Status Tool for 2017 Qualifying APM Participant and MIPS APMs Data Now Available
If you participate in the Merit-based Incentive Payment System (MIPS), you should have reviewed your 2017 performance feedback by now. The 2017 MIPS performance feedback, reflecting activities in performance year one of the QPP (2017), indicates if you will receive a negative, neutral, or positive payment adjustment in 2019. If you believe an error has been made in your 2019 MIPS payment adjustment calculation, you can request a targeted review until October 1, 2018. The following are examples of circumstances in which you may request a targeted review:
Status Tool for 2017 Qualifying APM Participant and MIPS APMs Data Now Available
If you participate in the Merit-based Incentive Payment System (MIPS), you should have reviewed your 2017 performance feedback by now. The 2017 MIPS performance feedback, reflecting activities in performance year one of the QPP (2017), indicates if you will receive a negative, neutral, or positive payment adjustment in 2019. If you believe an error has been made in your 2019 MIPS payment adjustment calculation, you can request a targeted review until October 1, 2018. The following are examples of circumstances in which you may request a targeted review:
For more information about how to request a targeted review, please refer to the
Targeted Review of the 2019 Merit-based Incentive Payment System Payment Adjustment Fact Sheet
and the
Targeted Review of 2019 MIPS Payment Adjustment User Guide
.
CMS has also recently released a MIPS 2017 Performance Feedback Users Guide . This document provides detailed information on accessing performance feedback and guidance on interpreting the information provided in the feedback. This resource is in addition to the previously released MIPS Performance Fact Sheet .
Quality Payment Program Participation Status Tool for 2018 Qualifying APM Participant and MIPS APMs Data
If you are a Qualifying APM Participant (QP) or MIPS APM participant, the Centers for Medicare & Medicaid Services (CMS) has updated its Quality Payment Program Participation Status Tool to include 2018. The tool has been updated based on calculations from the first snapshot of data from APM entities. The first snapshot includes data from Medicare Part B claims with dates of service between January 1 and March 31, 2018.
Later this year, CMS will release and announce the second and third QP and MIPS APM status data based on snapshots of claims between January 1 and August 31, 2018. To learn more about how CMS determines QP and MIPS APM status for each snapshot, please view the QP Methodology Fact Sheet .
What Does QP Status and MIPS APM Status Mean?
If you qualify as a QP, this means you are:
Note: If you are participating in a MIPS APM (and do not qualify as a QP or Partial QP), you will most likely need to participate in
MIPS
, but will be subject to the APM Scoring Standard. Check the
Quality Payment Program Participation Status Tool
to see if you’re eligible for MIPS in 2018.
What APMs are Included in the Quality Payment Program Participation Status Tool?
The updated Quality Payment Program Participation Status Tool includes the following 2018 Advanced APMs and MIPS APMs:
How Do I Check My QP or MIPS APM Status?
To view your QP or MIPS APM status at the individual level:
To check your group’s 2018 eligibility at the APM entity level:
Questions?
Contact the Quality Payment Program Service Center by:
Email:
QPP@cms.hhs.gov
Phone: 1-866-288-8292/TTY: 1-877-715-6222