Cheat Sheet

Quality Payment Program

10 Minute Read

    Key Takeaways
    • The Quality Payment Program (QPP) is one lever the Centers for Medicare and Medicaid Services (CMS) uses to push providers toward a financial model that rewards quality over volume.
    • There are two ways to participate in the QPP: the Advanced Alternative Payment Model (APM) track and the Merit-Based Incentive Payment System (MIPS).
    • Clinicians who meet eligibility criteria must satisfy program requirements year-over-year to avoid penalties or earn incentives through payment adjustments to Medicare Part B covered professional services. 

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