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Meeting CMS Guidelines: New Reporting System for the Quality Payment Program

Posted by The CareSync Team

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Jan 5, 2018 4:47:54 PM

News on CMS guidelines 2018 has been released with information about a new reporting system for the Quality Payment Program (QPP) under MACRA.

A new reporting system for the Quality Payment Program (QPP) is designed to make it easier for eligible clinicians to report MACRA data and ensure they are meeting CMS guidelines. Learn more about the new system and what it means for reporting 2017 data below.

The Centers for Medicare and Medicaid Services (CMS) has launched a new reporting system for the Quality Payment Program (QPP). The new system, which went into effect last week, is designed to reduce the administrative burdens for meeting CMS guidelines and streamline the data submission process for clinicians who are eligible to participate in the QPP.

How Is the New Reporting System Different?

Previously, clinicians were required to submit data through multiple websites. Now, eligible clinicians can submit data through one system on the Quality Payment Program website.

"The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires CMS to implement the Quality Payment Program, and we are committed to doing so in the least burdensome way possible," said Seema Verma, Administrator of CMS. "The new data submission system makes it easier for clinicians to meet MACRA's reporting requirements and spend more time treating patients instead of filing paperwork."

The announcement about the new reporting system for meeting CMS guidelines comes just as clinicians begin to submit their 2017 performance data for the QPP. The 2017 submission period began January 2, 2018 and runs through March 31, 2018, except for groups using the CMS Web Interface (groups with 25 or more clinicians, including APM entities). Their submission period is a bit shorter: January 22, 2018 to March 16, 2018.

Making Meeting CMS Guidelines Easier: How the New Reporting System for the QPP Works

Learn more about CMS guidelines 2018 and the new reporting system for the Quality Payment Program by visiting the CMS website for QPP.

Eligible clinicians should look for the new sign-in area at the top of the page on qpp.cms.gov to submit their data. After they are logged in, the system will connect them to the Taxpayer Identification Number (TIN) associated with their National Provider Identifier (NPI). Once they are connected to their practice TIN and have the appropriate permissions, they will then be able to report data as an individual or as a group.

Flexibility in reporting through the system and meeting CMS guidelines was achieved by offering multiple data submission options. These options include Qualified Clinical Data Registries (QCDRs), qualified registries, attestation, the CMS Web Interface, submission using a Health IT Vendor, or by generating a non-certified report in either the new QPP file format or QRDA III file format and manually uploading the file into the submission system.

Automatic Feedback and Scoring

According to CMS, as users enter data into the system, they will be able to see real-time initial scoring within each of the Merit-Based Incentive Payment System (MIPS) performance categories. This scoring may change if you participate in an APM, report new data, or use quality measures in the Quality performance category that have not yet been benchmarked.

Get a full collection of MACRA resources for healthcare providers. Click here.Things To Note About the New Reporting System for the Quality Payment Program

  • CMS encourages eligible clinicians to log in early and often to familiarize themselves with the new system and ensure they are ready to satisfy all MIPS reporting requirements.
  • Initially, any status that may apply to a user (Alternative Payment Model, Qualifying APM Participant, or other special status) will not be taken into account.
  • There is no “submit” or “save” button in the system. When you enter data, the system automatically updates your record. You can add data or update your data any time during the submission period.
  • Once the submission period has ended, CMS will calculate payment adjustments based on the last submission or submission update.
  • You must have an Enterprise Identity Management (EIDM) account and an appropriate user role associated with your organization to sign in and submit data to the Quality Payment Program.
  • If you are participating in a MIPS APM or an Advanced APM, CMS asks that you work with your APM entity to discuss any special considerations regarding your submission and performance feedback.

No-Cost Support From CMS

Click here for a fact sheet that provides more details about the new data submission system, including more information for clinicians participating in APMs.

In addition, CMS offers no-cost help to support you through the submission process. You can:

Download a free white paper about Medicare's Chronic Care Management. Click here.

Care Coordination Services Bolster QPP Performance

Do you know the connection between care coordination services like Medicare’s Chronic Care Management program and MACRA performance? Download our free MACRA White Paper and our free CCM White Paper to learn more. Or, to discuss how CareSync™ can provide CCM services to your patients on your behalf, call us at 800-501-2984 or email sales@caresync.com.


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