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Under the CMS Quality Payment Program (QPP)—the new reimbursement system that MACRA authorizes—the Physician Quality Reporting System (PQRS) will be replaced with the Merit-Based Incentive Payment System (MIPS), which also replaces the EHR Incentive Program (“Meaningful Use”).
Eligible clinicians (ECs) will receive a score and payment adjustments based on a Final Score, which factors in performance on (1) quality, (2) improvement activities (IA), (3) advancing care information (formerly meaningful use of certified electronic health records (EHRs)). There is a fourth category of cost, but CMS will not factor this into 2017 performance scores. Fortunately, CMS has given practices 2017 to prepare for these changes, even dubbing the year as “Pick Your Pace.” To give physicians time to adapt to this new system, in 2017 CMS is requiring practices to report on only ONE measure to avoid a 4% Medicare reimbursement penalty in 2019. (While one measure is the minimum requirement to avoid the 2019 penalty, ASCO encourages practices to report on at least four measures to become fully acquainted with the system and ensure that the CMS requirements are met.)
Similar to QOPI's 2016 PQRS offerings, practices will be able to meet the 2017 MIPS reporting requirements through the QOPI Reporting Registry, ASCO's QCDR (Qualified Clinical Data Registry).
The 2017 MIPS reporting measure list for the QOPI Reporting Registry can be found below. If you are interested in signing up for QOPI Reporting Registry, please see the "How To Get Started" section below.
If you have questions or need assistance, please email firstname.lastname@example.org.
More information on how ASCO is helping to prepare practices for MACRA can be found here.
2017 Reporting Timeline
January 1st, 2017 - December 31st, 2017 - Reporting period for 2017 MIPS reporting.
October 1st, 2017 - Registration for reporting 2017 MIPS through QOPI ends. (Please note, data submission will continue until December 31, 2017.)
October 2nd, 2017 - Per CMS, practices participating in partial reporting must start no later than October 2nd, 2017 so as to report the full 90 day requirement.
January 2018 - March 2018 - QOPI will review, audit and packing data for CMS submission before the deadline of March 31st, 2018.
January 2019 - Payment adjustments begin
More detailed information is availabe on the CMS website.