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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

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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These items also available in the Resource Library

Let's Talk QPP! Time to Report for 2020

The submission period for the 2020 MIPS performance year began Jan. 4, 2021. In this webinar, TMF consultants discuss how to prepare to submit data, including considerations regarding exception applications that may have been approved.

Using the TMF MIPS Toolbox for Modeling Data Submission Strategies

The TMF MIPS Toolbox is designed to help practices develop a strategy for the Merit-based Incentive Payment System (MIPS). By using the Toolbox to model different scenarios, practices can make decisions to help increase their MIPS scores.

Introduction to MIPS for 2021

This TMF article (PDF) will introduce you to the Merit-based Incentive Payment System (MIPS) changes to look forward to this coming performance year.

Let's Talk QPP! Overview of the 2021 Final Rule

As 2020 is ending, you need to prepare for the 2021 program year of the Merit-based Incentive Payment System (MIPS). With an increased low-volume threshold, clinicians must strategize and begin their work on the 2021 reporting year right away. TMF consultants provide an overview of the Centers for Medicare & Medicaid Services' (CMS) 2021 Final Rule, and some tips on getting started when the new year begins.

MIPS Audit Readiness 2020

Under MIPS, CMS conducts an annual data validation process. Clinicians are randomly selected for the audit.

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