Monday, May 23, 2022

New Data Added to 2021 Preliminary MIPS Feedback

Centers for Medicare & Medicaid Services
Quality Payment Program

New Data Added to 2021 Preliminary MIPS Feedback

The Centers for Medicare & Medicaid Services (CMS) makes preliminary performance feedback available on the Quality Payment Program (QPP) website for the measures and activities you report for the Merit-based Incentive Payment System (MIPS) as soon as your data is received.

Since the 2021 submission period closed on March 31, 2022, we've made the following updates to preliminary feedback:

  • We released Medicare Part B claims measure scores for opt-in eligible clinicians in small practices who opted in to MIPS.
  • We finalized performance category reweighting for groups, virtual groups, and Alternative Payment Model (APM) Entities that submitted an Extreme and Uncontrollable Circumstances (EUC) Exception application at the end of the submission period.
  • We updated quality scores to account for any performance period benchmarks that could be calculated for quality measures without a historical benchmark.
  • We released scores for groups, virtual groups, and APM Entities that administered the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey measure.
  • We released scores for the administrative claims quality measures scored under traditional MIPS and the APM Performance Pathway (APP). (Patient-level reports will be released in August.)
  • We added "Items & Services" information. The Items and Services section of performance feedback includes information about your patients' healthcare and emergency department use. The purpose of this data is to provide clinicians and groups with additional information on the types of Medicare covered items used by their patients throughout a calendar year. Items and Services data is for informational purposes only and doesn't affect MIPS scoring.

Cost and Performance Feedback

As announced through the QPP listserv on April 25, 2022, we're reweighting the cost performance category to 0% for all MIPS participants due to the impact of COVID-19 on cost measure performance for the 2021 performance period. We won't provide measure-level scoring information on cost measures, but we'll provide patient-level reports to individuals, groups, and virtual groups on the cost measures for which they met the case minimum. Patient-level reports will be released in August.

New: Final Score Preview

We're introducing a new phase of performance feedback – Final Score Preview – which we'll launch in June. This will be the next time we update performance feedback.

Final Score Preview will provide clinicians the opportunity to preview their 2021 final score, which will determine their 2023 MIPS payment adjustment. During the Final Score Preview, performance feedback will display data associated with the highest final score that could be attributed to the clinician and include all the data required to calculate final scores. Final Score Preview won't include payment adjustment information or patient-level reports.

  • Clinicians are strongly encouraged to preview their final scores and performance feedback during the Final Score Preview period and contact the QPP Service Center (see contact information below) if they have questions or concerns when previewing their 2021 final score.
  • Final Score Preview will allow us to review concerns and identify potential issues before we calculate payment adjustments.

We'll announce when the Final Score Preview period is available through the QPP listserv.

When Will Final Performance Feedback Be Available?

We anticipate that final performance feedback, including your final score and 2023 MIPS payment adjustment, will be available in August 2022. Until then, your scores could change, if we identify any issues that require scoring updates.

Additional Resources

Contact the Quality Payment Program

Contact the Quality Payment Program Service Center at 1-866-288-8292 (Monday-Friday, 8 a.m. - 8 p.m. ET) or by email at: QPP@cms.hhs.gov. To receive assistance more quickly, please consider calling during non-peak hours – before 10 a.m. and after 2 p.m. ET. Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

 


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