Quality Payment Program
Healthy People, Healthy Communities
Quality Payment Program
HealthInsight Can Help your Practice with QPP
We can help you maximize the well-being of your patients and staff while staying financially viable.
Serving New Mexico, Nevada, Oregon and Utah
HealthInsight is ready to help practices take an integrated approach to the Quality Payment Program. We have studied the rules and stay informed on updates, clarifications and CMS learning opportunities. Some of the support we can offer:
- Strategies to address multiple aspects of QPP while building your practice's capacity to achieve long-term success under alternative payment models
- Guidance on how to use new revenue codes to build your practice's capacity to succeed across many newer payment programs
- Support on how to advance through the stages of QPP to succeed initially and as the requirements build
- Resources to help meet program requirements
- Linkage to HealthInsight initiatives to count toward meeting QPP requirements
- Connecting with your state health information exchange to help support QPP
- Support for measure selection that aligns to your goals and priorities across MIPS categories
Health Care Practitioners in Nevada, New Mexico, Oregon and Utah:
HealthInsight is offering technical assistance and strategies to ensure success in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program. This support is available at no cost to your practice. We have studied the rules and stay informed on updates, clarifications and learning opportunities from CMS.
New Mexico providers with 15 or fewer eligible clinicians
For New Mexico practices with 15 or fewer health care practitioners, particularly those in medically underserved and rural areas, the Health Services Advisory Group, Inc., (HSAG) headquartered in Phoenix, Arizona, has been selected to provide this support, also at no cost to the practice. HealthInsight intends to work collaboratively with HSAG in developing a smooth hand-off process to seamlessly assist smaller practices on their Quality Payment Program efforts. HealthInsight will continue to assist practices in New Mexico with 16 or more health care practitioners.
Understanding the Quality Payment Program
Use this free online MIPS Estimator to determine which measures and data submission methods give you the highest baseline Merit-based Incentive Payment System (MIPS) composite score. Then, make workflow changes to improve patient outcomes and work towards improving your MIPS score to achieve the highest possible reimbursement in 2017.
This calculator is a tool to estimate how well you will be scored and reimbursed in the MIPS program based on the four categories of Quality, Advancing Care Information, Improvement Activities and Cost. The information generated from this tool will help target areas for improvement.
How do you know if your medical practice needs to participate in the Quality Payment Program in 2017? The Medicare Learning Network Management Systems offers a simple, online and self-paced course on participating in the Quality Payment Program and picking a pace that works for your practice. The course provides information on:
- The basics of the Quality Payment Program
- Steps to take to actively participate in the Quality Payment Program to avoid a payment penalty and possibly earn a positive payment adjustment
- Factors to consider in choosing how to participate in the program through either the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (APM).
ACCME Designation Statement: The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM
CMS will make the Annual Quality and Resource Use Reports (QRURs) available for 2016. This page will contain additional links to templates, methodologies and supporting information for the 2016 Annual QRURs and the 2018 Value Modifier.
Advancing Care Information Resources
MIPS Submission Information
This is a demonstration of the product features available to Qualified Registries and Qualified Clinical Data Registries (QCDRs) for submitting data on behalf of individual clinicians and or groups.
This walkthrough shows how Advancing Care Information reporting is completed for Alternative Payment Model entities using the new user interface at qpp.cms.gov.
The Merit-based Incentive Payment System (MIPS) program data submission is comprised of three performance categories: Quality, Advancing Care Information and Improvement Activities. This video shows users who represent groups and/or individual clinicians how to submit data for these categories in a few specific ways.
This video provides a thorough review of the MIPS attestation web site. It includes information on scoring, the 3 domains being scored for 2017, along with information on how to utilize it and fill out your attestation information. It also includes information on how the system works with your registry if you are using one.
Advanced Alternative Payment Models
CMS has published a table displaying the Alternative Payment Models (APMs) that CMS operates. In the table CMS identifies which of those APMs CMS has determined to be MIPS APMs or Advanced APMs.
Curious to know how QPP lookup tools for APM and MIPS Clinicians work? Clinicians simply enter their National Provider Identifier and receive their QPP APM eligibility and participation requirements. APM participants should use the APM Lookup Tool to check their status, not the MIPS Lookup Tool. The MIPS Lookup Tool doesn't reflect APM participation. If conflicts arise between the QP and MIPS Lookup Tools, CMS will base APM clinician status on results from the APM Lookup tool.
American Medical Association and the Center for Healthcare Quality and Payment Reform
Understanding Payment Reform
Network for Regional Healthcare Improvement
Join this information session to understand what it means to participate in MIPS with a test, partial and full reporting submission, and the benefits to participating to the greatest extent possible this year. Leave the session with a clear plan for gathering and reporting your performance data in each MIPS category. The first part of this session will include a review of all the steps you need to take to report for 2017. The second half will be an open question and answer session with MIPS experts.
QPP Webinar Series - 2 minute warning - Slide Deck Webinar presented on Sept. 19, 2017
This session will include information on using the eCQI process to select areas for improvement and how to use a methodology to guide the improvement process.
QPP Webinar Series - Improving Your Score with eCQI - July 11, 2017 Slides
This will be an in-depth session on how to score each category.
QPP Webinar Series - Submission and Scoring Methods - June 27, 2017 Slides
This session will include a deeper dive into two components of the MIPS portion of QPP, including costs and advancing care information. Tools you can use today to assess your costs will be reviewed, along with ways to improve interoperability.
Slides from the QPP Webinar Series- MIPS Deep Dive: Advancing Care Information and Costs - presentation on May 23, 2017
This session will include a deeper dive into the MIPS portion of QPP, including information on how you can be successful in the MIPS program, how to choose quality measures, how to improve quality measures, documentation and reporting, and how to complete an improvement activity.
Copy of the slide deck for the QPP webinar presented on May 16, 2017
This session will include a broad overview of the QPP program including who it impacts, what it is, when it will start, how it fits into the big picture and how to be successful in the QPP program.
Email us or call the number below to get in contact for any questions you may have.