Quality Payment Program

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TMF Health Quality Institute helps clinicians successfully participate in the Quality Payment Program (QPP), the Medicare payment program that replaces fee-for-service reimbursement with a value-based approach that promotes efficient, patient-centered care.

TMF provides individualized support for all aspects of the QPP and the Merit-based Incentive Payment System (MIPS), one of the two QPP payment tracks. The Centers for Medicare & Medicaid Services (CMS) has contracted with TMF to provide QPP assistance to clinicians in small (15 or fewer clinicians) and rural practices in Arkansas, Colorado, Kansas, Louisiana, Mississippi, Missouri, Oklahoma, Puerto Rico and Texas.

Upcoming Events

Check out educational events, workshops and office hour webinars from TMF and other relevant sources.

TMF MIPS Toolbox

The Toolbox is a free online application to help clinicians organize and monitor their MIPS participation.

CMS QPP Website

Check your MIPS eligibility, review category requirements, access resources and log in to your QPP Portal.

These items also available in the Resource Library 
CMS News: New 2020 Events Added to Automatic Extreme and Uncontrollable Circumstances for MIPS
In response to the Federal Emergency Management Agency (FEMA) designation of Hurricane Laura as a national disaster, the Centers for Medicare & Medicaid Services (CMS) has determined that the automatic extreme and uncontrollable circumstances policy will be applied to Merit-based Incentive Payment System (MIPS) eligible clinicians in FEMA-identified areas in Louisiana.
CMS Will Retire the Original Compare Tools Dec. 1
In September, the Centers for Medicare & Medicaid Services (CMS) released Care Compare on Medicare.gov. The eight original compare tools – like Nursing Home Compare, Hospital Compare, Physician Compare – will be retired Dec. 1, 2020, ending this transition period.
CMS News: QP Thresholds Are Increasing in 2021; You May Need to Participate in MIPS Next Year
Qualifying Alternative Payment Model (APM) Participant (QP) thresholds are increasing beginning Jan. 1, 2021. If you were a QP for the 2020 performance year, you may not necessarily receive QP status for the 2021 performance year. Depending on your status in 2021, you may be required to participate in the Merit-based Incentive Payment System (MIPS) even if you haven’t in previous years. This PDF answers your questions.
CMS News: 2021 MIPS Eligibility Decision Tree
This PDF from the Centers for Medicare & Medicaid Services (CMS) helps clinicians determine if they are eligible to participate in the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP) in the 2021 performance period.
CMS News: 2019 QPP Participation Results
This infographic (PDF) shows 2019 participation data and 2021 payment adjustment data for the Quality Payment Program (QPP).
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Visit the full Resource Library and filter for the "Quality Payment Program" topic area to view more resources.