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Quality Payment Program

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.

Announcements
New Resources

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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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Let's Talk QPP! What Is EMA and How Is It Used for MIPS?

When clinicians report fewer than the required six quality measures, CMS uses the Eligible Measure Applicability (EMA) process to verify if other measures were available to report. In this Oct. 7, 2020, webinar, TMF consultants review how this works, and who may be affected by the use of the EMA.

Free Education Modules: Understanding the COVID-19 Pandemic

John Hopkins University offers a new, free e-learning course to help people understand the COVID-19 pandemic. The course is set up as a series of short modules to explore the pandemic and specifics about the virus, including discussion of the virus that causes COVID-19 and the pandemic’s broader implications for society.

Let's Talk QPP! Exceptions and Exclusions for 2020: What Is Best for Our Practice?

In 2020 with the COVID-19 public health emergency, many options have been opened up to clinicians and providers to apply for hardship exceptions in the Merit-based Incentive Payment System (MIPS). In addition, there are a number of exclusions for the Promoting Interoperability measures available. However, each practice must consider if it is in their best interest to take these exceptions or exclusions. TMF consultants review the pros and cons in this session, walk through the options that the Centers for Medicare & Medicaid Services (CMS) has provided, and the impacts on future considerations for practices.

Appendix B - Cost Workshop Implementation Guide

This is Appendix B of TMF's 2020 Cost Workshop Implementation Guide.

Let's Talk QPP! TMF MIPS Toolbox 2020 Update

The TMF MIPS Toolbox is a tool to assist practices to select measures, model performance and report data to the Centers for Medicare & Medicaid Services (CMS) for the Merit-based Incentive Payment System (MIPS). In this session, TMF consultants walk you through the entire MIPS Toolbox with the updates for the 2020 performance year. The demonstration covers how to get set up, select your measures and monitor your MIPS progress.

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For an immediate response Monday through Friday, 8 a.m. to 5 p.m. CT:

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1-844-317-7609

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Quality Payment Program

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