Resource Library
General Resources
2019 MIPS Participation and Eligibility Fact Sheet(pdf 741KB)2019 MIPS Quick Start Guide(pdf 1MB)2018 MIPS Participation & Overview Fact Sheet(pdf 631KB)Regulatory Resources
2019 QPP Final Rule(pdf 10MB)2019 QPP Final Rule Executive Summary(pdf 401KB)2019 QPP Final Rule Overview Factsheet(pdf 778KB)Full Resource Library
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- 2019 Quality Performance Category Fact SheetUpdated 02/19/2019PDF 1MB|PY 2019|MIPS|Quality|Fact SheetsDiscusses 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.
- 2019 Improvement Activities Performance Category Fact SheetCreated 02/19/2019PDF 815KB|PY 2019|MIPS|Improvement Activities|Fact SheetsProvides an overview of the 2019 Merit-based Incentive Payment System (MIPS) Improvement Activities performance category.
- 2019 Facility-based Measurement Fact SheetCreated 02/19/2019PDF 791KB|PY 2019|MIPS|Overview|Fact SheetsDescribes 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.
- 2018 Data Submission FAQsUpdated 02/15/2019PDF 605KB|PY 2018|Both|Overview|Fact SheetsFactsheet providing commonly asked questions about data submission for the 2018 performance year.
- 2018 Measures and Activities for DentistsUpdated 02/15/2019PDF 1MB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to dentists in 2018.
- 2019 Medicare Part B Claims Measure Specifications and Supporting DocumentsUpdated 02/14/2019ZIP 21MB|PY 2019|MIPS|Quality|Measure Specifications and BenchmarksProvides comprehensive descriptions of the 2019 claims measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
- 2019 Clinical Quality Measure Specifications and Supporting DocumentsUpdated 02/14/2019ZIP 76MB|PY 2019|MIPS|Quality|Measure Specifications and BenchmarksProvides comprehensive descriptions of the 2019 clinical quality measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
- 2019 Claims Data Submission FactsheetCreated 02/08/2019PDF 1MB|PY 2019|MIPS|Quality|Fact SheetsDetails how to submit quality data through claims in 2019.
- 2019 Improvement Activities InventoryUpdated 02/06/2019ZIP 507KB|PY 2019|MIPS|Improvement Activities|Measure Specifications and BenchmarksProvides a complete list of the 2019 improvement activities and includes descriptions for each.
- 2018 Quality BenchmarksUpdated 02/04/2019ZIP 565KB|PY 2018|MIPS|Quality|Measure Specifications and BenchmarksLists and explains 2018 benchmarks used to assess performance in the Quality performance category.
- 2019 Quality BenchmarksUpdated 02/01/2019ZIP 563KB|PY 2019|MIPS|Quality|Measure Specifications and BenchmarksLists and explains 2019 benchmarks used to assess performance in the Quality performance category.
- 2019 Qualified Clinical Data Registries (QCDRs) Qualified PostingUpdated 01/31/2019XLSX 169KB|PY 2019|MIPS|Quality|Technical Guides and User GuidesProvides a list of the 2019 Qualified Clinical Data Registries (QCDRs) for the Merit-based Incentive Payment System (MIPS).
- 2019 QCDR Measure SpecificationsUpdated 01/31/2019XLSX 628KB|PY 2019|MIPS|Quality|Measure Specifications and BenchmarksDetails 2019 Qualified Clinical Data Registry (QCDR) measures and corresponding calculations.
- 2018 Measures and Activities for ChiropractorsCreated 01/31/2019PDF 788KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to chiropractors in 2018.
- 2018 Measures and Activities for Physician AssistantsCreated 01/31/2019PDF 716KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to physician assistants in 2018.
- 2018 Measures and Activities for Nurse PractitionersCreated 01/31/2019PDF 618KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to nurse practitioners in 2018.
- 2018 QPP Data Submission User GuideUpdated 01/31/2019PDF 3MB|PY 2018|Both|Overview|Technical Guides and User GuidesDetails how to submit data to the Quality Payment Program (QPP)for the 2018 performance period.
- 2019 MIPS Data Validation CriteriaCreated 01/31/2019ZIP 1MB|PY 2019|MIPS|Overview|Technical Guides and User GuidesLists the 2019 criteria used to audit and validate data submitted in each of the Merit-based Incentive Payment (MIPS) performance categories.
- 2019 Call for Measures and ActivitiesCreated 01/31/2019ZIP 831KB|PY 2019|MIPS|Overview|Measure Specifications and BenchmarksProvides 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 Medicare Shared Savings Program and QPP InteractionsUpdated 01/30/2019PDF 475KB|PY 2019|Both|Overview|Technical Guides and User GuidesProvides 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 FilesCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis 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.
- PY 2018|MIPS|Overview|VideosThis video reviews how to manually attest to Merit-based Incentive Payment System (MIPS) Improvement Activities.
- 2018 Data Submission - Navigation to Individual and Group SubmissionCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis 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 - Reviewing Improvement Activities Category DataCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis 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 - Deleting Submitted DataCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis video explains how to delete 2018 Merit-based Incentive Payment System (MIPS) data you submitted.
- 2018 Data Submission - Reviewing and Submitting Data as a RegistryCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis 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 DataCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis 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 - Reviewing Quality Category DataCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis 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.
- PY 2018|MIPS|Overview|VideosThis 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 - Manual Attestation of the Promoting Interoperability CategoryCreated 01/24/2019PY 2018|MIPS|Overview|VideosThis video reviews how to manually attest to Merit-based Incentive Payment System (MIPS) Promoting Interoperability measures.
- 2018 CMS Web Interface Measures and Supporting DocumentsUpdated 01/23/2019ZIP 8MB|PY 2018|MIPS|Quality|Measure Specifications and BenchmarksProvides information on the measures necessary to submit data through the CMS Web Interface in 2018.
- Connect to an Organization: RegistryCreated 01/18/2019PY 2018|Both|Overview|VideosThis 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 GroupCreated 01/18/2019PY 2018|Both|Overview|VideosThis 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.
- Connect to an Organization: PracticeCreated 01/18/2019PY 2018|Both|Overview|VideosThis video reviews how to request access (“connect”) to a practice so you can view, submit and manage data on behalf of the practice.
- Security Officials: Approving Role RequestsCreated 01/18/2019PY 2018|Both|Overview|VideosThis video shows how a security official can approve and deny requests from staff users.
- Connect to an Organization: APM EntityCreated 01/18/2019PY 2018|APMs|Overview|VideosThis 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) AccountCreated 01/18/2019PY 2018|Both|Overview|VideosThis video reviews how to register for and create a new HARP account.
- 2018 CMS Web Interface Excel TemplateUpdated 01/17/2019XLSX 5MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesPreformatted Excel Template used by the CMS Web Interface to input submission data.
- 2018 CMS Web Interface Excel Template with Sample DataUpdated 01/17/2019XLSX 3MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides 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 Qualified Clinical Data Registries (QCDRs) Qualified PostingUpdated 01/14/2019XLSX 1MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides a list of 2018 Qualified Clinical Data Registries (QCDRs) for the Merit-based Incentive Payment System (MIPS).
- 2018 Qualified Registries Qualified PostingUpdated 01/14/2019XLSX 125KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides a list of 2018 Qualified Registries for the Merit-based Incentive Payment System (MIPS).
- 2018 MIPS Data Validation Execution Report (DVER) TemplateCreated 01/09/2019ZIP 30KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesTemplate 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 DictionaryUpdated 01/08/2019PDF 564KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesLists 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 GuideCreated 01/07/2019PDF 6MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesThis 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.
- 2019 QPP Final Rule - Updates for QCDRs and RegistriesCreated 01/04/2019PDF 472KB|PY 2019|MIPS|Quality|Fact SheetsProvides summary of changes which may impact Qualified Clinical Data Registries (QCDRs) or Qualified Registries during the 2019 and/or 2020 MIPS performance periods.
- 2018 CMS Web Interface FAQsUpdated 01/04/2019PDF 819KB|PY 2018|MIPS|Quality|Fact SheetsThis document will help answer frequently asked questions about data submission via the CMS Web Interface.
- 2019 QPP Final Rule Overview FactsheetUpdated 01/04/2019PDF 845KB|PY 2019|Both|Overview|Fact SheetsThis factsheet provides a high-level overview of the Quality Payment Program final policies for the 2019 performance year.
- 2019 List of Medicare Health Plan Other Payer APMsCreated 01/03/2019PDF 422KB|PY 2019|APMs|Overview|Fact SheetsThis 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) ResourcesUpdated 01/02/2019ZIP 1MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides an overview of the EMA process and lists individual quality measures for both registry and claims data submission
- 2019 MIPS Participation and Eligibility Fact SheetUpdated 12/31/2018PDF 739KB|PY 2019|MIPS|Overview|Fact SheetsProvides an overview of the eligibility criteria for participating in the Merit-based Incentive Payment System (MIPS) in 2019.
- 2019 PI Information Blocking FactsheetUpdated 12/31/2018PDF 583KB|PY 2019|MIPS|Promoting Interoperability|Fact SheetsDescribes requirements for MIPS eligible clinicians to prevent actions that block the exchange of health information.
- 2018 MIPS Scoring At-A-GlanceUpdated 12/28/2018PDF 2MB|PY 2018|MIPS|Overview|Technical Guides and User GuidesCondensed overview of how CMS calculates scores for the 2018 performance year of the Merit-based Incentive Payment System (MIPS).
- 2018 CMS Web Interface: View ProgressCreated 12/27/2018PY 2018|MIPS|Quality|VideosIndicates 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.
- 2019 Cost Measure Code ListsUpdated 12/27/2018ZIP 1MB|PY 2019|MIPS|Cost|Measure Specifications and BenchmarksDetails the cost measure code lists for each of the 8 episode-based cost measures that are new for the Cost performance category in 2019.
- 2018 CMS Web Interface: Resolving errorsCreated 12/27/2018PY 2018|MIPS|Quality|VideosProvides 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 Promoting Interoperability Measure SpecificationsUpdated 12/27/2018ZIP 1MB|PY 2019|MIPS|Promoting Interoperability|Measure Specifications and BenchmarksProvides a detailed overview of the requirements for the 2019 Promoting Interoperability performance category objectives and measures.
- 2018 CMS Web Interface: Data IrregularitiesCreated 12/27/2018PY 2018|MIPS|Quality|VideosProvides the workflow for locating and correcting irregular and/or inconsistent data at both the measure and beneficiary levels.
- 2019 Cross-Cutting Quality MeasuresUpdated 12/27/2018PDF 261KB|PY 2019|MIPS|Quality|Measure Specifications and BenchmarksProvides 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 DocumentsUpdated 12/27/2018ZIP 9MB|PY 2019|MIPS|Quality|Measure Specifications and BenchmarksProvides comprehensive descriptions of the 2019 CMS Web Interface measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
- 2018 CMS Web Interface: Planning Your WorkCreated 12/27/2018PY 2018|MIPS|Quality|VideosExplains the ways in which you can view and sort your beneficiary sample, clinic data, and providers in the CMS Web Interface.
- 2019 MIPS Summary of Cost MeasuresUpdated 12/27/2018PDF 870KB|PY 2019|MIPS|Cost|Technical Guides and User GuidesProvides a summary of cost measures in relation to the Merit-based Incentive Payment System (MIPS).
- 2018 CMS Web Interface: PREV-10Created 12/27/2018PY 2018|MIPS|Quality|VideosExplains 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: Manually Enter Data by BeneficiaryCreated 12/27/2018PY 2018|MIPS|Quality|VideosProvides step-by-step instructions on the various ways that you can enter data manually by beneficiary in the CMS Web Interface.
- 2019 Cost Performance Category Fact SheetUpdated 12/27/2018PDF 1MB|PY 2019|MIPS|Cost|Fact SheetsDiscusses 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 CMS Web Interface: Manually Enter Data by MeasureCreated 12/27/2018PY 2018|MIPS|Quality|VideosProvides 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: An introduction to the CMS Web InterfaceCreated 12/27/2018PY 2018|MIPS|Quality|VideosProvides an overview of using the CMS Web Interface and briefly goes over recent changes made to the user interface.
- 2019 Qualified Registries Qualified PostingUpdated 12/27/2018XLSX 154KB|PY 2019|MIPS|Quality|Technical Guides and User GuidesProvides a list of the 2019 Qualified Registries for the Merit-based Incentive Payment System (MIPS).
- 2018 CMS Web Interface: Submission DueCreated 12/27/2018PY 2018|MIPS|Quality|VideosDetails 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: Excel User VideoCreated 12/27/2018PY 2018|MIPS|Quality|VideosExplains how to download your beneficiary sample spreadsheet from the CMS Web Interface, as well as fundamental Excel template features, built-in prompts, and tips.
- 2018 CMS Web Interface: Test Your DataCreated 12/27/2018PY 2018|MIPS|Quality|VideosExplains 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.
- 2019 Cost Measure Information FormsUpdated 12/27/2018ZIP 9MB|PY 2019|MIPS|Cost|Measure Specifications and BenchmarksDetails 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.
- 2018 QPP Access User GuideUpdated 12/20/2018ZIP 7MB|PY 2018|Both|Overview|Technical Guides and User GuidesThe 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 GuideUpdated 12/17/2018PDF 1MB|PY 2018|MIPS|Overview|Technical Guides and User GuidesGuide provides a detailed overview of the Merit-based Incentive Payment System (MIPS) for 2018.
- 2018 CMS Web Interface Excel Template User GuideCreated 12/10/2018PDF 4MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesThis 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 PolicyCreated 11/21/2018PDF 469KB|PY 2018|MIPS|Overview|Fact SheetsDocument detailing how to proceed with MIPS participation if clinicians were affected by natural disasters in 2018.
- 2018 Quality 101 GuideCreated 11/21/2018PDF 1MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesGuide detailing how to participate in the Quality performance category of MIPS in 2018.
- 2018 Promoting Interoperability 101 GuideCreated 11/21/2018PDF 1MB|PY 2018|MIPS|Promoting Interoperability|Technical Guides and User GuidesGuide detailing how to participate in the Promoting Interoperability performance category of MIPS in 2018.
- 2018 PI Information Blocking FactsheetCreated 11/15/2018PDF 584KB|PY 2018|MIPS|Promoting Interoperability|Fact SheetsDescribes requirements for MIPS eligible clinicians to prevent actions that block the exchange of health information.
- 2018 CMS Web Interface Excel to XML MappingCreated 11/15/2018XLSX 18KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides a mapping of the 2018 CMS Web Interface Excel Template fields to the 2016 GPRO Web Interface XML specifications.
- 2017 QPP Performance Data InfographicCreated 11/08/2018PDF 748KB|PY 2017|Both|Overview|Fact SheetsVisual aid showing 2017 performance data for the Quality Payment Program.
- 2018 CMS Web Interface Support WebinarsCreated 11/07/2018PDF 194KB|PY 2018|MIPS|Quality|Fact SheetsLists 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 FactsheetCreated 11/07/2018PDF 621KB|PY 2018|Both|Overview|Fact SheetsThis factsheet provides a high-level overview of the Quality Payment Program final policies for the 2018 performance period.
- 2018 QPP Final Rule Executive SummaryCreated 11/07/2018PDF 203KB|PY 2018|Both|Overview|Fact SheetsThis 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 MIPS Quality Measures Impacted by ICD-10 UpdatesCreated 11/05/2018PDF 422KB|PY 2018|MIPS|Quality|Fact SheetsLists the 2018 MIPS quality measures impacted by ICD-10 code updates effective October 1, 2018.
- 2019 QPP Final Rule Executive SummaryCreated 11/05/2018PDF 399KB|PY 2019|Both|Overview|Fact SheetsThis 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,
- 2018 CMS Web Interface Sampling MethodologyCreated 11/05/2018PDF 521KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesThis document explains the sampling methodology for the 15 clinical quality measures submitted via the Centers for Medicare & Medicaid Services (CMS) Web Interface.
- 2018 Measures and Activities for PodiatristsCreated 11/05/2018PDF 728KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to podiatrists in 2018.
- 2018 Measures and Activities for Emergency Medicine CliniciansCreated 11/05/2018PDF 760KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to emergency medicine clinicians in 2018.
- 2019 MIPS Payment Adjustment Remittance Advice FAQsCreated 11/05/2018PDF 357KB|PY 2017|MIPS|Overview|Fact SheetsProvides information on how MIPS payment adjustments will be applied to payments in calendar year (CY) 2019 based on clinicians’ 2017 MIPS final scores.
- 2018 MIPS Measures and Activities for PathologistsCreated 11/05/2018PDF 742KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to pathologists in 2018.
- 2018 Measures and Activities for OrthopedistsCreated 11/05/2018PDF 705KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to orthopedists in 2018.
- 2018 Measures and Activities for OphthalmologistsCreated 11/05/2018PDF 738KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to ophthalmologists in 2018.
- 2018 MIPS Data Submission InfographicCreated 11/05/2018PDF 679KB|PY 2018|MIPS|Overview|Fact SheetsVisual aid showing how to submit data for the 2018 performance period.
- 2018 Measures and Activities for OptometristsCreated 11/05/2018PDF 691KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to optometrists in 2018.
- 2018 Cost 101 GuideCreated 11/05/2018PDF 1MB|PY 2018|MIPS|Cost|Technical Guides and User GuidesGuide detailing how to participate in the Cost performance category of MIPS in 2018.
- 2018 QPP Participation InfographicCreated 11/05/2018PDF 665KB|PY 2018|Both|Overview|Fact SheetsVisual aid showing how to participate in the Quality Payment Program (QPP) during 2018.
- 2018 Measures and Activities for Primary Care CliniciansCreated 11/05/2018PDF 751KB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to primary care clinicians in 2018.
- 2018 Improvement Activities 101 GuideCreated 11/05/2018PDF 3MB|PY 2018|MIPS|Improvement Activities|Technical Guides and User GuidesGuide detailing how to participate in the Improvement Activities performance category of MIPS in 2018.
- 2019 QPP Multi-Payer Other Payer Advanced APMsCreated 11/02/2018PDF 426KB|PY 2019|APMs|Overview|Fact SheetsA 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 GuideCreated 11/01/2018PDF 1MB|PY 2019|MIPS|Overview|Technical Guides and User GuidesA guide to help clinicians get started participating in the Merit-based Incentive Payment System (MIPS) during the 2019 performance year.
- 2018 MIPS Scoring 101 GuideCreated 10/28/2018PDF 4MB|PY 2018|MIPS|Overview|Technical Guides and User GuidesGuide providing details about how scores are calculated for MIPS in the 2018 performance year.
- 2018 MIPS Measures and Activities for Anesthesiologists and Certified Nurse AnesthetistsCreated 10/14/2018PDF 1MB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to anesthesiologists and certified nurse anesthetists in 2018.
- 2018 Group Participation in MIPSCreated 10/14/2018PDF 11MB|PY 2018|MIPS|Overview|Fact SheetsOutlines group participation requirements in Year 2 of QPP.
- 2018 Quality Performance Category Fact SheetCreated 10/14/2018PDF 956KB|PY 2018|MIPS|Quality|Fact SheetsOverview of the Quality performance category in the 2018 performance period.
- 2018 CAHPS for MIPS Survey CMS Approved Survey VendorsCreated 10/14/2018PDF 405KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesList of survey vendors approved by CMS to administer the 2018 CAHPS for MIPS Survey.
- 2019 Medicaid Other Payer Advanced APMs in the Quality Payment ProgramCreated 10/14/2018PDF 434KB|PY 2019|APMs|Overview|Fact SheetsProvides 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 CMS QRDA III Schematrons, and Sample Files for Eligible Clinicians and Eligible ProfessionalsUpdated 10/14/2018ZIP 222KB|PY 2018|MIPS|Quality|Technical Guides and User Guides
- 2019 Payment Adjustment InfographicCreated 10/14/2018PDF 238KB|PY 2017|MIPS|Overview|Fact SheetsSnapshot of who will receive 2019 payment adjustments and how payment adjustments work.
- 2019 MIPS Payment Adjustment Fact SheetCreated 10/14/2018PDF 525KB|PY 2017|MIPS|Overview|Fact SheetsFact 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 Qualified Registry Self-Nomination fact sheetCreated 10/01/2018PDF 457KB|PY 2018|MIPS|Quality|Fact SheetsProvides an overview of the self-nomination process and necessary requirements to self-nominate for qualified registries.
- 2017 Targeted Review User GuideCreated 09/14/2018PDF 1MB|PY 2017|MIPS|Overview|Technical Guides and User GuidesGuide is intended to help those who are requesting CMS to review their 2019 MIPS payment adjustment and lists steps to request a targeted review.
- 2017 Targeted Review Fact SheetCreated 09/14/2018PDF 649KB|PY 2017|MIPS|Overview|Fact SheetsFact sheet providing an overview of the 2019 MIPS payment adjustment targeted review process.
- 2018 MIPS Data Validation CriteriaCreated 09/11/2018ZIP 15MB|PY 2018|MIPS|Overview|Technical Guides and User GuidesLists the 2018 criteria used to audit and validate data submitted in each performance category
- 2018 CMS Web Interface & CAHPS for MIPS Survey Assignment MethodologyCreated 09/10/2018PDF 656KB|PY 2018|MIPS|Overview|Technical Guides and User GuidesDescribes 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 RadiologistsCreated 09/06/2018PDF 1MB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to radiologists in 2018
- 2018 MIPS Measures and Activities for CardiologistsCreated 09/05/2018PDF 1MB|PY 2018|MIPS|Overview|Specialty GuidesHighlights measures and activities for MIPS performance categories that apply to cardiologists in 2018.
- PDF 1MB|PY 2018|APMs|Overview|Technical Guides and User GuidesProvides an overview of APM Entity or Eligible Clinician Initiated Other Payer Advanced APM Determination Proceeds(Eligible Clinician Initiation Process).
- 2017 Quality BenchmarksCreated 08/29/2018ZIP 1MB|PY 2017|MIPS|Quality|Measure Specifications and BenchmarksZip file containing MIPS benchmark information for the Quality performance category.
- 2017 Qualified RegistriesCreated 08/27/2018PDF 1MB|PY 2017|Both|Quality|Technical Guides and User GuidesList 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 SheetCreated 08/21/2018PDF 843KB|PY 2018|MIPS|Cost|Fact SheetsProvides a broad overview of the 2018 Cost performance category.
- 2018 Claims Data Submission Fact SheetCreated 08/21/2018PDF 444KB|PY 2018|MIPS|Quality|Fact SheetsDetails how to submit Quality data through claims in 2018
- 2019 Virtual Groups ToolkitCreated 08/16/2018ZIP 1MB|PY 2019|MIPS|Overview|Technical Guides and User GuidesIncludes an agreement template, sample email, and a general overview of virtual groups and the election process
- 2019 Self-Nomination Toolkit for QCDRs & RegistriesCreated 08/14/2018ZIP 3MB|PY 2019|MIPS|Quality|Technical Guides and User GuidesContains resources for QCDRs and Qualified registries to self-nominate for the 2019 performance year.
- 2017 Performance Feedback User GuideCreated 08/13/2018PDF 4MB|PY 2017|MIPS|Overview|Technical Guides and User GuidesGuide addresses MIPS performance feedback as displayed on qpp.cms.gov and offers additional resources.
- 2018 Exceptions FAQsCreated 08/03/2018PDF 469KB|PY 2018|Both|Overview|Fact SheetsLists questions and answers on topics relating to 2018 hardship exceptions
- 2018 Predictive QP Methodology Fact SheetCreated 08/02/2018PDF 591KB|PY 2018|APMs|Overview|Fact SheetsIncludes 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 DocumentsCreated 07/31/2018ZIP 10MB|PY 2018|MIPS|Quality|Measure Specifications and BenchmarksProvides guidance for the 2018 QPP individual measure specifications and measure flows for claims and registry submissions.
- 2018 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible ProfessionalsUpdated 07/27/2018PDF 5MB|PY 2018|MIPS|Quality|Technical Guides and User Guides
- 2018 Other MIPS APM Quality Performance CategoryCreated 07/27/2018PDF 543KB|PY 2018|Both|Overview|Fact SheetsDiscusses the Other MIPS APM Quality Performance Category in Year 2 (2018) of the QPP.
- 2018 Cost MeasuresCreated 07/27/2018ZIP 926KB|PY 2018|MIPS|Cost|Measure Specifications and BenchmarksProvides overview of the 2018 TPCC and MSBP Cost measures calculation and methodology.
- 2017 Enterprise Identity Data Management (EIDM) User GuideCreated 07/20/2018PDF 2MB|PY 2017|Both|Overview|Technical Guides and User GuidesGuide for users who need an EIDM account and/or Physician Quality and Value Program role to submit or access QPP data.
- 2017 Enterprise Identity Data Management (EIDM) ACO User GuideCreated 07/20/2018PDF 2MB|PY 2017|Both|Overview|Technical Guides and User GuidesGuide describes EIDM roles for the ACO Security Official and the ACO's Web Interface Submitter only.
- 2017 Performance Feedback Fact SheetCreated 07/13/2018PDF 515KB|PY 2017|MIPS|Overview|Fact SheetsFact sheet provides more information about receiving your MIPS performance feedback.
- 2018 MIPS Participation and Overview Fact SheetCreated 07/11/2018PDF 630KB|PY 2018|MIPS|Overview|Fact SheetsProvides a list of eligibility requirements to participate in 2018 MIPS, and a comparison of 2017 and 2018 final policies.
- 2018 MIPS Bonus Overview Fact SheetCreated 07/11/2018PDF 778KB|PY 2018|MIPS|Overview|Fact SheetsOutlines criteria providers must meet to receive a bonus payment in each performance category in 2018.
- 2018 Promoting Interoperability InfographicCreated 07/05/2018PDF 748KB|PY 2018|MIPS|Promoting Interoperability|Fact SheetsDisplays transition from ACI to PI and who the PI category now applies to.
- 2018 Medicare Shared Savings Program & MIPS InteractionsCreated 07/03/2018PDF 430KB|PY 2018|Both|Overview|Fact SheetsProvides 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 SpecificationsCreated 06/08/2018ZIP 433KB|PY 2018|MIPS|Quality|Measure Specifications and BenchmarksProvides details on measure development for the 30-Day All-Cause Hospital Readmission Measure
- 2017 30-day All-Cause Hospital Readmission MeasureCreated 06/08/2018ZIP 512KB|PY 2017|MIPS|Quality|Measure Specifications and Benchmarks30-day All-Cause Hospital Readmission measure specification sheet.
- 2018 Promoting Interoperability Measure SpecificationsCreated 06/06/2018ZIP 11MB|PY 2018|MIPS|Promoting Interoperability|Measure Specifications and BenchmarksDetails 2018 PI measures, transition measures, and corresponding calculations
- 2018 QCDR Measure SpecificationsCreated 05/29/2018XLSX 694KB|PY 2018|MIPS|Quality|Measure Specifications and BenchmarksDetails 2018 QCDR measures and corresponding calculations
- 2018 Improvement Activities Performance Category Fact SheetCreated 05/24/2018PDF 571KB|PY 2018|MIPS|Improvement Activities|Fact SheetsProvides an overview of the 2018 Improvement Activities performance category
- 2018 Clinician Champions Program Nomination FormCreated 05/22/2018PDF 1MB|PY 2018|Both|Overview|Fact SheetsIncludes the nomination form to be considered for a clinician champion.
- 2018 Clinician Champions Program Fact SheetCreated 05/22/2018PDF 321KB|PY 2018|Both|Overview|Fact SheetsProvides a list of criteria to become a clinician champion.
- Submitting Medicare health plan requests for determinationsCreated 05/21/2018PDF 1MB|PY 2018|APMs|Overview|Specialty GuidesContains 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 Promoting Interoperability Performance Category Fact SheetCreated 05/11/2018PDF 944KB|PY 2018|MIPS|Promoting Interoperability|Fact SheetsProvides an overview of the 2018 Promoting Interoperability performance category
- 2018 Call for Measures & ActivitiesCreated 05/11/2018ZIP 4MB|PY 2018|MIPS|Overview|Measure Specifications and BenchmarksProvides 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 QCDR Self-Nomination fact sheetCreated 05/11/2018PDF 361KB|PY 2018|MIPS|Quality|Fact SheetsProvides an overview of the self-nomination process, QCDRs, and necessary requirements to self-nominate.
- 2018 Quality Performance Category Scoring Web Interface Reporters under the APM Scoring StandardCreated 05/11/2018PDF 571KB|PY 2018|APMs|Quality|Fact SheetsOutlines MIPS Quality performance category scoring scenarios under the APM scoring standard.
- 2018 Quality Payment Program All-Payer Combination Option & Other Payer Advanced Alternative Payment Models Frequently Asked QuestionsCreated 05/11/2018PDF 888KB|PY 2018|APMs|Overview|Fact SheetsProvides an overview of Frequently Asked Questions (FAQs) surrounding All-Payer Combination Option and Other Payer Advanced APMs under QPP.
- 2018 Quality Performance Category Scoring for Alternative Payment ModelsCreated 05/11/2018PDF 1MB|PY 2018|APMs|Quality|Fact SheetsProvides an overview of scoring of the Quality performance category in MIPS APMs in Year 2 (2018) of the QPP.
- 2018 CAHPS for MIPS survey vendors FAQsCreated 05/11/2018PDF 301KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides FAQs for vendors for the CAHPS for MIPS Survey.
- 2018 Improvement ActivitiesCreated 05/03/2018ZIP 1MB|PY 2018|MIPS|Improvement Activities|Fact SheetsProvides a list of the 2018 Improvement Activities.
- 2018 Guide to Submitting CMS Multi-Payer Model Requests for Other Payer Advanced APM DeterminationsCreated 04/30/2018PDF 1MB|PY 2018|APMs|Overview|Technical Guides and User GuidesIncludes an overview of submitting CMS Multi-Payer Model Requests for Other Advanced APM Determinations, including commercial payers
- PDF 1MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesRegistration guide for those who want to submit quality measures through the CMS Web Interface in 2018.
- 2017 Improvement Activities Data Validation CriteriaCreated 04/16/2018PDF 364KB|PY 2017|MIPS|Improvement Activities|Technical Guides and User GuidesDocument detailing the Improvement Activities performance category data validation criteria.
- 2018 CMS Web Interface Fact SheetCreated 04/10/2018PDF 415KB|PY 2018|MIPS|Quality|Fact SheetsProvides an overview of CMS Web Interface in 2018
- 2017 MIPS Improvement Activities Fact SheetCreated 04/06/2018PDF 109KB|PY 2017|MIPS|Improvement Activities|Fact SheetsFact sheet providing details on how to choose, submit, and report for the MIPS Improvement Activities performance category.
- 2017 CAHPS for MIPS Survey VendorsCreated 04/03/2018PDF 218KB|PY 2017|MIPS|Quality|Technical Guides and User GuidesList of survey vendors approved to administer the CAHPS for MIPS survey for 2017.
- 2017 MIPS Data Validation CriteriaCreated 04/03/2018ZIP 3MB|PY 2017|MIPS|Overview|Technical Guides and User GuidesZip file of MIPS data validation criteria.
- 2018 CAHPS for MIPS Survey Overview Fact SheetCreated 03/27/2018PDF 633KB|PY 2018|MIPS|Quality|Fact SheetsProvides an overview of CAHPS for MIPS Survey in 2018
- 2018 CAHPS for MIPS Survey – Sample CopyCreated 03/27/2018PDF 665KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides an example of a CAHPS for MIPS Survey in 2018
- 2018 Scores for Improvement Activities in MIPS APMsCreated 03/23/2018PDF 608KB|PY 2018|Both|Improvement Activities|Fact SheetsProvides an overview of scoring of IA in MIPS APMs in Year 2 (2018) of QPP.
- 2018 All-Payer Combination Option glossaryCreated 03/22/2018PDF 382KB|PY 2018|APMs|Overview|Fact SheetsContains definitions relevant to the All-Payer Combination Option.
- 2017 MIPS Group Participation GuideCreated 03/21/2018PDF 8MB|PY 2017|MIPS|Overview|Technical Guides and User GuidesGuide detailing how to participate in MIPS as a group in 2017.
- 2017 Quality Measure Specifications Supporting DocumentsCreated 03/02/2018ZIP 10MB|PY 2017|MIPS|Quality|Measure Specifications and BenchmarksQuality measure specification supporting documents including claims registry information and webpage release notes.
- 2018 CAHPS for MIPS survey vendors ApplicationCreated 02/27/2018PDF 1MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides a participation form/application for vendors for the CAHPS for MIPS Survey.
- 2018 CAHPS for MIPS survey vendors Minimum Business RequirementsCreated 02/27/2018PDF 403KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides information on the minimum business requirements for vendors for the CAHPS for MIPS Survey.
- 2017 MIPS Claims-based Quality Measures Projections & ResultsCreated 02/21/2018PY 2017|MIPS|Quality|VideosVideo 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 SpecificationsCreated 02/09/2018ZIP N/A|PY 2018|MIPS|Quality|Measure Specifications and BenchmarksLists 2018 Claims Registry Measures
- 2017 Claims Data Submission Fact SheetCreated 02/07/2018PDF 515KB|PY 2017|MIPS|Quality|Fact SheetsFact 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 SheetCreated 02/06/2018PDF 554KB|PY 2017|MIPS|Advancing Care Information|Fact SheetsFact sheet detailing specific information on the Advancing Care Information performance category.
- 2018 Comprehensive List of APMsCreated 02/05/2018PDF 459KB|PY 2018|APMs|Overview|Fact SheetsIncludes a list of the different types of APMs and Advanced APM determinations based on final criteria.
- 2017 Comprehensive List of APMsCreated 02/05/2018PDF 351KB|PY 2017|APMs|Overview|Technical Guides and User GuidesList displaying the APMs that CMS operates.
- 2017 Extreme and Uncontrollable Circumstances Policy for MIPS Fact SheetCreated 02/02/2018PDF 479KB|PY 2017|MIPS|Overview|Fact SheetsDocument 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 GuidesProvides 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.
- 2017 QPs Methodology Fact SheetCreated 02/01/2018PDF 377KB|PY 2017|APMs|Overview|Fact SheetsFact 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.
- 2018 Guide to Submitting Medicaid Requests for Other Payer Advanced APM Determinations (Payer Initiated Submission Form)Created 02/01/2018PDF 902KB|PY 2018|APMs|Overview|Technical Guides and User GuidesProvides an overview on submitting Medicaid requests for Other Payer Advanced APM Determinations and walks through the Payer Initiated Submission Form.
- 2018 QPs Methodology Fact SheetCreated 02/01/2018PDF 2MB|PY 2018|APMs|Overview|Fact SheetsProvides 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.
- 2017 CMS Web Interface Data DictionaryCreated 01/29/2018PDF 510KB|PY 2017|MIPS|Quality|Technical Guides and User GuidesA data dictionary for web interface excel templates.
- 2017 CMS Web Interface User GuideCreated 01/29/2018PDF 9MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesDetailed instructions on how to use the CMS web interface.
- 2017 CMS Web Interface Excel to XML MappingCreated 01/29/2018XLSX 19KB|PY 2017|MIPS|Quality|Technical Guides and User GuidesWeb interface excel to XML mapping.
- Advancing Care Information Measure SpecificationsCreated 01/24/2018ZIP 13MB|PY 2017|MIPS|Advancing Care Information|Measure Specifications and Benchmarks2017 MIPS Advancing Care Information measures and transition measures specification sheets.
- 2017 MIPS 101 Scoring GuideCreated 01/24/2018PDF 3MB|PY 2017|MIPS|Overview|Technical Guides and User GuidesMIPS scoring guide for the 2017 performance period.
- 2018 Other Payer Advanced APM Determination Process: Medicare Health Plans Fact SheetCreated 01/23/2018PDF 441KB|PY 2018|APMs|Overview|Fact SheetsIncludes 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 CodesCreated 01/23/2018ZIP 238KB|PY 2018|MIPS|Quality|Measure Specifications and BenchmarksLists the determinants used to assess the non-patient facing status of 2018 MIPS eligible clinicians
- 2017 MIPS Advancing Care Information 101 GuideCreated 01/17/2018PDF 4MB|PY 2017|MIPS|Advancing Care Information|Technical Guides and User GuidesGuide detailing how to participate in the Advancing Care Information performance category of MIPS in 2017.
- 2017 Participation in the EHR Incentive Programs vs. MIPSCreated 01/12/2018PDF 501KB|PY 2017|MIPS|Overview|Fact SheetsFact 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 (with change log)Created 01/12/2018XLSX 3MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesWeb interface excel template with change log included.
- 2017 CMS Web Interface Excel Template User GuideCreated 01/04/2018PDF 1MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesDetailed instructions on how to use the CMS web interface excel templates.
- 2017 Data Submission Fact SheetCreated 01/02/2018PDF 547KB|PY 2017|MIPS|Overview|Fact SheetsFact sheet detailing how to submit 2017 transition year data to the Quality Payment Program.
- 2017 Advancing Care Information (ACI) Data Submission for APMsCreated 01/02/2018PY 2017|APMs|Advancing Care Information|VideosWalkthrough of how Advancing Care Information reporting is completed for APM entities using the user interface on qpp.cms.gov.
- 2017 QCDRs and Qualified Registries Data SubmissionCreated 01/02/2018PY 2017|MIPS|Quality|VideosDemonstration 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 SubmissionCreated 01/02/2018PY 2017|MIPS|Overview|VideosShows 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 CMS Web Interface Excel Template (with sample data)Created 01/02/2018XLSX 5MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesWeb interface excel template with sample data included.
- PDF 450KB|PY 2018|APMs|Overview|Fact SheetsIncludes 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 MeasuresCreated 12/29/2017ZIP 751KB|PY 2017|MIPS|Cost|Measure Specifications and BenchmarksCost measure information forms for Medicare Spending per Beneficiary and Total per Capita Costs for all Attributed Beneficiaries.
- 2017 CMS Web Interface Measures and Supporting DocumentsCreated 12/20/2017ZIP 21MB|PY 2017|MIPS|Quality|Measure Specifications and BenchmarksProvides information on the measures necessary to submit data through the CMS Web Interface in 2017.
- 2017 Quality Measure SpecificationsCreated 12/20/2017ZIP N/A|PY 2017|MIPS|Quality|Measure Specifications and BenchmarksQuality claims & registry measures.
- 2017 Qualified Clinical Data RegistriesCreated 12/19/2017PDF 4MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesGuide listing the MIPS 2017 CMS-approved Qualified Clinical Data Registries.
- 2017 APMs: Medicaid Models & All-Payer ModelsCreated 12/14/2017PDF 670KB|PY 2017|APMs|Overview|Fact SheetsFact 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 SheetCreated 12/06/2017PDF 318KB|PY 2017|APMs|Overview|Fact SheetsDocument 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 DemonstrationCreated 11/29/2017PY 2017|MIPS|Quality|VideosUser demonstration video of the CMS Web Interface.
- 2017 Excel Template IntroductionCreated 11/21/2017PY 2017|MIPS|Quality|VideosUser demonstration video of how to use the excel template to upload beneficiary samples to the CMS Web Interface.
- 2017 MIPS Measures for OptometristsCreated 11/17/2017PDF 756KB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to optometrists.
- 2017 All-Payer Combination Option & Other Payer Advanced APMsCreated 11/16/2017PDF 1MB|PY 2017|APMs|Overview|Fact SheetsFact sheet provides an overview of the final policies regarding the All-Payer Combination Option and Other Payer Advanced Alternative Payment Models.
- 2017 MIPS Participation InfographicCreated 11/16/2017PDF 337KB|PY 2017|MIPS|Overview|Fact SheetsInfographic detailing how eligible clinicians can participate in MIPS in 2017.
- 2017 MIPS Measures for RadiologistsCreated 11/01/2017PDF 409KB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to radiologists.
- 2017 CMS Web Interface Sampling MethodologyCreated 11/01/2017PDF 1MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesExplains the sampling methodology for the 15 clinical quality measures reported via the CMS Web Interface.
- 2017 CMS Web Interface & CAHPS for MIPS Survey Assignment MethodologyCreated 11/01/2017PDF 1MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesDescribes the process for assigning beneficiaries to groups participating in MIPS.
- 2017 MIPS 101 GuideCreated 11/01/2017PDF 8MB|PY 2017|MIPS|Overview|Technical Guides and User GuidesGuide provides a detailed overview and introduction for year 1 of MIPS.
- 2017 MIPS Measures for PodiatristsCreated 11/01/2017PDF 399KB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to podiatrists.
- 2018 Virtual Groups ToolkitCreated 11/01/2017ZIP 1MB|PY 2018|MIPS|Overview|Technical Guides and User GuidesZip file of Virtual Group Agreement Checklist, Agreement Template, Election Process Fact Sheet, Overview Fact Sheet.
- 2017 QCDR Fact SheetCreated 10/16/2017PDF 673KB|PY 2017|MIPS|Quality|Fact SheetsFact sheet detailing how to self-nominate and successfully qualify to become a QCDR.
- 2017 QCDR & Qualified Registries Self-Nomination User GuideCreated 10/16/2017PDF 2MB|PY 2017|MIPS|Quality|Technical Guides and User GuidesGuide to help Qualified Registry and Qualified Clinical Data Registry vendors to self-nominate for MIPS.
- 2017 Qualified Registry Fact SheetCreated 10/16/2017PDF 457KB|PY 2017|MIPS|Quality|Fact SheetsFact sheet detailing how to self-nominate and successfully qualify to become a qualified registry.
- 2017 MIPS Advancing Care Information BlockingCreated 10/01/2017PDF 769KB|PY 2017|MIPS|Advancing Care Information|Fact SheetsFact 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 SheetCreated 10/01/2017PDF 252KB|PY 2017|MIPS|Cost|Fact SheetsFact sheet providing detailed information on episode-based cost measures.
- 2017 Quality Payment Program Key ObjectivesCreated 10/01/2017PDF 592KB|PY 2017|Both|Overview|Fact SheetsDetails the strategic objectives for the Quality Payment Program.
- 2017 Medicare Shared Savings Program & MIPS InteractionsCreated 10/01/2017PDF 388KB|PY 2017|APMs|Overview|Fact SheetsTable detailing ACO MIPS performance category and eligibility status.
- 2017 MIPS Measures for Anesthesiologists & Certified Registered Nurse AnesthetistsCreated 09/07/2017PDF 445KB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to anesthesiologists and certified registered nurse anesthetists.
- 2017 MIPS Measures for OphthalmologistsCreated 09/07/2017PDF 341KB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to ophthalmologists.
- 2017 MIPS Measures for Emergency Medicine CliniciansCreated 09/07/2017PDF 463KB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to emergency medicine clinicians.
- 2017 MIPS Measures for OrthopedistsCreated 09/07/2017PDF 498KB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to orthopedists.
- 2018 Self-Nomination QCDR Measure Submission TemplateCreated 09/01/2017XLSX 38KB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides a template for self-nomination to submit measures as a way to become a QCDR registry.
- 2018 Self-Nomination Toolkit for QCDRs & Qualified RegistriesCreated 09/01/2017ZIP 2MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesContains materials about the QCDR self-nomination process, including fact sheets, a user guide, and a measures submission template.
- 2018 Quality Payment Program (QPP): Self-Nomination User Guide for QCDRs & Qualified RegistriesCreated 09/01/2017PDF 2MB|PY 2018|MIPS|Quality|Technical Guides and User GuidesProvides an in-depth overview of the self-nomination process for both QCDRs and qualified registries.
- 2017 Supplemental Service Payments for APMs Fact SheetCreated 09/01/2017PDF 295KB|PY 2017|APMs|Overview|Fact SheetsFact sheet provides details pertaining to supplemental service payments and criteria required to receive these payments.
- 2017 Eligible Measures Applicability (EMA) ResourcesCreated 09/01/2017ZIP 860KB|PY 2017|MIPS|Quality|Technical Guides and User GuidesProvides 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 SheetCreated 09/01/2017PDF 621KB|PY 2018|MIPS|Quality|Fact SheetsContains an overview of the self-nomination and qualification process to become a qualified registry for the QPP in Year 2.
- 2017 MIPS Quality Performance Category Fact SheetCreated 08/16/2017PDF 2MB|PY 2017|MIPS|Quality|Fact SheetsFact sheet providing an overview of the Quality performance category.
- 2017 Alternative Payment Model (APM) Design ToolkitCreated 08/16/2017PDF 2MB|PY 2017|APMs|Overview|Technical Guides and User GuidesA toolkit for any entities or individuals interested in developing APMS.
- PDF 604KB|PY 2017|APMs|Quality|Fact SheetsProvides 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 GuidesA QRDA III implementation guide for eligible clinicians.
- 2017 MIPS Measures for CardiologistsCreated 06/15/2017PDF 1MB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to cardiologists.
- 2017 CMS Web Interface Fact SheetCreated 06/15/2017PDF 414KB|PY 2017|MIPS|Quality|Fact SheetsFact sheet providing an overview of how to submit MIPS data through the CMS Web Interface.
- 2017 MIPS Measures for Primary Care CliniciansCreated 06/15/2017PDF 1MB|PY 2017|MIPS|Overview|Specialty GuidesProvides a non-exhaustive sample of measures that may apply to primary care clinicians.
- 2017 Medicare Shared Savings Program & the Quality Payment ProgramCreated 06/12/2017PDF 171KB|PY 2017|APMs|Overview|Fact SheetsFact sheet detailing how the Quality Payment Program and Shared Savings Program work together.
- 2017 Predictive QP Methodology Fact SheetCreated 06/02/2017PDF 1MB|PY 2017|APMs|Overview|Fact SheetsFact sheet providing details on how predictive qualifying APM participant status was determined.
- PDF 567KB|PY 2017|MIPS|Overview|Technical Guides and User GuidesGuide providing an overview of the Quality Payment Program including participation requirements and reporting periods.
- 2017 CAHPS for MIPS Survey - Sample CopyCreated 05/25/2017PDF 340KB|PY 2017|MIPS|Quality|Fact SheetsExample of how to complete the CAHPS for MIPS Survey.
- 2017 MIPS APMs in the Quality Payment ProgramCreated 05/23/2017PDF 192KB|PY 2017|APMs|Overview|Fact SheetsFact 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 SheetCreated 05/11/2017PDF 673KB|PY 2018|MIPS|Quality|Fact SheetsContains 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 GuideCreated 05/10/2017PDF 367KB|PY 2017|Both|Overview|Technical Guides and User GuidesGuide providing technical assistance resources to help clinicians successfully participate in the Quality Payment Program.
- 2017 MIPS Participation Fact SheetCreated 05/04/2017PDF 230KB|PY 2017|MIPS|Overview|Fact SheetsFact sheet outlining 2017 MIPS participation requirements.
- 2017 CAHPS for MIPS Fact SheetCreated 03/31/2017PDF 221KB|PY 2017|MIPS|Quality|Fact SheetsOverview of the CAHPS for MIPS Survey, including FAQs and requirements.
- 2017 Support for Small PracticesCreated 03/17/2017PDF 193KB|PY 2017|Both|Overview|Fact SheetsFact sheet providing technical assistance resources for small practices.
- 2017 Patient Facing Encounter CodesCreated 12/29/2016ZIP 310KB|PY 2017|MIPS|Quality|Technical Guides and User GuidesZip file containing patient-facing encounter code information including a fact sheet and list.
- 2017 Improvement Activities & APMsCreated 12/29/2016PDF 387KB|PY 2017|APMs|Improvement Activities|Technical Guides and User GuidesDocument detailing the improvement activities performance category score CMS will assign participants in each MIPS APMs for the 2017 performance year.
- 2017 Advancing Care Information for VendorsCreated 12/29/2016PDF 83KB|PY 2017|MIPS|Advancing Care Information|Fact SheetsFact sheet outlines the steps for EHR Vendors participating in the Quality Payment Program.