Q&As and Articles

Only show items containing the term:
 
SORT BY
Search Resource Center
 

Q&A: Keeping Your QPP Portal Up to Date
Once you create a Quality Payment Program (QPP) Portal account at qpp.cms.gov, some maintenance is required. This article reviews some key elements that need regular updating.
Adobe PDF    Date Added: 10/18/2021    Date Last Modified: Oct 18 2021 3:17PM  
MIPS Toolbox User Guide
The TMF MIPS Toolbox is a free online application to help eligible clinicians manage their participation in the Quality Payment Program’s Merit-based Incentive Payment System (MIPS). Here is a detailed instruction guide.
Adobe PDF    Date Added: 10/14/2021    Date Last Modified: Oct 14 2021 12:24PM  
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. TMF's article has been updated for 2021.
Adobe PDF    Date Added: 09/16/2021    Date Last Modified: Sep 16 2021 1:33PM  
MIPS Hardship Exceptions for the 2021 Performance Year
The events of 2021 may have resulted in challenges for clinicians participating in the Merit-based Incentive Payment System (MIPS). To help ease clinician burden, there are two types of exceptions in 2021.
Adobe PDF    Date Added: 09/14/2021    Date Last Modified: Sep 14 2021 3:00PM  
Cybersecurity for the MIPS Practice
TMF's new article identifies some vulnerabilities and what you can do to protect your practice.
Adobe PDF    Date Added: 09/13/2021    Date Last Modified: Sep 13 2021 2:52PM  
TMF MIPS Toolbox Quick-Start Guide
This Quick-Start Guide helps you get started on TMF's MIPS Toolbox, a free online application to help eligible clinicians manage their participation in the Quality Payment Program’s Merit-based Incentive Payment System (MIPS).
Adobe PDF    Date Added: 09/10/2021    Date Last Modified: Sep 10 2021 2:37PM  
Q&A: Resolving EHR Issues
Electronic health record (EHR) systems are complex, and at times problems develop that may hamper a practice’s ability to perform the tasks that are required. This article identifies a path to resolving some of these problems.
Adobe PDF    Date Added: 07/26/2021    Date Last Modified: Jul 26 2021 10:34AM  
What to Ask Your EHR Vendor about MIPS Reporting
Your electronic health record (EHR) system is an important tool in reporting your Merit-based Incentive Payment System (MIPS) data. This article provides a list of questions to consider asking your vendor to ensure you have the support you need to report MIPS.
Adobe PDF    Date Added: 07/26/2021    Date Last Modified: Jul 26 2021 1:59PM  
APP Decision Tree
The Alternative Payment Model (APM) Performance Pathway (APP) is a reporting pathway for participants in MIPS APMs. This APP Decision Tree (PDF) assists clinicians and groups in deciding the best reporting method this year.
Adobe PDF    Date Added: 07/06/2021    Date Last Modified: Jul 6 2021 12:53PM  
Q&A: New Information Blocking Rules and Regulations
The 21st Century Cures Act identified new information blocking rules and regulations that took effect April 5, 2021. TMF's new Q&A (PDF) answers questions about information blocking and these rules as they apply to MIPS reporting.
Adobe PDF    Date Added: 06/11/2021    Date Last Modified: Jun 11 2021 2:38PM  
Q&A: Health Information Exchange and MIPS Measures
This TMF PDF addresses Health Information Exchanges (HIEs) and how they affect measures in the Merit-based Incentive Payment System (MIPS).
Unknown item type    Date Added: 06/03/2021    Date Last Modified: Jun 3 2021 4:36PM  
Q&A: Introducing the APM Performance Pathway (APP)
This TMF PDF answers questions about the Alternative Payment Model (APM) Performance Pathway (APP), which was introduced in 2021 by the Centers for Medicare & Medicaid Services (CMS) as a method of reporting and scoring the Merit-based Incentive Payment System (MIPS) for eligible clinicians who also participate in a MIPS APM.
Adobe PDF    Date Added: 04/21/2021    Date Last Modified: Apr 22 2021 1:04PM  
2021 MIPS Checklist
This checklist is a tool for eligible clinicians and staff to prepare for and submit data for the 2021 Merit-based Incentive Payment System (MIPS) program.
Adobe PDF    Date Added: 03/26/2021    Date Last Modified: Mar 26 2021 3:56PM  
2021 MIPS Quality Measure Changes
CMS made numerous changes to the Merit-based Incentive Payment System (MIPS) Quality category for 2021. These changes may impact your Quality score in some of the measures that you typically report for MIPS. This article reviews some of those changes that may affect your choice of Quality measures.
Adobe PDF    Date Added: 03/11/2021    Date Last Modified: Mar 11 2021 10:24AM  
Q&A: Moving from MIPS to an ACO — What Do I Need to Know?
There are two tracks in the Quality Payment Program (QPP) in which clinicians can choose to participate: the Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs). This article from TMF answers your questions about accountable care organizations (ACOs) and MIPS.
Adobe PDF    Date Added: 03/09/2021    Date Last Modified: Mar 9 2021 3:25PM  
Medicare Annual Wellness Visit and MIPS Quality Measures
The Medicare Annual Wellness Visit (AWV) is an excellent way to perform needed services and capture Merit-based Incentive Payment System (MIPS) Quality measure data at the same time. This TMF article explains how.
Adobe PDF    Date Added: 02/09/2021    Date Last Modified: Feb 9 2021 10:22AM  
Q&A: Finding Quality Measures Using Single Source Documents
Read this new Q&A by TMF to learn how Single Source documents can help identify applicable MIPS Quality measures for clinicians or practices.
Adobe PDF    Date Added: 02/09/2021    Date Last Modified: Feb 9 2021 4:37PM  
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.
Adobe PDF    Date Added: 12/11/2020    Date Last Modified: Dec 11 2020 2:05PM  
MIPS Audit Readiness 2020
Under MIPS, CMS conducts an annual data validation process. Clinicians are randomly selected for the audit.
Adobe PDF    Date Added: 12/09/2020    Date Last Modified: Dec 18 2020 3:51PM  
Security Risk Analysis Fact Sheet
This PDF explains the Security Risk Analysis (SRA), which is a requirement for the Promoting Interoperability (PI) category of the Merit-based Incentive Payment System (MIPS), as well as the HIPAA Security Rule.
Adobe PDF    Date Added: 11/12/2020    Date Last Modified: Nov 12 2020 3:24PM  
Updating Your PECOS and NPPES Information
This TMF PDF explains the Centers for Medicare & Medicaid Services' (CMS) enrollment systems — the Medicare Provider Enrollment, Chain, and Ownership System (PECOS), and the National Plan & Provider Enumeration System (NPPES) — which manage provider information and identifiers.
Adobe PDF    Date Added: 11/05/2020    Date Last Modified: Nov 5 2020 1:28PM  
Converting a Cellphone Number to an Email Address for Creating a Patient Portal Account
Typically patient portals require an email for a patient to create an account. If the patient or a family member does not have an email account to use for the patient portal, you can help them create one by converting their cellphone to an email address.
Adobe PDF    Date Added: 11/02/2020    Date Last Modified: Nov 2 2020 2:46PM  
Q&A: Exceptions Versus Exclusions for the Promoting Interoperability Category
Explore the MIPS PI category exceptions or the measure-specific exclusions to determine whether any apply to you. The clinician or practice must also consider whether their final MIPS score will be higher by taking an overall exception for the entire PI category, or taking selective measure-specific exclusions and receiving a PI score. This PDF helps answer those questions.
Adobe PDF    Date Added: 10/21/2020    Date Last Modified: Oct 21 2020 2:38PM  
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.
Adobe PDF    Date Added: 08/21/2020    Date Last Modified: Aug 21 2020 12:40PM  
2020 MIPS Score Calculation
This TMF document provides detailed information about how your final Merit-based Incentive Payment System (MIPS) score will be calculated in 2020.
Adobe PDF    Date Added: 07/28/2020    Date Last Modified: Jul 30 2020 2:31PM  
Why Do I Need a HARP Account?
Logging into the QPP Portal now requires HARP credentials. This Q&A explains how to get those credentials and log in.
Adobe PDF    Date Added: 07/06/2020    Date Last Modified: Jul 30 2020 2:34PM  
Find Your CMS Certified EHR ID for MIPS
Clinicians are required to use 2015 Edition certified electronic health record technology (CEHRT) for the Promoting Interoperability category of the Merit-based Incentive Payment System (MIPS). The Centers for Medicare & Medicaid Services (CMS) require clinicians to include their CMS CEHRT ID when reporting. Use this guide to find your number.
Adobe PDF    Date Added: 06/23/2020    Date Last Modified: Jun 23 2020 1:34PM  
Q&A: Public Health and Clinical Data Exchange Objective and Measures
This article guides practices in how to meet this measure in MIPS.
Adobe PDF    Date Added: 06/11/2020    Date Last Modified: Jun 11 2020 3:21PM  
Telehealth Implementation and Workflow Tips During COVID-19 Public Health Emergency
The following telehealth information is based on regulations declared by the Secretary of Health and Human Services (HHS) on Jan. 31, 2020, and will be effective until the Secretary ends the COVID-19 Public Health Emergency.
Adobe PDF    Date Added: 05/22/2020    Date Last Modified: May 22 2020 4:05PM  
Q and A on Telehealth During the COVID-19 Pandemic
The Centers for Medicare & Medicaid Services (CMS) announced that Medicare would allow for expanded access to reimbursement for telehealth services as a result of the COVID-19 public health emergency. This expansion will help improve patient access to medical care, while minimizing requirements for patients to travel from their homes, and minimize burden on the overall health care system.
Adobe PDF    Date Added: 04/02/2020    Date Last Modified: May 18 2020 11:54AM  
Q and A on Chronic Care Management
Chronic care management is a critical component of primary care that contributes to better outcomes and higher satisfaction for patients with two or more chronic conditions. Read this questions and answer document to learn more.
Adobe PDF    Date Added: 04/02/2020    Date Last Modified: May 18 2020 11:54AM  
Q&A: MIPS Special Status and Hardships
This article explains MIPS Special Status and Hardship exceptions.
Adobe PDF    Date Added: 03/27/2020    Date Last Modified: Jul 2 2020 10:46AM  
Facility-based Measures for Quality and Cost
Merit-based Incentive Payment System (MIPS)-eligible clinicians are eligible for facility-based measurement for a MIPS payment year if they are determined to be facility-based as an individual clinician or as part of a group. This article discusses eligibility and actions steps for using these measures to report MIPS.
Adobe PDF    Date Added: 01/20/2020    Date Last Modified: Jan 20 2020 3:28PM  
Reporting Checklist for MIPS
This Merit-based Incentive Payment System (MIPS) reporting checklist will guide you through the data submission process. You should begin these steps as soon as possible, and before the end of the performance year.
Adobe PDF    Date Added: 11/25/2019    Date Last Modified: Jan 16 2020 3:33PM  
Q&A: Public Health Registries and Clinical Data Exchanges
The Public Health and Clinical Data Exchange objective and its related measures have proven to be quite a challenge to many clinicians and their practices. This objective is now required to fulfill the Promoting Interoperability category requirements. This article will guide practices in how to meet this measure in the upcoming data submission.
Adobe PDF    Date Added: 11/19/2019    Date Last Modified: Nov 19 2019 10:36PM  
Q&A: Data Submission Methods for MIPS
The Merit-based Incentive Payment System (MIPS) has provided the same data submission mechanisms since it began in 2017. The guidance regarding reporting with more than one submission method has changed this year, and this article addresses those changes.
Adobe PDF    Date Added: 08/06/2019    Date Last Modified: Feb 11 2020 2:01PM  
Q&A: Updating and Using 2015 Edition CEHRT
In 2019, the Merit-based Incentive Payment System (MIPS) requires 2015 Edition certified electronic health record technology (CEHRT) to be used for reporting both the Promoting Interoperability and Quality categories. This article answers common questions about using and updating 2015 Edition CEHRT effectively.
Adobe PDF    Date Added: 05/14/2019    Date Last Modified: Oct 20 2020 2:51PM  
Q&A: Hierarchical Condition Categories
Understanding Hierarchical Condition Categories (HCC) and their applicability to the Merit-based Incentive Payment System (MIPS) is important as clinicians work to receive recognition for the care they deliver to patients with complex conditions. Beneficiaries with complex health conditions may take additional time and resources to achieve positive health outcomes, and HCC helps recognize the complexity of that care.
Adobe PDF    Date Added: 05/13/2019    Date Last Modified: Jun 10 2020 10:15AM  
Q&A: Coding for Quality and Cost
Coding encompasses more than just the claim codes used for reimbursement and quality data submission. This article addresses common questions regarding the use of coding for all collection methods for the Quality and Cost categories of the Merit-based Incentive Payment System (MIPS).
Adobe PDF    Date Added: 05/13/2019    Date Last Modified: Oct 20 2020 2:52PM  
Q&A: MIPS for Newly Eligible Clinician Types
In 2019, seven new Merit-based Incentive Payment System (MIPS)-eligible clinician types were added: physical therapist, occupational therapist, speech-language pathologist, audiologist, clinical psychologist, and registered dietitian or nutritional professional. This Q&A article covers common questions from newly eligible clinician types.
Adobe PDF    Date Added: 02/25/2019    Date Last Modified: Oct 20 2020 2:53PM  
Q&A: Promoting Interoperability Category
The Promoting Interoperability (PI) category of the Merit-based Incentive Payment System (MIPS) promotes patient engagement and the electronic exchange of information using certified electronic health record technology (CEHRT). The Centers for Medicare & Medicaid Services (CMS) has modified the PI category in 2019. This Q&A article answers frequently asked questions about PI.
Adobe PDF    Date Added: 02/20/2019    Date Last Modified: Oct 20 2020 2:55PM