CMS issues alert on MIPS data submission & eligibility

The Centers for Medicare & Medicaid Services distributed the following announcements…

MIPS clinicians can submit 2019 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 2019 performance period of the Quality Payment Program (QPP). Data can be submitted and updated from 10 a.m. EST on January 2, 2020 until 8 p.m. EDT on March 31.

Please note that the data submission period through the CMS Web Interface for ACOs and pre-registered groups and virtual groups also opens on January 2 and closes on March 31. Quality measures reported via Medicare Part B claims have been submitted throughout the 2019 performance period. Sign in to qpp.cms.gov for your preliminary feedback on Part B claims measure data processed to date. We’ll update this feedback at the end of the submission period with claims processed by your Medicare Administrative Contractor within the 60-day run out period. 

How to Submit Your 2019 MIPS Data

Clinicians will follow the steps outlined below to submit their data…

  1. Go to the QPP website
  2. Sign in using your QPP access credentials (see below for directions)
  3. Submit your MIPS data for the 2019 performance period or review the data reported on your behalf by a third party.

Accessing 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 QPP Access User Guide.

Clinicians who are not sure if they are eligible to participate in the QPP can check their final eligibility status using the QPP Participation Status Lookup Tool. Clinicians and groups that are opt-in eligible will need to make an election before they can submit data. (No election is required for those who don’t want to participate in MIPS.)

Small, Underserved & Rural Practice Support

Clinicians in small practices (including those in rural locations), health professional shortage areas, and medically underserved areas may request technical assistance from organizations that can provide no-cost support. To learn more about this support, or to connect with your local technical assistance organization, we encourage you to visit our Small, Underserved & Rural Practices page on the QPP website.

For More Information

To learn more about how to submit data, please review the resources in the QPP Resource Library.

Watch our series of data submission demo videos…

Introduction and Overview of 2019 Data Submission

File Upload and Quality Scoring

Manual Attestation of Improvement Activities

Questions?

Call 866.288.8292 or send an e-mail to QPP@cms.hhs.gov.

Check your initial 2020 MIPS eligibility on QPP website

You can now use the updated QPP Participation Status Lookup Tool to check your initial 2020 eligibility for MIPS.

Just enter your National Provider Identifier (NPI) to find out whether you need to participate in MIPS during the 2020 performance period.

Low Volume Threshold Requirements

To be eligible to participate in MIPS in 2020, you must…

– Bill more than $90,000 a year in allowed charges for covered professional services under the Medicare Physician Fee Schedule (PFS) and

– Furnish covered professional services to more than 200 Medicare Part B beneficiaries and

– Provide more than 200 covered professional services under the PFS.

If you do not exceed all three of the above criteria for the 2020 performance period, you are excluded from MIPS. However, you have the opportunity to opt into MIPS and receive a payment adjustment if you meet or exceed one or two, but not all, of the low-volume threshold criteria. Alternatively, you may choose to voluntarily report to MIPS and not receive a payment adjustment if you do not meet any of the low-volume threshold criteria or if you meet some, but not all, of the criteria.

Find Out Today

Find out whether you’re eligible for MIPS today. Prepare now to earn a positive payment adjustment in 2022 for your 2020 performance.

The 2020 Eligibility Tool Update for QPs/APMs will be updated at a later time. Additionally, the tool will be updated in late 2020 to indicate final MIPS eligibility.

For More Information

– Visit the How MIPS Eligibility is Determined webpage on the QPP website.

– View the 2020 QPP Final Rule Overview Fact Sheet.

Questions?

Call 866.288.8292 or send an e-mail to QPP@cms.hhs.gov.