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: Virtual Group Election Period for MIPS 2021 Now Open
If you’re interested in forming a virtual group for the 2021 Merit-based Incentive Payment System (MIPS) performance year, the election period has started. To form a virtual group, an election must be submitted to the Centers for Medicare & Medicaid Services (CMS) via e-mail by Dec. 31, 2020 (10:59 p.m. Central Time).
Submit MIPS Targeted Review Requests to CMS by Oct. 5, 2020
MIPS-eligible clinicians, groups and virtual groups (along with their designated support staff or authorized third-party intermediary), including Alternative Payment Model (APM) participants, may request the Centers for Medicare & Medicaid Services (CMS) to review the calculation of their 2020 MIPS payment adjustment factor(s) through a process called targeted review. The deadline to submit your request is Oct. 5, 2020 at 7 p.m. (CT).
CMS News: Test Your QPP Website Access Before Network Security Update
To increase network security, a mandatory update will be applied to the Quality Payment Program (QPP) systems in fall 2020. The Centers for Medicare & Medicaid Services (CMS) encourages you to test your web browser and make any necessary updates to ensure your continued access to qpp.cms.gov.
CMS News: Prepare for Field Testing of Episode-Based Cost Measures
This CMS announcement contains MACRA episode-based cost measures info.
CMS Releases 2021 Proposed Rule for the Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) released its proposed policies for the 2021 performance year of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). Read this PDF for details, Aug. 12 webinar, press release and fact sheet.
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Visit the full Resource Library and filter for the "Quality Payment Program" topic area to view more resources.