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 
MIPS 2021 Hospital-Wide All-Cause Unplanned Readmission Measure
CMS released this ZIP file that provides details on the measure development and final specifications for the Hospital-Wide, 30-Day, All-Cause Unplanned Readmission Rate for MIPS groups.
CMS Releases 2020 APM Quality Scoring Resources
This ZIP file from CMS describes the Alternative Payment Model (APM) Scoring Standard for the Quality performance category for MIPS APMs and includes: 1) regulatory guidance for performance year 2020 APM scoring; and 2) a standardized APM scoring methodology for MIPS APMs that reflects the updated procedures for performance year 2020.
2020 QPP MIPS Exception Application Fact Sheet
This PDF from the Centers for Medicare & Medicaid Services (CMS) addresses the extreme and uncontrollable circumstances exception application as it applies to MIPS-eligible clinicians, as well as the MIPS Promoting Interoperability hardship exception application for the 2020 performance period.
CMS' Quality Payment Program COVID-19 Response
This PDF from CMS provides information about changes to the Quality Payment Program (QPP) for the 2019 and 2020 performance periods in response to the 2019 Novel Coronavirus (COVID-19) pandemic and answers frequently asked questions.
2021 MIPS Quality Measures List
CMS released a detailed Excel list of the 2021 Merit-based Incentive Payment System (MIPS) Quality measures. The technical measure specifications and supporting documents for the 2020 MIPS Quality measures will be posted before the start of the performance year.
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Visit the full Resource Library and filter for the "Quality Payment Program" topic area to view more resources.