The Centers for Medicare and Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2024 performance year. Clinicians can now verify their final 2024 eligibility for the Merit-based Incentive Payment Program (MIPS) by entering their individual National Provider Identifier (NPI) into the tool or checking their MDinteractive account dashboard. Clinicians can also check their eligibility in an Advanced Alternative Payment Model (APM) and preliminary MIPS status for 2025. This blog will guide clinicians through understanding MIPS eligibility and determining their reporting requirements.

The MIPS Value Pathways (MVPs) is a new reporting structure available for the Merit-based Incentive Payment System (MIPS).  The MVP framework is intended to ease the reporting burden on clinicians and groups by aligning measures and activities across the Quality, Cost, and Improvement Activities categories of MIPS that are more relevant to a clinician’s scope of practice. This article answers key questions about MVPs and how MIPS reporting is expected to change in the years ahead.  

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Final Rule for the 2025 Medicare Physician Fee Schedule (PFS). The rule outlines the CMS policies for eligible clinicians and groups to participate in the Merit-based Incentive Payment System (MIPS), Alternative Payment Models (APM), and other aspects of the Quality Payment Program (QPP) for the 2025 performance year. This blog summarizes the major changes and examines how they will impact MIPS reporting in 2025 and beyond.

We understand that keeping track of important dates for MIPS reporting can be a challenge, so we have prepared a list of key dates to mark on your calendars for your MIPS reporting. Knowing what to do, and when, throughout the calendar year can help you maximize your MIPS reporting.

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the final rule for the 2025 Medicare Physician Fee Schedule (PFS). The final rule includes several key changes affecting Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), as CMS continues its shift towards digital quality measures (dQMs). With the CMS Web Interface ending after the 2024 performance year, the final rule focuses on the future of quality reporting by aligning with the Universal Foundation of quality measures and extending eCQM / MIPS CQM reporting incentives. This blog summarizes the changes and their implications for ACOs in 2025 and beyond.

In the ACO Spotlight Newsletter on August 9, the Centers for Medicare & Medicaid Services (CMS) provided updates on the Shared Savings Program’s requirement for Accountable Care Organizations (ACOs) and their participants to report on the Merit-based Incentive Payment System (MIPS) Promoting Interoperability (PI) performance category. This reporting requirement, outlined in the CY 2024 Physician Fee Schedule (PFS) final rule, is critical for ACOs participating in the Shared Savings Program, beginning in the performance year 2025.

Improvement Activities (IA) is one of the four performance categories required for reporting in the Merit-based Incentive Payment System (MIPS). Understanding the correct combination of both high and medium-weighted activities to report is a crucial step in successful MIPS reporting. The Improvement Activities category assesses your engagement in activities that support the improvement of clinical practice, care delivery, and outcomes. This article outlines the IA reporting requirements, explains the importance of reviewing the IA descriptions and suggested documentation, and offers tips on selecting activities that are right for your practice.

On August 12, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Final Performance Feedback for the 2023 Merit-based Incentive Payment System (MIPS) performance period. Reviewing your performance feedback now is vital to understanding your final MIPS scores and payment adjustment details. If you suspect an error in the calculation of your MIPS payment adjustment, you have until 8 p.m. ET on October 11, 2024, to request a targeted review. This article outlines step-by-step instructions for accessing your performance feedback, evaluating your payment adjustment status—positive, negative, or neutral—and filing a targeted review if necessary.

The Merit-based Incentive Payment System (MIPS) is continually evolving, making it increasingly challenging for eligible clinicians to optimize their scores. Although the minimum performance threshold for 2024 remains at 75 points, reaching this goal requires meticulous planning and strategy. Our 2024 MIPS checklist offers essential tips to help you stay ahead of the game and achieve the best possible outcomes.

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2025 Medicare Physician Fee Schedule (PFS). The proposed rule includes several key changes affecting Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), as CMS continues its shift towards digital quality measures (dQMs). With the CMS Web Interface concluding after the 2024 performance year, the proposed rule focuses on the future of quality reporting by aligning with the Universal Foundation of quality measures and extending electronic Clinical Quality Measure (eCQM) reporting incentives. This blog summarizes the proposed changes and examines their implications for ACOs in 2025 and beyond.