CCM 2020 Changes

CCM 2020 Changes

Centers for Medicare and Medicaid Services (CMS) has recently released the final ruling for this year’s Medicare physician fee schedule. These changes include some exciting new regulations and rules for chronic care management.  One change will be new...
Special Statuses

Special Statuses

The Quality Payment Program automatically assigns special statuses to Merit-based Incentive Payment System (MIPS) eligible clinicians, practices, and virtual groups who meet certain criteria. If you receive a special status, your reporting requirements may be...
Reporting Options Overview

Reporting Options Overview

Now that you’ve determined that you are a MIPS eligible clinician, let’s look at some next steps.  We’ll break it down into three categories: MIPS Eligible Clinician, Opt-in Eligible Clinician, and MIPS Exempt Clinician. MIPS Eligible Clinician If you’re a...
Reporting Factors Overview

Reporting Factors Overview

In the Quality Payment Program, there are certain factors, including Special Statuses, QPP Exceptions, Facility-based Determinations, MAQI and the Quality Measures Reporting Study, that can affect your reporting requirements for the different performance categories....
Individual or Group Participation

Individual or Group Participation

If you are Merit-based Incentive Payment System (MIPS)-eligible, you can choose to participate as an individual, a group, or both.  Here’s a summary of how to report in these three categories. Additional clarification follows for virtual groups, MIPS APMs, and...