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MACRA fundamentally changes how providers are paid under Medicare and establishes two payment tracks under the Quality Payment Program (QPP). Providers in the Merit-Based Incentive Payment System (MIPS) track can use the year-by-year resources on this page to refine their strategy, ensure compliance, improve performance, and prepare for audits.
This toolkit will be updated as new resources are published. Make sure to bookmark this page for easy access.
- Blog post: This post details CMS' mandatory electronic case reporting requirements that begin in 2022 and the steps that providers can take now to prepare.
- 2022 QPP updates: Download this primer to learn three highlights in the final rule, what you should do in response, and how these updates will impact the program.
- Audit checklist: Use this tool as a reference for the types of information you may wish to keep in support of your 2021 MIPS initiative.
- 2021 QPP Updates: Download this primer to learn five highlights in the final rule, what you should do in response, and how these updates will impact the program.
- Promoting Interoperability (PI) Score Estimator: Use this tool to estimate your 2021 PI performance category score.
- Implementing the APM Performance Pathway: This decision guide includes two, separate sections to help you evaluate APP implementation.
- Audit checklist: Use this tool as a reference for the types of information you may wish to keep in support of your 2020 MIPS initiative.
- Promoting Interoperability (PI) Score Estimator: Use this tool to estimate your 2020 PI performance category score.
- Promoting Interoperability (PI) Score Estimator: Use this tool to estimate your 2019 PI performance category score.
| ACI: Advancing Care Information ACO: Accountable care organization APM: Alternative payment model CAHPS: Consumer Assessment of Healthcare Providers and Systems CEHRT: Certified Electronic Health Record Technology CMS: Centers for Medicare & Medicaid Services EC: Eligible clinician in the CMS Quality Payment Program under MACRA IA: Improvement Activities | MACRA: Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act of 2015 MIPS: Merit-Based Incentive Payment System MU: Meaningful Use PQRS: Physician Quality Reporting System QCDR: Qualified Clinical Data Registry QP: Qualifying APM Participant QPP: Quality Payment Program implemented by MACRA VBPM: Value-Based Payment Modifier |
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