Resource Library

General Resources

2019 MIPS Quick Start Guide(pdf 1MB)MIPS Participation & Overview Fact Sheet(pdf 631KB)2018 QPP Access User Guide(zip 7.2MB)

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

<222>Resources

Alphabetical

Latest

2018 CMS Web Interface Excel Template
Updated 01/17/2019
XLSX 5MB
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PY 2018
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MIPS
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Quality
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Technical 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 3MB
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PY 2018
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MIPS
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Quality
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Technical 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 Qualified Registries Qualified Posting
Updated 01/14/2019
XLSX 125KB
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PY 2018
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MIPS
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Quality
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Technical Guides and User Guides
Provides a list of 2018 Qualified Registries for the Merit-based Incentive Payment System (MIPS).
2018 Qualified Clinical Data Registries (QCDRs) Qualified Posting
Updated 01/14/2019
XLSX 1MB
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PY 2018
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MIPS
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Quality
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Technical Guides and User Guides
Provides a list of 2018 Qualified Clinical Data Registries (QCDRs) for the Merit-based Incentive Payment System (MIPS).
2019 Qualified Clinical Data Registries (QCDRs) Qualified Posting
Updated 01/14/2019
XLSX 168KB
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PY 2019
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MIPS
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Quality
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Technical Guides and User Guides
Provides a list of the 2019 Qualified Clinical Data Registries (QCDRs) for the Merit-based Incentive Payment System (MIPS).
2018 Registration Guide for the CMS Web Interface and CAHPS for MIPS Survey
Updated 01/10/2019
PDF 1MB
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PY 2018
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MIPS
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Quality
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Technical Guides and User Guides
Registration guide for those who want to submit quality measures through the CMS Web Interface in 2018.
2018 MIPS Data Validation Execution Report (DVER) Template
Created 01/09/2019
ZIP 30KB
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PY 2018
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MIPS
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Quality
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Technical 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 564KB
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PY 2018
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MIPS
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Quality
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Technical 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 6MB
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PY 2018
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MIPS
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Quality
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Technical 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.
2019 QPP Final Rule Overview Factsheet
Updated 01/04/2019
PDF 845KB
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PY 2019
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Both
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Overview
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Fact 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 472KB
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PY 2019
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MIPS
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Quality
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Fact 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.
2018 CMS Web Interface FAQs
Updated 01/04/2019
PDF 819KB
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PY 2018
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MIPS
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Quality
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Fact Sheets
This document will help answer frequently asked questions about data submission via the CMS Web Interface.
2019 List of Medicare Health Plan Other Payer APMs
Created 01/03/2019
PDF 422KB
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PY 2019
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APMs
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Overview
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Fact Sheets
This document specifically outlines payment arrangements by Medicare Health Plans that qualify as “other-payer” Advanced Alternative Payment Models (APMs) for 2019.
2018 Data Submission FAQs
Created 01/03/2019
PDF 446KB
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PY 2018
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Both
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Overview
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Fact Sheets
Factsheet providing commonly asked questions about data submission for the 2018 performance year.
2018 Quality Benchmarks
Updated 01/02/2019
ZIP 544KB
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PY 2018
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MIPS
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Quality
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Measure Specifications and Benchmarks
Lists and explains 2018 benchmarks used to assess performance in the Quality performance category.
2018 Eligible Measures Applicability (EMA) Resources
Updated 01/02/2019
ZIP 1MB
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PY 2018
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MIPS
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Quality
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Technical 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 583KB
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PY 2019
  |
MIPS
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Promoting Interoperability
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Fact Sheets
Describes requirements for MIPS eligible clinicians to prevent actions that block the exchange of health information.
2019 MIPS Participation and Eligibility Fact Sheet
Updated 12/31/2018
PDF 739KB
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PY 2019
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MIPS
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Overview
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Fact Sheets
Provides an overview of the eligibility criteria for participating in the Merit-based Incentive Payment System (MIPS) in 2019.
2018 MIPS Scoring At-A-Glance
Updated 12/28/2018
PDF 2MB
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PY 2018
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MIPS
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Overview
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Technical Guides and User Guides
Condensed overview of how CMS calculates scores for the 2018 performance year of the Merit-based Incentive Payment System (MIPS).
2019 Quality Performance Category Fact Sheet
Updated 12/27/2018
PDF 1MB
  |
PY 2019
  |
MIPS
  |
Quality
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Fact 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.
2019 MIPS Summary of Cost Measures
Updated 12/27/2018
PDF 870KB
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PY 2019
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MIPS
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Cost
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Technical Guides and User Guides
Provides a summary of cost measures in relation to the Merit-based Incentive Payment System (MIPS).
2019 Cost Performance Category Fact Sheet
Updated 12/27/2018
PDF 1MB
  |
PY 2019
  |
MIPS
  |
Cost
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Fact 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.
2019 Qualified Registries Qualified Posting
Updated 12/27/2018
XLSX 154KB
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PY 2019
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MIPS
  |
Quality
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Technical Guides and User Guides
Provides a list of the 2019 Qualified Registries for the Merit-based Incentive Payment System (MIPS).
2019 Improvement Activities Inventory
Updated 12/27/2018
ZIP 497KB
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PY 2019
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MIPS
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Improvement Activities
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Measure Specifications and Benchmarks
Provides a complete list of the 2019 improvement activities and includes descriptions for each.
2019 Cost Measure Information Forms
Updated 12/27/2018
ZIP 9MB
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PY 2019
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MIPS
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Cost
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Measure 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 1MB
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PY 2019
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MIPS
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Cost
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Measure 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 1MB
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PY 2019
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MIPS
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Promoting Interoperability
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Measure Specifications and Benchmarks
Provides a detailed overview of the requirements for the 2019 Promoting Interoperability performance category objectives and measures.
2019 Quality Measure Benchmarks
Updated 12/27/2018
ZIP 397KB
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PY 2019
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MIPS
  |
Quality
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Measure Specifications and Benchmarks
Lists and explains 2019 benchmarks used to assess performance in the Quality performance category.
2019 Cross-Cutting Quality Measures
Updated 12/27/2018
PDF 261KB
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PY 2019
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MIPS
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Quality
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Measure 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 9MB
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PY 2019
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MIPS
  |
Quality
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Measure Specifications and Benchmarks
Provides comprehensive descriptions of the 2019 CMS Web Interface measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
2019 Clinical Quality Measure Specifications and Supporting Documents
Updated 12/27/2018
ZIP 76MB
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PY 2019
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MIPS
  |
Quality
  |
Measure 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 12/27/2018
ZIP 21MB
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PY 2019
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MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Provides comprehensive descriptions of the 2019 claims measures for the Merit-based Incentive Payment System (MIPS) Quality performance category.
2018 CMS Web Interface: Manually Enter Data by Beneficiary
Created 12/27/2018
PY 2018
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MIPS
  |
Quality
  |
Videos
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 2018
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MIPS
  |
Quality
  |
Videos
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 2018
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MIPS
  |
Quality
  |
Videos
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.
2018 CMS Web Interface: View Progress
Created 12/27/2018
PY 2018
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MIPS
  |
Quality
  |
Videos
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 2018
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MIPS
  |
Quality
  |
Videos
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).
2018 CMS Web Interface: Data Irregularities
Created 12/27/2018
PY 2018
  |
MIPS
  |
Quality
  |
Videos
Provides the workflow for locating and correcting irregular and/or inconsistent data at both the measure and beneficiary levels.
2018 CMS Web Interface: Planning Your Work
Created 12/27/2018
PY 2018
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MIPS
  |
Quality
  |
Videos
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: PREV-10
Created 12/27/2018
PY 2018
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MIPS
  |
Quality
  |
Videos
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: An introduction to the CMS Web Interface
Created 12/27/2018
PY 2018
  |
MIPS
  |
Quality
  |
Videos
Provides an overview of using the CMS Web Interface and briefly goes over recent changes made to the user interface.
2018 CMS Web Interface: Submission Due
Created 12/27/2018
PY 2018
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MIPS
  |
Quality
  |
Videos
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 2018
  |
MIPS
  |
Quality
  |
Videos
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 QPP Access User Guide
Updated 12/20/2018
ZIP 7MB
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PY 2018
  |
Both
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Overview
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Technical 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 1MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Technical 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 4MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical 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 Promoting Interoperability 101 Guide
Created 11/21/2018
PDF 1MB
  |
PY 2018
  |
MIPS
  |
Promoting Interoperability
  |
Technical Guides and User Guides
Guide detailing how to participate in the Promoting Interoperability performance category of MIPS in 2018.
2018 MIPS Extreme and Uncontrollable Circumstances Policy
Created 11/21/2018
PDF 469KB
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PY 2018
  |
MIPS
  |
Overview
  |
Fact 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 1MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Guide detailing how to participate in the Quality performance category of MIPS in 2018.
2018 CMS Web Interface Excel to XML Mapping
Created 11/15/2018
XLSX 18KB
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PY 2018
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MIPS
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Quality
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Technical Guides and User Guides
Provides a mapping of the 2018 CMS Web Interface Excel Template fields to the 2016 GPRO Web Interface XML specifications.
2018 PI Information Blocking Factsheet
Created 11/15/2018
PDF 584KB
  |
PY 2018
  |
MIPS
  |
Promoting Interoperability
  |
Fact Sheets
Describes requirements for MIPS eligible clinicians to prevent actions that block the exchange of health information.
2017 QPP Performance Data Infographic
Created 11/08/2018
PDF 748KB
  |
PY 2017
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Both
  |
Overview
  |
Fact Sheets
Visual aid showing 2017 performance data for the Quality Payment Program.
2018 QPP Final Rule Overview Factsheet
Created 11/07/2018
PDF 621KB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
This factsheet provides a high-level overview of the Quality Payment Program final policies for the 2018 performance period.
2018 QPP Final Rule Executive Summary
Created 11/07/2018
PDF 203KB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
This is the executive summary in the 2018 Quality Payment Program final rule with comment and interim final rule with comment, which made payment and policy changes to the Quality Payment Program starting January 1, 2018,
2018 CMS Web Interface Support Webinars
Created 11/07/2018
PDF 194KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Lists a series of webinars for Accountable Care Organizations (ACOs) and groups that are submitting data via the CMS Web Interface for the 2018 performance period.
2018 MIPS Data Submission Infographic
Created 11/05/2018
PDF 679KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Fact Sheets
Visual aid showing how to submit data for the 2018 performance period.
2018 MIPS Measures and Activities for Pathologists
Created 11/05/2018
PDF 742KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to pathologists in 2018.
2018 Measures and Activities for Primary Care Clinicians
Created 11/05/2018
PDF 751KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to primary care clinicians in 2018.
2018 Measures and Activities for Orthopedists
Created 11/05/2018
PDF 705KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to orthopedists in 2018.
2018 Improvement Activities 101 Guide
Created 11/05/2018
PDF 3MB
  |
PY 2018
  |
MIPS
  |
Improvement Activities
  |
Technical Guides and User Guides
Guide detailing how to participate in the Improvement Activities performance category of MIPS in 2018.
2019 MIPS Payment Adjustment Remittance Advice FAQs
Created 11/05/2018
PDF 357KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Provides information on how MIPS payment adjustments will be applied to payments in calendar year (CY) 2019 based on clinicians’ 2017 MIPS final scores.
2019 QPP Final Rule Executive Summary
Created 11/05/2018
PDF 399KB
  |
PY 2019
  |
Both
  |
Overview
  |
Fact Sheets
This is the executive summary in the 2019 Quality Payment Program final rule, which will make payment and policy changes to the Quality Payment Program starting January 1, 2019,
2018 MIPS Quality Measures Impacted by ICD-10 Updates
Created 11/05/2018
PDF 422KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Lists the 2018 MIPS quality measures impacted by ICD-10 code updates effective October 1, 2018.
2018 QPP Participation Infographic
Created 11/05/2018
PDF 665KB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
Visual aid showing how to participate in the Quality Payment Program (QPP) during 2018.
2018 Measures and Activities for Emergency Medicine Clinicians
Created 11/05/2018
PDF 760KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to emergency medicine clinicians in 2018.
2018 Measures and Activities for Podiatrists
Created 11/05/2018
PDF 728KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to podiatrists in 2018.
2018 Cost 101 Guide
Created 11/05/2018
PDF 1MB
  |
PY 2018
  |
MIPS
  |
Cost
  |
Technical Guides and User Guides
Guide detailing how to participate in the Cost performance category of MIPS in 2018.
2018 CMS Web Interface Sampling Methodology
Created 11/05/2018
PDF 521KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
This document explains the sampling methodology for the 15 clinical quality measures submitted via the Centers for Medicare & Medicaid Services (CMS) Web Interface.
2018 Measures and Activities for Ophthalmologists
Created 11/05/2018
PDF 738KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to ophthalmologists in 2018.
2018 Measures and Activities for Optometrists
Created 11/05/2018
PDF 691KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to optometrists in 2018.
2019 QPP Multi-Payer Other Payer Advanced APMs
Created 11/02/2018
PDF 426KB
  |
PY 2019
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APMs
  |
Overview
  |
Fact Sheets
A list of payment arrangements with CMS Multi-Payer Alternative Payment Models (APMs) that CMS has determined to be Other Payer Advanced APMs for Qualifying Participants (QPs) during the 2019 performance period
2019 MIPS Quick Start Guide
Created 11/01/2018
PDF 1MB
  |
PY 2019
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
A guide to help clinicians get started participating in the Merit-based Incentive Payment System (MIPS) during the 2019 performance year.
2018 MIPS Scoring 101 Guide
Created 10/28/2018
PDF 4MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Guide providing details about how scores are calculated for MIPS in the 2018 performance year.
2018 CMS QRDA III Schematrons, and Sample Files for Eligible Clinicians and Eligible Professionals
Updated 10/14/2018
ZIP 222KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
2018 Quality Performance Category Fact Sheet
Created 10/14/2018
PDF 956KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Overview of the Quality performance category in the 2018 performance period.
2019 Medicaid Other Payer Advanced APMs in the Quality Payment Program
Created 10/14/2018
PDF 434KB
  |
PY 2019
  |
APMs
  |
Overview
  |
Fact Sheets
Provides a list of Medicaid payment arrangements that CMS has determined to be Other Payer Advanced APMs for the Calendar Year (CY) 2019 QP Performance Period and discusses criteria that must be met.
2018 MIPS Measures and Activities for Anesthesiologists and Certified Nurse Anesthetists
Created 10/14/2018
PDF 1MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty Guides
Highlights measures and activities for MIPS performance categories that apply to anesthesiologists and certified nurse anesthetists in 2018.
2018 CMS Web Interface Measures and Supporting Documents
Created 10/14/2018
ZIP 8MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Provides information on the measures necessary to submit data through the CMS Web Interface in 2018.
2019 Payment Adjustment Infographic
Created 10/14/2018
PDF 238KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact 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 525KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact 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 Group Participation in MIPS
Created 10/14/2018
PDF 11MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Fact Sheets
Outlines group participation requirements in Year 2 of QPP.
2018 CAHPS for MIPS Survey CMS Approved Survey Vendors
Created 10/14/2018
PDF 405KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical 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 457KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Provides an overview of the self-nomination process and necessary requirements to self-nominate for qualified registries.
2017 Targeted Review User Guide
Created 09/14/2018
PDF 1MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Guide is intended to help those who are requesting CMS to review their 2019 MIPS payment adjustment and lists steps to request a targeted review.
2017 Targeted Review Fact Sheet
Created 09/14/2018
PDF 649KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Fact sheet providing an overview of the 2019 MIPS payment adjustment targeted review process.
2018 MIPS Data Validation Criteria
Created 09/11/2018
ZIP 15MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Lists the 2018 criteria used to audit and validate data submitted in each performance category
2018 CMS Web Interface & CAHPS for MIPS Survey Assignment Methodology
Created 09/10/2018
PDF 656KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Describes the process for assigning beneficiaries to a group or a virtual group participating in the Merit-based Incentive Payment System (MIPS) in 2018
2018 MIPS Measures and Activities for Radiologists
Created 09/06/2018
PDF 1MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty 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 1MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Specialty 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 1MB
  |
PY 2018
  |
APMs
  |
Overview
  |
Technical Guides and User Guides
Provides an overview of APM Entity or Eligible Clinician Initiated Other Payer Advanced APM Determination Proceeds(Eligible Clinician Initiation Process).
2017 Quality Benchmarks
Created 08/29/2018
ZIP 1MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Zip file containing MIPS benchmark information for the Quality performance category.
2017 Qualified Registries
Created 08/27/2018
PDF 1MB
  |
PY 2017
  |
Both
  |
Quality
  |
Technical Guides and User Guides
List of qualified registries able to report data for the Quality, Advancing Care Information, and Improvement Activities performance categories on behalf of MIPS clinicians in 2017.
2018 Claims Data Submission Fact Sheet
Created 08/21/2018
PDF 444KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Details how to submit Quality data through claims in 2018
2018 Cost Performance Category Fact Sheet
Created 08/21/2018
PDF 843KB
  |
PY 2018
  |
MIPS
  |
Cost
  |
Fact Sheets
Provides a broad overview of the 2018 Cost performance category.
2019 Virtual Groups Toolkit
Created 08/16/2018
ZIP 1MB
  |
PY 2019
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Includes an agreement template, sample email, and a general overview of virtual groups and the election process
2019 Self-Nomination Toolkit for QCDRs & Registries
Created 08/14/2018
ZIP 3MB
  |
PY 2019
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Contains resources for QCDRs and Qualified registries to self-nominate for the 2019 performance year.
2017 Performance Feedback User Guide
Created 08/13/2018
PDF 4MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Guide addresses MIPS performance feedback as displayed on qpp.cms.gov and offers additional resources.
2018 Exceptions FAQs
Created 08/03/2018
PDF 469KB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
Lists questions and answers on topics relating to 2018 hardship exceptions
2018 Predictive QP Methodology Fact Sheet
Created 08/02/2018
PDF 474KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Fact Sheets
Includes an overview of Predictive Qualifying Participant (QP) Status Analysis, Predictive QP and Partial QP determination steps, how eligible clinicians and beneficiaries were determined, and how thresholds were calculated.
2018 Quality Measure Specifications Supporting Documents
Created 07/31/2018
ZIP 10MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Provides guidance for the 2018 QPP individual measure specifications and measure flows for claims and registry submissions.
2018 Cost Measures
Created 07/27/2018
ZIP 926KB
  |
PY 2018
  |
MIPS
  |
Cost
  |
Measure Specifications and Benchmarks
Provides overview of the 2018 TPCC and MSBP Cost measures calculation and methodology.
2018 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals
Updated 07/27/2018
PDF 5MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
2018 Other MIPS APM Quality Performance Category
Created 07/27/2018
PDF 543KB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
Discusses the Other MIPS APM Quality Performance Category in Year 2 (2018) of the QPP.
2017 Enterprise Identity Data Management (EIDM) User Guide
Created 07/20/2018
PDF 2MB
  |
PY 2017
  |
Both
  |
Overview
  |
Technical Guides and User Guides
Guide for users who need an EIDM account and/or Physician Quality and Value Program role to submit or access QPP data.
2017 Enterprise Identity Data Management (EIDM) ACO User Guide
Created 07/20/2018
PDF 2MB
  |
PY 2017
  |
Both
  |
Overview
  |
Technical Guides and User Guides
Guide describes EIDM roles for the ACO Security Official and the ACO's Web Interface Submitter only.
2017 Performance Feedback Fact Sheet
Created 07/13/2018
PDF 515KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Fact sheet provides more information about receiving your MIPS performance feedback.
2018 MIPS Participation and Overview Fact Sheet
Created 07/11/2018
PDF 630KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Fact Sheets
Provides a list of eligibility requirements to participate in 2018 MIPS, and a comparison of 2017 and 2018 final policies.
2018 MIPS Bonus Overview Fact Sheet
Created 07/11/2018
PDF 778KB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Fact 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 748KB
  |
PY 2018
  |
MIPS
  |
Promoting Interoperability
  |
Fact 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 430KB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
Provides an overview of 2018 Medicare Shared Savings Program and MIPS Interactions in Year 2 (2018) of the QPP.
2017 30-day All-Cause Hospital Readmission Measure
Created 06/08/2018
ZIP 512KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
30-day All-Cause Hospital Readmission measure specification sheet.
2018 30-day All-Cause Hospital Readmission Measure Specifications
Created 06/08/2018
ZIP 433KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Provides details on measure development for the 30-Day All-Cause Hospital Readmission Measure
2018 Promoting Interoperability Measure Specifications
Created 06/06/2018
ZIP 11MB
  |
PY 2018
  |
MIPS
  |
Promoting Interoperability
  |
Measure Specifications and Benchmarks
Details 2018 PI measures, transition measures, and corresponding calculations
2018 QCDR Measure Specifications
Created 05/29/2018
XLSX 694KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Details 2018 QCDR measures and corresponding calculations
2018 Improvement Activities Performance Category Fact Sheet
Created 05/24/2018
PDF 571KB
  |
PY 2018
  |
MIPS
  |
Improvement Activities
  |
Fact Sheets
Provides an overview of the 2018 Improvement Activities performance category
2018 Clinician Champions Program Fact Sheet
Created 05/22/2018
PDF 321KB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
Provides a list of criteria to become a clinician champion.
2018 Clinician Champions Program Nomination Form
Created 05/22/2018
PDF 1MB
  |
PY 2018
  |
Both
  |
Overview
  |
Fact Sheets
Includes the nomination form to be considered for a clinician champion.
Submitting Medicare health plan requests for determinations
Created 05/21/2018
PDF 1MB
  |
PY 2018
  |
APMs
  |
Overview
  |
Specialty Guides
Contains an overview on how Medicare Health Plans (inc. Medicare Advantage) make a request for Other Payer Advanced PM Determination for the QPP via the Health Plan Management System.
2018 Quality Payment Program All-Payer Combination Option & Other Payer Advanced Alternative Payment Models Frequently Asked Questions
Created 05/11/2018
PDF 888KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Fact Sheets
Provides an overview of Frequently Asked Questions (FAQs) surrounding All-Payer Combination Option and Other Payer Advanced APMs under QPP.
2018 Promoting Interoperability Performance Category Fact Sheet
Created 05/11/2018
PDF 944KB
  |
PY 2018
  |
MIPS
  |
Promoting Interoperability
  |
Fact Sheets
Provides an overview of the 2018 Promoting Interoperability performance category
2018 CAHPS for MIPS survey vendors FAQs
Created 05/11/2018
PDF 301KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Provides FAQs for vendors for the CAHPS for MIPS Survey.
2018 Quality Performance Category Scoring Web Interface Reporters under the APM Scoring Standard
Created 05/11/2018
PDF 571KB
  |
PY 2018
  |
APMs
  |
Quality
  |
Fact Sheets
Outlines MIPS Quality performance category scoring scenarios under the APM scoring standard.
2018 QCDR Self-Nomination fact sheet
Created 05/11/2018
PDF 361KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Provides an overview of the self-nomination process, QCDRs, and necessary requirements to self-nominate.
2018 Call for Measures & Activities
Created 05/11/2018
ZIP 4MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Measure Specifications and Benchmarks
Provides detail and rationale for measure and activity development in QPP.
2018 Quality Performance Category Scoring for Alternative Payment Models
Created 05/11/2018
PDF 1MB
  |
PY 2018
  |
APMs
  |
Quality
  |
Fact Sheets
Provides an overview of scoring of the Quality performance category in MIPS APMs in Year 2 (2018) of the QPP.
2018 Improvement Activities
Created 05/03/2018
ZIP 1MB
  |
PY 2018
  |
MIPS
  |
Improvement Activities
  |
Fact 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 1MB
  |
PY 2018
  |
APMs
  |
Overview
  |
Technical Guides and User Guides
Includes an overview of submitting CMS Multi-Payer Model Requests for Other Advanced APM Determinations, including commercial payers
2017 Improvement Activities Data Validation Criteria
Created 04/16/2018
PDF 364KB
  |
PY 2017
  |
MIPS
  |
Improvement Activities
  |
Technical 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 415KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Provides an overview of CMS Web Interface in 2018
2017 MIPS Improvement Activities Fact Sheet
Created 04/06/2018
PDF 109KB
  |
PY 2017
  |
MIPS
  |
Improvement Activities
  |
Fact Sheets
Fact sheet providing details on how to choose, submit, and report for the MIPS Improvement Activities performance category.
2017 MIPS Data Validation Criteria
Created 04/03/2018
ZIP 3MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Zip file of MIPS data validation criteria.
2017 CAHPS for MIPS Survey Vendors
Created 04/03/2018
PDF 218KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
List of survey vendors approved to administer the CAHPS for MIPS survey for 2017.
2018 CAHPS for MIPS Survey Overview Fact Sheet
Created 03/27/2018
PDF 633KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Provides an overview of CAHPS for MIPS Survey in 2018
2018 CAHPS for MIPS Survey – Sample Copy
Created 03/27/2018
PDF 665KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Provides an example of a CAHPS for MIPS Survey in 2018
2018 Scores for Improvement Activities in MIPS APMs
Created 03/23/2018
PDF 608KB
  |
PY 2018
  |
Both
  |
Improvement Activities
  |
Fact Sheets
Provides an overview of scoring of IA in MIPS APMs in Year 2 (2018) of QPP.
2018 All-Payer Combination Option glossary
Created 03/22/2018
PDF 382KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Fact Sheets
Contains definitions relevant to the All-Payer Combination Option.
2017 MIPS Group Participation Guide
Created 03/21/2018
PDF 8MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Technical 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 10MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Quality measure specification supporting documents including claims registry information and webpage release notes.
2018 CAHPS for MIPS survey vendors Application
Created 02/27/2018
PDF 1MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Provides a participation form/application for vendors for the CAHPS for MIPS Survey.
2018 CAHPS for MIPS survey vendors Minimum Business Requirements
Created 02/27/2018
PDF 403KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Provides information on the minimum business requirements for vendors for the CAHPS for MIPS Survey.
2017 MIPS Claims-based Quality Measures Projections & Results
Created 02/21/2018
PY 2017
  |
MIPS
  |
Quality
  |
Videos
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/A
  |
PY 2018
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Lists 2018 Claims Registry Measures
2017 Claims Data Submission Fact Sheet
Created 02/07/2018
PDF 515KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Fact Sheets
Fact sheet detailing how to submit data through claims for the Quality performance category and gives billing staff helpful data collection and submission tips.
2017 Advancing Care Information Performance Category Fact Sheet
Created 02/06/2018
PDF 554KB
  |
PY 2017
  |
MIPS
  |
Advancing Care Information
  |
Fact Sheets
Fact sheet detailing specific information on the Advancing Care Information performance category.
2017 Comprehensive List of APMs
Created 02/05/2018
PDF 351KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Technical Guides and User Guides
List displaying the APMs that CMS operates.
2018 Comprehensive List of APMs
Created 02/05/2018
PDF 459KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Fact 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 479KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Document detailing how to proceed with MIPS participation if clinicians were affected by natural disasters in 2017.
2018 QPs Methodology Fact Sheet
Created 02/01/2018
PDF 2MB
  |
PY 2018
  |
APMs
  |
Overview
  |
Fact Sheets
Provides an overview of the determination of Qualifying Participants (QPs) and Partial QPs, how CMS will identify eligible clinicians participating in Advanced APMs, and how to calculate payment amount threshold scores.
2018 Guide to Submitting Medicaid Requests for Other Payer Advanced APM Determinations (Payer Initiated Submission Form)
Created 02/01/2018
PDF 902KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Technical Guides and User Guides
Provides an overview on submitting Medicaid requests for Other Payer Advanced APM Determinations and walks through the Payer Initiated Submission Form.
2017 QPs Methodology Fact Sheet
Created 02/01/2018
PDF 377KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact Sheets
Fact sheet describes the process and methodology that CMS will use to identify eligible clinicians who, through their participation in APMs, are qualifying APM participating for a year and will be eligible to receive the 5% APM incentive payment.
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 386KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Technical Guides and User Guides
Provides Managed Care Organizations (MCOs) an overview of the submission process (conducted by the States), and to outline information necessary for States to collect from MCOs.
2017 CMS Web Interface Data Dictionary
Created 01/29/2018
PDF 510KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical 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 19KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Web interface excel to XML mapping.
2017 CMS Web Interface User Guide
Created 01/29/2018
PDF 9MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Detailed instructions on how to use the CMS web interface.
Advancing Care Information Measure Specifications
Created 01/24/2018
ZIP 13MB
  |
PY 2017
  |
MIPS
  |
Advancing Care Information
  |
Measure Specifications and Benchmarks
2017 MIPS Advancing Care Information measures and transition measures specification sheets.
2017 MIPS 101 Scoring Guide
Created 01/24/2018
PDF 3MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
MIPS scoring guide for the 2017 performance period.
2018 Patient Facing Encounter Codes
Created 01/23/2018
ZIP 238KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Lists the determinants used to assess the non-patient facing status of 2018 MIPS eligible clinicians
2018 Other Payer Advanced APM Determination Process: Medicare Health Plans Fact Sheet
Created 01/23/2018
PDF 441KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Fact Sheets
Includes an overview of the All-Payer Combination Option and steps for submitting Medicare Health Plan payment arrangement information to CMS for Other Payer Advanced APM Determinations.
2017 MIPS Advancing Care Information 101 Guide
Created 01/17/2018
PDF 4MB
  |
PY 2017
  |
MIPS
  |
Advancing Care Information
  |
Technical Guides and User Guides
Guide detailing how to participate in the Advancing Care Information performance category of MIPS in 2017.
2017 Participation in the EHR Incentive Programs vs. MIPS
Created 01/12/2018
PDF 501KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Fact sheet comparing the EHR Incentive Programs and MIPs with information on how to determine which program to participate in.
2017 CMS Web Interface Excel Template (with change log)
Created 01/12/2018
XLSX 3MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Web interface excel template with change log included.
2017 CMS Web Interface Excel Template User Guide
Created 01/04/2018
PDF 1MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Detailed instructions on how to use the CMS web interface excel templates.
2017 MIPS Data Submission
Created 01/02/2018
PY 2017
  |
MIPS
  |
Overview
  |
Videos
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 Data Submission Fact Sheet
Created 01/02/2018
PDF 547KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Fact sheet detailing how to submit 2017 transition year data to the Quality Payment Program.
2017 CMS Web Interface Excel Template (with sample data)
Created 01/02/2018
XLSX 5MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Web interface excel template with sample data included.
2017 Advancing Care Information (ACI) Data Submission for APMs
Created 01/02/2018
PY 2017
  |
APMs
  |
Advancing Care Information
  |
Videos
Walkthrough 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 Submission
Created 01/02/2018
PY 2017
  |
MIPS
  |
Quality
  |
Videos
Demonstration of the product features that are available to Qualified Registries and QCDRs for submitting data on behalf of individual clinicians and or groups.
2018 Other Payer Advanced APM Determination Process: CMS Multi-Payer Models
Created 01/01/2018
PDF 450KB
  |
PY 2018
  |
APMs
  |
Overview
  |
Fact Sheets
Includes an overview of the CMS Multi-Payer Model and the All-Payer Combination Option, discusses Steps for submitting CMS Multi-Payer Model payment arrangement information to CMS for Other Payer Advanced APM Determinations.
2017 Cost Measures
Created 12/29/2017
ZIP 751KB
  |
PY 2017
  |
MIPS
  |
Cost
  |
Measure Specifications and Benchmarks
Cost measure information forms for Medicare Spending per Beneficiary and Total per Capita Costs for all Attributed Beneficiaries.
2017 CMS Web Interface Measures and Supporting Documents
Created 12/20/2017
ZIP 21MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Provides information on the measures necessary to submit data through the CMS Web Interface in 2017.
2017 Quality Measure Specifications
Created 12/20/2017
ZIP N/A
  |
PY 2017
  |
MIPS
  |
Quality
  |
Measure Specifications and Benchmarks
Quality claims & registry measures.
2017 Qualified Clinical Data Registries
Created 12/19/2017
PDF 4MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical 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 670KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact Sheets
Fact sheet provides a brief overview of the CMS process for determining whether payment arrangements with payers other than Medicare meet the criteria for Other Pay Advanced APM under the All-Payer Combination Option.
2017 Comprehensive Care for Joint Replacement Under QPP Fact Sheet
Created 12/06/2017
PDF 318KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact Sheets
Document explains how an attribution-eligible beneficiary is defined for the Advanced APM track of the Comprehensive Care for Joint Replacement Model solely for purposes of making QP determinations in the Quality Payment Program.
2017 CMS Web Interface User Demonstration
Created 11/29/2017
PY 2017
  |
MIPS
  |
Quality
  |
Videos
User demonstration video of the CMS Web Interface.
2017 Excel Template Introduction
Created 11/21/2017
PY 2017
  |
MIPS
  |
Quality
  |
Videos
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 756KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty Guides
Provides a non-exhaustive sample of measures that may apply to optometrists.
2017 All-Payer Combination Option & Other Payer Advanced APMs
Created 11/16/2017
PDF 1MB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact Sheets
Fact sheet provides an overview of the final policies regarding the All-Payer Combination Option and Other Payer Advanced Alternative Payment Models.
2017 MIPS Participation Infographic
Created 11/16/2017
PDF 337KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Infographic detailing how eligible clinicians can participate in MIPS in 2017.
2017 MIPS 101 Guide
Created 11/01/2017
PDF 8MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Guide provides a detailed overview and introduction for year 1 of MIPS.
2017 CMS Web Interface Sampling Methodology
Created 11/01/2017
PDF 1MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Explains the sampling methodology for the 15 clinical quality measures reported via the CMS Web Interface.
2017 CMS Web Interface & CAHPS for MIPS Survey Assignment Methodology
Created 11/01/2017
PDF 1MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Describes the process for assigning beneficiaries to groups participating in MIPS.
2017 MIPS Measures for Podiatrists
Created 11/01/2017
PDF 399KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty Guides
Provides a non-exhaustive sample of measures that may apply to podiatrists.
2017 MIPS Measures for Radiologists
Created 11/01/2017
PDF 409KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty Guides
Provides a non-exhaustive sample of measures that may apply to radiologists.
2018 Virtual Groups Toolkit
Created 11/01/2017
ZIP 1MB
  |
PY 2018
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Zip file of Virtual Group Agreement Checklist, Agreement Template, Election Process Fact Sheet, Overview Fact Sheet.
2017 QCDR Fact Sheet
Created 10/16/2017
PDF 673KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Fact Sheets
Fact sheet detailing how to self-nominate and successfully qualify to become a QCDR.
2017 QCDR & Qualified Registries Self-Nomination User Guide
Created 10/16/2017
PDF 2MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Guide to help Qualified Registry and Qualified Clinical Data Registry vendors to self-nominate for MIPS.
2017 Qualified Registry Fact Sheet
Created 10/16/2017
PDF 457KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Fact Sheets
Fact sheet detailing how to self-nominate and successfully qualify to become a qualified registry.
2017 Episode-based Cost Measure Field Test Reports Fact Sheet
Created 10/01/2017
PDF 252KB
  |
PY 2017
  |
MIPS
  |
Cost
  |
Fact Sheets
Fact sheet providing detailed information on episode-based cost measures.
2017 Medicare Shared Savings Program & MIPS Interactions
Created 10/01/2017
PDF 388KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact Sheets
Table detailing ACO MIPS performance category and eligibility status.
2017 MIPS Advancing Care Information Blocking
Created 10/01/2017
PDF 769KB
  |
PY 2017
  |
MIPS
  |
Advancing Care Information
  |
Fact Sheets
Fact sheet detailing how to attest to the prevention of information blocking, under the PI performance category.
2017 Quality Payment Program Key Objectives
Created 10/01/2017
PDF 592KB
  |
PY 2017
  |
Both
  |
Overview
  |
Fact Sheets
Details the strategic objectives for the Quality Payment Program.
2017 MIPS Measures for Ophthalmologists
Created 09/07/2017
PDF 341KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty 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 445KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty 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 498KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty 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 463KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty Guides
Provides a non-exhaustive sample of measures that may apply to emergency medicine clinicians.
2018 Self-Nomination QCDR Measure Submission Template
Created 09/01/2017
XLSX 38KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Provides a template for self-nomination to submit measures as a way to become a QCDR registry.
2018 Merit-based Incentive Payment System (MIPS) Qualified Registry Self-Nomination Fact Sheet
Created 09/01/2017
PDF 621KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Contains an overview of the self-nomination and qualification process to become a qualified registry for the QPP in Year 2.
2017 Eligible Measures Applicability (EMA) Resources
Created 09/01/2017
ZIP 860KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Provides an overview of the EMA process and lists individual quality measures for both registry and claims data submission.
2017 Supplemental Service Payments for APMs Fact Sheet
Created 09/01/2017
PDF 295KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact Sheets
Fact sheet provides details pertaining to supplemental service payments and criteria required to receive these payments.
2018 Self-Nomination Toolkit for QCDRs & Qualified Registries
Created 09/01/2017
ZIP 2MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Contains materials about the QCDR self-nomination process, including fact sheets, a user guide, and a measures submission template.
2018 Quality Payment Program (QPP): Self-Nomination User Guide for QCDRs & Qualified Registries
Created 09/01/2017
PDF 2MB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Provides an in-depth overview of the self-nomination process for both QCDRs and qualified registries.
2017 Alternative Payment Model (APM) Design Toolkit
Created 08/16/2017
PDF 2MB
  |
PY 2017
  |
APMs
  |
Overview
  |
Technical Guides and User Guides
A toolkit for any entities or individuals interested in developing APMS.
2017 MIPS Quality Performance Category Fact Sheet
Created 08/16/2017
PDF 2MB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Fact Sheets
Fact sheet providing an overview of the Quality performance category.
2017 MIPS Quality Performance Category Scoring for MSSP & Next Generation ACOs
Created 07/13/2017
PDF 604KB
  |
PY 2017
  |
APMs
  |
Quality
  |
Fact Sheets
Provides MIPS Quality performance category scoring scenarios, under the APM scoring standard, for groups submitting quality measure data via Web Interface and ACOs.
2017 Quality Reporting Document Architecture (QRDA) III Implementation Guide
Created 07/07/2017
PDF 2MB
  |
PY 2017
  |
Both
  |
Quality
  |
Technical Guides and User Guides
A QRDA III implementation guide for eligible clinicians.
2017 MIPS Measures for Primary Care Clinicians
Created 06/15/2017
PDF 1MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty Guides
Provides a non-exhaustive sample of measures that may apply to primary care clinicians.
2017 CMS Web Interface Fact Sheet
Created 06/15/2017
PDF 414KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Fact 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 1MB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Specialty Guides
Provides a non-exhaustive sample of measures that may apply to cardiologists.
2017 Medicare Shared Savings Program & the Quality Payment Program
Created 06/12/2017
PDF 171KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact 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 1MB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact 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 567KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Technical Guides and User Guides
Guide providing an overview of the Quality Payment Program including participation requirements and reporting periods.
2017 CAHPS for MIPS Survey - Sample Copy
Created 05/25/2017
PDF 340KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Fact Sheets
Example of how to complete the CAHPS for MIPS Survey.
2017 MIPS APMs in the Quality Payment Program
Created 05/23/2017
PDF 192KB
  |
PY 2017
  |
APMs
  |
Overview
  |
Fact Sheets
Fact sheet providing general information about MIPS APMs, the scoring standard, performance period, and how the scoring standard is applied.
2018 Merit-based Incentive Payment System (MIPS) Qualified Clinical Data Registry (QCDR) Self-Nomination Fact Sheet
Created 05/11/2017
PDF 673KB
  |
PY 2018
  |
MIPS
  |
Quality
  |
Fact Sheets
Contains an overview of the self-nomination and qualification process to become a qualified clinical data registry (QCDR) for QPP in Year 2.
2017 Technical Assistance Resource Guide
Created 05/10/2017
PDF 367KB
  |
PY 2017
  |
Both
  |
Overview
  |
Technical Guides and User Guides
Guide providing technical assistance resources to help clinicians successfully participate in the Quality Payment Program.
2017 MIPS Participation Fact Sheet
Created 05/04/2017
PDF 230KB
  |
PY 2017
  |
MIPS
  |
Overview
  |
Fact Sheets
Fact sheet outlining 2017 MIPS participation requirements.
2017 CAHPS for MIPS Fact Sheet
Created 03/31/2017
PDF 221KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Fact Sheets
Overview of the CAHPS for MIPS Survey, including FAQs and requirements.
2017 Support for Small Practices
Created 03/17/2017
PDF 193KB
  |
PY 2017
  |
Both
  |
Overview
  |
Fact Sheets
Fact sheet providing technical assistance resources for small practices.
2017 Advancing Care Information for Vendors
Created 12/29/2016
PDF 83KB
  |
PY 2017
  |
MIPS
  |
Advancing Care Information
  |
Fact Sheets
Fact sheet outlines the steps for EHR Vendors participating in the Quality Payment Program.
2017 Improvement Activities & APMs
Created 12/29/2016
PDF 387KB
  |
PY 2017
  |
APMs
  |
Improvement Activities
  |
Technical Guides and User Guides
Document detailing the improvement activities performance category score CMS will assign participants in each MIPS APMs for the 2017 performance year.
2017 Patient Facing Encounter Codes
Created 12/29/2016
ZIP 310KB
  |
PY 2017
  |
MIPS
  |
Quality
  |
Technical Guides and User Guides
Zip file containing patient-facing encounter code information including a fact sheet and list.

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