No worries, we have a submission option for your practice, with Practice Insight and EDIinsight® Claim Manager.
What exactly is the Quality Payment Program, and am I eligible to participate?
The Centers for Medicare & Medicaid Services (CMS) implemented the Quality Payment Program (QPP) starting in 2017 as a broader push towards value and quality. QPP improves Medicare by helping you focus on the one thing that matters most—making patients healthier.
The Quality Payment Program has two tracks you can choose from:
You are eligible to participate in the QPP using the MIPS track if you meet all of the following three criteria:
- You bill Medicare more than $30,000 in Part B allowed charges a year.
- You provide care for more than 100 Medicare patients in a designated period.
- You are one of the following:
The Practice Insight MIPS Registry Solution powered by Alpha II was created to empower all clinicians to effectively transition to value-based care. The MIPS Registry Solution, powered by Alpha II, facilitates integrated reporting of all quality metrics for all specialty types and practice sizes. What’s even more exciting, is the solution also provides a way to capture, score, and submit your Advancing Care Information performance scoring, including Base, Performance and Bonus, as well as Improvement Activities, such as care coordination, beneficiary engagement and patient safety.
Are you a MicroMD PM client using EDIinsight® Claim Manager and Practice Insight?
If you use EDIinsight® Claim Manager and our clearinghouse to submit claims, you can file MIPS quality measures at the same time you submit claims without any additional steps. And, with Practice Insight’s enhanced Easy Correction Wizard, you can create a one-click report, which analyzes your data to identify with a greater degree of accuracy what measures you’re potentially meeting and how many Medicare claims are meeting those measures. MIPS Registry Solution, powered by Alpha II, even features a MIPS Dashboard for at-a-glance, current performance metrics and real-time scoring feedback. In aggregate, Practice Insight gives individual clinicians and group practices the tools to address all aspects of the QPP from pursuing performance and bonus incentives to merely avoiding reimbursement penalties.
MIPS Registry Solution, powered by Alpha II, offers your choice of four plans to match your desired participation level.
The Transition to the Quality Payment Program
Previous programs are consolidated under QPP and a new measurement category is added:
- Quality Measures (formerly PQRS) = 60% of scoring
- Advancing Care Information (formerly Meaningful Use) = 25% of scoring
- Improvement Activities (new measure of care coordination) = 15% of scoring
Quality Payment Program Milestones:
- QPP Performance Timeframe — January 1, 2017 to December 31, 2017
- CMS Data Submission deadline — March 31, 2018
- Payment adjustments and positive payment incentives and bonus payments — January 1, 2019
Looking to file MIPS quality measures at the same time you submit claims without any additional steps and already using Practice Insight as your clearinghouse? Then this might be the registry solution for you. Ready to get started, connect with John Webb, MicroMD Client Insights Manager to start the discussion.
