APM

The Centers for Medicare & Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2025 performance year, and clinicians can now confirm their final 2025 MIPS eligibility. By entering a National Provider Identifier (NPI) into the tool—or checking the MDinteractive account dashboard—clinicians can see whether they must report for MIPS this year. The tool also provides Advanced APM eligibility information and preliminary MIPS status for 2026. Now that your final status is available, this blog will walk you through what it means, how MIPS eligibility is determined, and what to do once you know your reporting status..

The Centers for Medicare and Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2023 performance year. Clinicians can now verify their final 2023 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 2024. This blog will guide clinicians through understanding MIPS eligibility and determining their reporting requirements.

Practices participating in the Primary Care First (PCF) program must meet annual Quality data reporting requirements. Quality data must be submitted to the Centers for Medicare and Medicaid Services (CMS) in a specified PCF QRDA III format which may be a challenge for some practices. If your electronic health record (EHR) system is unable to aggregate data at the practice site level or if you need to aggregate data across 2 different EHRs, MDinteractive can help by converting your Quality data into the acceptable format. You can find more information about the PCF QRDA III format here.