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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 professionals (EPs) will receive a score and payment adjustments based on a Final Score, which factors in performance on (1) quality, (2) cost, (3) improvement activities, and (4) advancing care information (formerly meaningful use of certified electronic health records (EHRs)). 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.
Similar to QOPI's 2016 PQRS offerings, practices will be able to use the QOPI platform to meet the 2017 MIPS reporting requirement of one measure through manual reporting, free of charge. (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.)
The 2017 MIPS reporting measure list will be released after approval by CMS and more details on how to enroll in 2017 MIPS reporting with QOPI will be available soon. More information on how ASCO is helping to prepare practices for MACRA can be found here.
If you have any questions, please email QOPI@asco.org.
2017 Reporting Timeline
January 1st, 2017 - December 31st*, 2017 - Reporting period for 2017 MIPS reporting.
*October 2nd, 2017 - Practice 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.