Important MIPS Updates

MIPS 2022 Data Submission Period is Now Open 2023 MIPS Payment Adjustments in Effect Based on 2021 Performance QPP Service Center Hold Times Expected to Increase Correction: 2022 MIPS Quality Measures Impacted by the Annual ICD-10 Coding Update MIPS 2022 Data Submission Period is Now Open MIPS Eligible Clinicians Can Start Submitting Their 2022 Data through March 31 The Centers for Medicare & Medicaid Services (CMS) has opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2022 performance year of the Quality Payment Program (QPP). Data can be submitted and updated until 8:00 p.m. ET on March 31, 2023. How to Submit Your 2022 MIPS Data Clinicians will follow the steps outlined below to submit their data: Go to the Quality Payment Program sign in page. Sign in using your QPP access credentials (see below for directions). Submit your MIPS data for the 2022 performance year or review the data reported on your behalf by a third party. (You can't correct errors with your data after the submission period, so it's important to make sure the data submitted on your behalf is accurate.) How to Sign In to the QPP Data Submission System To sign in and submit data, clinicians will need to register in the HCQIS Authorization Roles and Profile (HARP) system. For clinicians who need help enrolling with HARP, please refer to the Quality Payment Program Access User Guide (zip). Note: Clinicians who are unsure about their eligibility to participate in MIPS for the 2022 performance year can check their final eligibility status using the QPP Participation Status Tool. Clinicians and groups that are opt-in eligible will need to make an election to opt-in or voluntarily report before they can submit data. (No election is required for those who don't want to participate in MIPS.) For More Information To learn more about how to submit data, please review the following resources available on the QPP Resource Library: 2022 Data Submission User Guide 2022 Data Submission FAQs 2022 CMS Web Interface User Guide 2022 CMS Web Interface FAQs 2022 APP Data Submission User Guide Additional resources will be posted to the Resource Library later this month. You may also contact the Quality Payment Program at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov. 2023 MIPS Payment Adjustments in Effect Based on 2021 Performance In August 2022, each MIPS eligible clinician received a 2021 MIPS final score and associated payment adjustment factor(s) as part of their 2021 MIPS performance feedback, available on the Quality Payment Program website.  2023 MIPS payment adjustments, based on each MIPS eligible clinician's 2021 MIPS final score, will now be applied to payments made for Part B covered professional services payable under the Physician Fee Schedule. Payment adjustments are determined by the final score associated with your Taxpayer Identification Number (TIN)/National Provider Identifier (NPI) combination. MIPS eligible clinicians, identified by TIN/NPI combination for the 2021 performance year, will receive a positive, neutral, or negative MIPS payment adjustment in 2023 if they: Were a clinician type that was included in MIPS; Enrolled in Medicare prior to January 1, 2021; Weren't a Qualifying Alternative Payment Model (APM) Participant (QP); Were a Partial Qualifying APM Participant (Partial QP) that elected to participate in MIPS as a MIPS eligible clinician; and Met one of the following criteria: Individually exceeded the low-volume threshold; Were in a practice that exceeded the low-volume threshold at the group level and submitted group or APM Entity data; or Were part of an approved virtual group. For More Information Visit the QPP Resource Library for the 2023 MIPS Payment Adjustment User Guide and more Quality Payment Program resources. Upcoming QPP Service Center Hold Times Due to the opening of the 2022 MIPS data submission period, the Quality Payment Program Service Center is projecting an increase in volume between January 3, 2023, and March 31, 2023, which could result in longer wait times. CMS recommends the following to minimize wait times and ensure successful 2022 data submission. Use One Method to Report Issues Due to the anticipated increase in volume at the Quality Payment Program Service Center and to minimize a backlog, please use only one method of reporting for the same issue (email, phone, or CCSQ Support Central). Note: Cases are processed in the order in which they are received regardless of how the Service Center was contacted. Please allow time for processing. Did you know? There are now a variety of methods to contact the Quality Payment Program Service Center: You can now schedule a call with a Service Center Representative at a time that best works for you! Just go to CCSQ Support Central and click "Schedule a Call" at the top of the page. You can also submit a ticket for support by clicking "Request Support." Now Available: Live Chat On December 19, 2022, the Service Center added the Chat feature as another method for customers to contact them for assistance. To contact the Service Center via Chat, you will need to go to the CCSQ Support Central page and click the Chat icon in the lower right area. Submit Your Data Early We encourage you to submit your 2022 MIPS performance period data early during the submission period. Early submission will allow you plenty of time for Service Center assistance if needed. The Quality Payment Program Service Center is open Monday through Friday, 8:00 AM-8:00 PM ET, and can be reached by phone at 1-866-288-8292, by e-mail at: QPP@cms.hhs.gov, or by going to CCSQ Support Central at CCSQ Support Central. Correction: 2022 MIPS Quality Measures Impacted by the Annual ICD-10 Coding Update Note: the previous version of this message listed 2023 CMS ID# numbers in Table 2: eCQMs Identified for Suppression. Please see below for 2022 numbers. What is the Policy for Identifying Impacted Quality Measures? In the calendar year (CY) 2022 Quality Payment Program final rule (85 FR 84898 through 84900), Centers for Medicare and Medicaid Services (CMS) finalized a process to stabilize measure data throughout the performance period when a measure is impacted by International Classification of Diseases, Tenth Revision (ICD-10) updates mid-performance period.   ICD-10 code updates are effective annually on October 1, but quality measure specifications cannot be updated until the next MIPS program year. This annual review process was established to analyze and assess the quality measures to evaluate which measures are significantly impacted by the ICD-10 code updates. During this process, CMS identifies quality measures that meet the standard of 10% or more ICD-10 code changes and notifies Merit-based Incentive Payment System (MIPS) participants of the impacted MIPS quality measures. We determine if a MIPS quality measure is significantly impacted by ICD-10 code updates by comparing the posted 2022 measure specifications with the ICD-10 codes that were deleted or added during the annual ICD-10 code updates, which occurred on October 1 of the performance period. If a MIPS quality measure is impacted by 10% or more ICD-10 code changes, the MIPS quality measure will be truncated. Subsequently, the 2022 performance period and subsequent performance score for the affected quality measure will be based only on the first 9 months of the 12-month performance period OR suppressed for the 2022 performance period. The criteria used to make such determination is as follows: Greater than 10% code changes in the measure numerator, denominator, exclusions, and exceptions. Clinical guideline changes, new products, or procedures reflected in ICD-10 code changes. Feedback on a measure received from measure developers and stewards. For MIPS quality measures identified for truncation, see Table 1 (listing of Medicare Part B Claims measures and MIPS clinical quality measures (CQMs)). Additionally, we determined that the burden for electronic health record (EHR) developers would be prohibitive to truncating the data for the 2022 performance period and it would not be feasible to collect 9 consecutive months of data; therefore, all electronic clinical quality measures (eCQMs) impacted by the 10% or more ICD-10 code changes standard will be suppressed (see Table 2 for list of eCQMs identified for suppression). Which Quality Measures are Impacted for the 2022 Performance Period? The following MIPS quality measures were identified as being impacted for the 2022 performance period due to the annual ICD-10 code update. Table 1: Medicare Part B Claims Measures and MIPS CQMs Identified for Truncation Quality ID # CMS ID # Measure Title Collection Type(s) Measure Steward 006 N/A Coronary Artery Disease (CAD): Antiplatelet Therapy MIPS CQM American Heart Association 134 CMS2v12 Preventive Care and Screening: Screening for Depression and Follow-Up Plan MIPS CQM Medicare Part B Claims Centers for Medicare & Medicaid Services 259 N/A Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2) MIPS CQM Society for Vascular Surgeons 282 N/A Dementia: Functional Status Assessment MIPS CQM American Academy of Neurology/ American Psychiatric Association 283 N/A Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management MIPS CQM American Academy of Neurology/ American Psychiatric Association 286 N/A Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia MIPS CQM American Academy of Neurology/ American Psychiatric Association 288 N/A Dementia: Education and Support of Caregivers for Patients with Dementia MIPS CQM American Academy of Neurology/ American Psychiatric Association 383 N/A Adherence to Antipsychotic Medications For Individuals with Schizophrenia MIPS CQM Centers for Medicare & Medicaid Services 415 N/A Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older MIPS CQM American College of Emergency Physicians 416 N/A Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years MIPS CQM Medicare Part B Claims American College of Emergency Physicians 465 N/A Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries MIPS CQM Society of Interventional Radiology Table 2: eCQMs Identified for Suppression Quality ID # CMS ID # Measure Title Collection Type(s) Measure Steward 005 CMS135v10 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) eCQM American Heart Association 113 CMS130v10 Colorectal Cancer Screening eCQM National Committee for Quality Assurance 134 CMS2v11 Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM Centers for Medicare & Medicaid Services 236 CMS165v10 Controlling High Blood Pressure eCQM National Committee for Quality Assurance 239 CMS155v10 Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents eCQM National Committee for Quality Assurance 281 CMS149v10 Dementia: Cognitive Assessment eCQM American Academy of Neurology 366 CMS136v11 Follow-Up Care for Children Prescribed ADHD Medication (ADD) eCQM National Committee for Quality Assurance You're getting this message because you subscribed to get email updates from the Centers for Medicare & Medicaid Services (CMS). 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