Background Resources

Background Resources

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QPP Overview

2018 is the second year of the Quality Payment Program (QPP) under which physicians will have the opportunity to earn bonuses, or face penalties, in the form of positive, neutral, or negative adjustments based on their performance in quality and cost measures and activities and use of their electronic health records (EHRs). This resource provides a brief overview of the two participation pathways under the QPP.

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QPP Resource Navigation Tool

This interactive tool will help you navigate what resources and support organizations are available for QPP if you aren’t sure where to begin or would like additional details on the Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs).

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Guide to Acronymns

This resource provides a guide to the acronyms utilized within the context of the QPP.

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Top 10 Changes for CY 2018 QPP Participation

The top 10 changes to understand for 2018 QPP and MIPS participation to help you and your practice transition from 2017 to 2018.

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CY 2018 QPP Final Rule Overview and Changes (more detailed deck)

Provides an overview of the CY 2018 QPP Final Rule and key changes from 2017 participation requirements to 2018 participation requirements.

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Reporting Mechanisms

This resource provides an overview and guidance on the different reporting mechanisms available for reporting MIPS data, including claims, qualified clinical data registries (QCDRs), qualified registries, electronic health records (EHRs), and the CMS QPP Submission Portal.

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How QPP Affects Medicare Part B Payments

This resource provides an overview of how your Medicare Part B FFS payments are affected depending on which of the two paths— MIPS or Advanced APMs—you select for QPP participation. If you participate in the MIPS pathway, you will receive either a positive, neutral, or negative payment adjustment; if you successfully participate in the Advanced APM pathway, you will receive an incentive payment for payment years 2019-2024.

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Diagram/Landscape of Key Resources and Organizations

Unsure of where or who to go to for more information on QPP, MIPS, and/or Advanced APMs? This resource outlines and lists the QPP “Network of Players,” including, CMS support and practice transformation networks, state medical associations and societies, national specialty societies, measure stewards, etc.

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