 457KBPY 2017MIPSQualityFact 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 673KBPY 2017MIPSQualityFact Sheets
Fact sheet detailing how to self-nominate and successfully qualify to become a QCDR.
2017 Quality Payment Program Key Objectives
Created 10/01/2017
PDF 592KBPY 2017BothOverviewFact Sheets
Details the strategic objectives for the Quality Payment Program.
2017 Medicare Shared Savings Program & MIPS Interactions
Created 10/01/2017
PDF 388KBPY 2017APMsOverviewFact Sheets
Table detailing ACO MIPS performance category and eligibility status.
2017 MIPS Advancing Care Information Blocking
Created 10/01/2017
PDF 769KBPY 2017MIPSAdvancing Care InformationFact Sheets
Fact sheet detailing how to attest to the prevention of information blocking, under the PI performance category.
2017 Episode-based Cost Measure Field Test Reports Fact Sheet
Created 10/01/2017
PDF 252KBPY 2017MIPSCostFact Sheets
Fact sheet providing detailed information on episode-based cost measures.
2017 MIPS Measures for Ophthalmologists
Created 09/07/2017
PDF 341KBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to ophthalmologists.
2017 MIPS Measures for Anesthesiologists & Certified Registered Nurse Anesthetists
Created 09/07/2017
PDF 445KBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to anesthesiologists and certified registered nurse anesthetists.
2017 MIPS Measures for Orthopedists
Created 09/07/2017
PDF 498KBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to orthopedists.
2017 MIPS Measures for Emergency Medicine Clinicians
Created 09/07/2017
PDF 463KBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to emergency medicine clinicians.
2018 Quality Payment Program (QPP): Self-Nomination User Guide for QCDRs & Qualified Registries
Created 09/01/2017
PDF 2MBPY 2018MIPSQualityTechnical Guides and User Guides
Provides an in-depth overview of the self-nomination process for both QCDRs and qualified registries.
2018 Self-Nomination QCDR Measure Submission Template
Created 09/01/2017
XLSX 38KBPY 2018MIPSQualityTechnical Guides and User Guides
Provides a template for self-nomination to submit measures as a way to become a QCDR registry.
2017 Supplemental Service Payments for APMs Fact Sheet
Created 09/01/2017
PDF 295KBPY 2017APMsOverviewFact Sheets
Fact sheet provides details pertaining to supplemental service payments and criteria required to receive these payments.
2017 Eligible Measures Applicability (EMA) Resources
Created 09/01/2017
ZIP 860KBPY 2017MIPSQualityTechnical Guides and User Guides
Provides an overview of the EMA process and lists individual quality measures for both registry and claims data submission.
2018 Merit-based Incentive Payment System (MIPS) Qualified Registry Self-Nomination Fact Sheet
Created 09/01/2017
PDF 621KBPY 2018MIPSQualityFact Sheets
Contains an overview of the self-nomination and qualification process to become a qualified registry for the QPP in Year 2.
2018 Self-Nomination Toolkit for QCDRs & Qualified Registries
Created 09/01/2017
ZIP 2MBPY 2018MIPSQualityTechnical Guides and User Guides
Contains materials about the QCDR self-nomination process, including fact sheets, a user guide, and a measures submission template.
2017 MIPS Quality Performance Category Fact Sheet
Created 08/16/2017
PDF 2MBPY 2017MIPSQualityFact Sheets
Fact sheet providing an overview of the Quality performance category.
2017 Alternative Payment Model (APM) Design Toolkit
Created 08/16/2017
PDF 2MBPY 2017APMsOverviewTechnical Guides and User Guides
A toolkit for any entities or individuals interested in developing APMS.
2017 MIPS Quality Performance Category Scoring for MSSP & Next Generation ACOs
Created 07/13/2017
PDF 604KBPY 2017APMsQualityFact Sheets
Provides MIPS Quality performance category scoring scenarios, under the APM scoring standard, for groups submitting quality measure data via Web Interface and ACOs.
2017 Quality Reporting Document Architecture (QRDA) III Implementation Guide
Created 07/07/2017
PDF 2MBPY 2017BothQualityTechnical Guides and User Guides
A QRDA III implementation guide for eligible clinicians.
2017 CMS Web Interface Fact Sheet
Created 06/15/2017
PDF 414KBPY 2017MIPSQualityFact Sheets
Fact sheet providing an overview of how to submit MIPS data through the CMS Web Interface.
2017 MIPS Measures for Cardiologists
Created 06/15/2017
PDF 1MBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to cardiologists.
2017 MIPS Measures for Primary Care Clinicians
Created 06/15/2017
PDF 1MBPY 2017MIPSOverviewSpecialty Guides
Provides a non-exhaustive sample of measures that may apply to primary care clinicians.
2017 Medicare Shared Savings Program & the Quality Payment Program
Created 06/12/2017
PDF 171KBPY 2017APMsOverviewFact Sheets
Fact sheet detailing how the Quality Payment Program and Shared Savings Program work together.
2017 Predictive QP Methodology Fact Sheet
Created 06/02/2017
PDF 1MBPY 2017APMsOverviewFact Sheets
Fact sheet providing details on how predictive qualifying APM participant status was determined.
2017 Quick Start Guide to the Merit-based Incentive Payment System (MIPS)
Created 06/01/2017
PDF 567KBPY 2017MIPSOverviewTechnical Guides and User Guides
Guide providing an overview of the Quality Payment Program including participation requirements and reporting periods.
2017 CAHPS for MIPS Survey - Sample Copy
Created 05/25/2017
PDF 340KBPY 2017MIPSQualityFact Sheets
Example of how to complete the CAHPS for MIPS Survey.
2017 MIPS APMs in the Quality Payment Program
Created 05/23/2017
PDF 192KBPY 2017APMsOverviewFact Sheets
Fact sheet providing general information about MIPS APMs, the scoring standard, performance period, and how the scoring standard is applied.
2018 Merit-based Incentive Payment System (MIPS) Qualified Clinical Data Registry (QCDR) Self-Nomination Fact Sheet
Created 05/11/2017
PDF 673KBPY 2018MIPSQualityFact Sheets
Contains an overview of the self-nomination and qualification process to become a qualified clinical data registry (QCDR) for QPP in Year 2.
2017 Technical Assistance Resource Guide
Created 05/10/2017
PDF 367KBPY 2017BothOverviewTechnical Guides and User Guides
Guide providing technical assistance resources to help clinicians successfully participate in the Quality Payment Program.
2017 MIPS Participation Fact Sheet
Created 05/04/2017
PDF 230KBPY 2017MIPSOverviewFact Sheets
Fact sheet outlining 2017 MIPS participation requirements.
2017 CAHPS for MIPS Fact Sheet
Created 03/31/2017
PDF 221KBPY 2017MIPSQualityFact Sheets
Overview of the CAHPS for MIPS Survey, including FAQs and requirements.
2017 Support for Small Practices
Created 03/17/2017
PDF 193KBPY 2017BothOverviewFact Sheets
Fact sheet providing technical assistance resources for small practices.
2017 Improvement Activities & APMs
Created 12/29/2016
PDF 387KBPY 2017APMsImprovement ActivitiesTechnical 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.
2017 Patient Facing Encounter Codes
Created 12/29/2016
ZIP 310KBPY 2017MIPSQualityTechnical Guides and User Guides
Zip file containing patient-facing encounter code information including a fact sheet and list.
2017 Advancing Care Information for Vendors
Created 12/29/2016
PDF 83KBPY 2017MIPSAdvancing Care InformationFact Sheets
Fact sheet outlines the steps for EHR Vendors participating in the Quality Payment Program.

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