Resources

We hope you find these resources helpful in analyzing your performance, providing information and successfully participating in the Quality Payment Program.

CMS QPP Resource Library

View the Newsletter

2020 Resources

MIPS Data Validation Criteria for 2017 — 2017 MIPS Data Validation Criteria

2018 MIPS Data Validation Criteria

2019 MIPS Performance Feedback and 2021 Payment Adjustment FAQs

2019 MIPS Performance Feedback Patient-Level Data Reports FAQs

2019 MIPS Targeted Review User Guide

2020 COVID-19 Extreme & Uncontrollable Circumstances Exception

2020 MIPS Payment Adjustment Fact Sheet

2020 Network Security Update Fact Sheet

2020 QPP Final Rule

2020 QPP Final Rule Changes

2020 QPP Final Rule Executive Summary

2020 QPP Final Rule Fact Sheet

2020 QPP Final Rule FAQs

2020 Virtual Groups Toolkit (Zip)

Are you eligible to participate?

Business Continuity Plan

Checklist for MIPS 2020: Plan your submission strategy

Chronic Care Management 2020: A Guide for RHCs & FQHCs

Chronic Care Management Rural Health Centers & FQHCs

Chronic Care Management: Benefits, Workflow, and Reimbursement 2020

Medicare Coverage and Payment of Virtual Services

Guide for Medicare Telehealth and Remote Patient Monitoring Services — Medicare Telehealth and RPM Services Guide (Updated 5/11/20)

MIPS Data Validation and Audit Review: PY 2017 & 2018

Overview to MIPS Value Pathways

MIPS 2020 Prep — Prepping for MIPS 2020

Prepping for MIPS 2020

COVID-19 Response and QPP — QPP COVID-19 Response

QPP MIPS 2020: Promoting Interoperability Hardship Exception for Small Practices

HARP & QPP Accounts for 2020 — Registering Your HARP & QPP Accounts for 2020

COVID-19 Emergency Telehealth Implementation & Workflow Tips — Telehealth Implementation & Workflow Tips During the COVID-19 Emergency

2020 MIPS Quality Benchmarks

Quick Start Guide for 2020 Part B Claims Reporting — 2020 Part B Claims Reporting Quick Start Guide

2020 Quality Measure Checklist for Improving Cardiac Health

Quality Quick Start Guide for 2020 — 2020 Quality Quick Start Guide

Quick Start Guide for 2020 Cost Performance Category — 2020 Cost Performance Category Quick Start Guide

Summary of Cost Measures for 2020 MIPS — 2020 MIPS Summary of Cost Measures

Improvement Activities 2020

2020 Quick Start Guide for Improvement Activities — 2020 Improvement Activities Quick Start Guide

2020 MIPS/APM Improvement Activities — 2020 MIPS APM Improvement Activities

Promoting Interoperability 2020

2019 Promoting Interoperability Performance Category Fact Sheet

Promoting Interoperability Quick Start Guide for 2020 — 2020 Promoting Interoperability Quick Start Guide

MIPS Quality Payment Program for ACOs: 2020 Promoting Interoperability

MIPS Quality Payment Program: 2020 Promoting Interoperability

QPP MIPS 2020: Promoting Interoperability Hardship Exception for Small Practices

2019 Resources

2019 Medicare QPP Reporting Plan

2019 MIPS Claims-based Reporting

Participation and Eligibility Fact Sheet for MIPS in 2019 — 2019 MIPS Participation and Eligibility Fact Sheet

QPP Payment Adjustments — 2019 MIPS Payment Adjustments Based on 2017 MIPS Final Scores (PDF)

2019 MIPS Performance Feedback Patient-Level Data Reports FAQs

2019 MIPS Targeted Review User Guide

QPP Year 3 Final Rule — 2019 QPP Final Rule

Executive Summary — 2019 QPP Final Rule Executive Summary

Fact Sheet for 2019 QPP Final Rule — 2019 QPP Final Rule Fact Sheet

QCDRs Registries Updates for 2019 QPP Final Rule — 2019 QPP Final Rule Updates for QCDRs Registries

2019 QPP Reporting Requirements for Special Status Clinicians: A Quick Guide

American Medical Association Action Plan Website — Action Plan: American Medical Association

Are you eligible to participate?

Small, Underserved, and Rural Practice Support — Available Support for Small, Underserved, and Rural Practices

Chronic Care Management: A Guide for RHCs & FQHCs

FY2019 Percentage Payment Summary Reports Overview from the CMS Hospital VBP Program — CMS Hospital VBP Program: Overview of the FY2019 Percentage Payment Summary Reports

Large Practice Excel Instructions for Web Interface — CMS Web Interface Excel Instructions for Large Practices (PDF)

CMS Web Interface Excel Template Instructional Video for Large Practices

Get back to what you love

Health Information Exchange for Eligible Clinicians 2019

MIPS In A Minute

QPP Performance Feedback — MIPS Performance Feedback Fact Sheet (PDF)

MSSP Flyer March 2019 (PDF)

Federal Government Website to Compare Physicians — Physician Compare

Prepping for MIPS 2020

COVID-19 Response and QPP — QPP COVID-19 Response

CMS Portal Data Submission — QPP Data Submission through CMS Portal (PDF)

QP Methodology Fact Sheet — Qualifying APM Participant Methodology Fact Sheet (PDF)

Quality Payment Program Acronyms — Quality Payment Program – Acronyms (PDF)

Quality Payment Program Website by CMS — Quality Payment Program CMS Website

HARP & QPP Accounts for 2020 — Registering Your HARP & QPP Accounts for 2020

MIPS Financial Calculator from SA Ignite — SA Ignite MIPS Financial Calculator

QPP Targeted Review — Targeted Review of the 2019 MIPS Incentive Payment System Payment Adjustment (PDF)

Understanding MIPS for Specialties – Solo & Small Group Practices

Reporting Plans & Toolkits 2019

Clinical Psychologists MIPS Reporting Plan 2019 — MIPS Reporting Plan 2019: Clinical Psychologists

Dietitians/Nutrition Professionals MIPS Reporting Plan 2019 — MIPS Reporting Plan 2019: Dietitians/Nutrition Professionals

Occupational Therapists MIPS Reporting Plan 2019 — MIPS Reporting Plan 2019: Occupational Therapists

Physical Therapists MIPS Reporting Plan 2019 — MIPS Reporting Plan 2019: Physical Therapists

Preparing For MIPS 2019

QPP Reporting Ready Toolkit 2019 (PDF)

Eligible Measure Applicability Resources for 2019 — 2019 Eligible Measure Applicability Resources (Zip)

2019 MIPS Quality Measures Impacted by ICD-10 Updates Fact Sheet — 2019 Quality Measures Impacted by ICD-10 Updates

Quality Measures CMS QPP website

Solo and Small Practice 2019 Quality Checklist: Internal Medicine

Solo and Small Practice 2019 Quality Checklist: Ophthalmology

Solo and Small Practice 2019 Quality Checklist: Physical Therapy

Solo and Small Practice 2019 Quality Checklist: Podiatry

Cost Measures CMS QPP Website

QPP Medicare Spending Per Bene — MIPS Medicare Spending Per Beneficiary (PDF)

QPP Total Per Capita Costs — MIPS Total Per Capita Costs for all Attributed Beneficiaries (PDF)

Improvement Activities 2019

IA Website — Improvement Activities CMS QPP website

Promoting Interoperability 2019

2015 Edition CEHRT Fact Sheet

2019 Medicare Promoting Interoperability Program Clinical Quality Measures (CQM) Fact Sheet

2019 Medicare Promoting Interoperability Program Clinical Quality Measures (CQM) Table

2019 Merit-based Incentive Payment System PI Performance Category Fact Sheet (PDF)

Performance Interoperability Information Blocking 2019 Fact Sheet — 2019 Performance Interoperability Information Blocking Fact Sheet

Promoting Interoperability Quick Start Guide for 2019 — 2019 Promoting Interoperability Quick Start Guide

Job Aid for CMS EHR Certification ID Creation — CMS EHR Certification ID Creation

Electronic Prescribing

Health Information Exchange

HIE Tool (PowerPoint)

Payment Adjustment and Hardship Information Table

Payment Adjustment and Hardship Information Tip Sheet

ACI Website — Promoting Interoperability CMS QPP Website

Promoting Interoperability Hardship Exception

Promoting Interoperability Programs

Provider to Patient Exchange

Public Health and Clinical Data Exchange

Scoring Methodology Fact Sheet

Security Risk Analysis Fact Sheet

Alternative Payment Model (APM) 2019

APM Incentive Payment Fact Sheet for 2019 — 2019 APM Incentive Payment Fact Sheet

Incentive Payment Fact Sheet for APM 2019 — APM 2019 Incentive Payment Fact Sheet

APMs Overview

Performance Year 2019 Quality Payment Program's Other Payer Advanced APMs — Other Payer Advanced APMs in the Quality Payment Program for Performance Year 2019

2018 Resources

MIPS Claims-based Reporting for 2018 — 2018 MIPS Claims-based Reporting (PDF)

2018 MIPS Performance Feedback Beneficiary-Level Data Reports Supplement FAQs

Documents for an Audit related to 2018 QPP — 2018 QPP Documents for an Audit

CMS measure notes — 2018 Web Interface Measure Coding Release Notes (PDF)

2020 MIPS Payment Adjustment Fact Sheet

APMs Overview

QPP Decision Tree — Are you eligible for the 2018 Quality Payment Program? (PDF)

Are you eligible to participate?

Small, Underserved, and Rural Practice Support — Available Support for Small, Underserved, and Rural Practices

QPP Executive Summary released by CMS — CMS Executive Summary – Quality Payment Program 2018 (PDF)

Quality Payment Program Year 2 Final Rule Overview — CMS Final Rule Overview – Quality Payment Program 2018 (PDF)

Quality Payment Program Final Rule with Comments - Federal Register — CMS Final Rule with Comments – Quality Payment Program 2018

CMS APM Feb 2018 List — CMS List of APMs in the QPP – February 2018 (PDF)

CMS Web Interface Excel Template Instructional Video for Large Practices

2018 List of APMs — Comprehensive List of APMs February 2018 (PDF)

Group Participation 2018 — Group Participation in MIPS 2018 (PDF)

QPP Support for SNFs — MIPS 2018 Reporting for Skilled Nursing Facilities (PDF)

2018 reporting options — MIPS Year 2 Reporting Options (PDF)

Participation in MIPS Fact Sheet — Participation Fact Sheet (PDF)

AMA Payment Model Evaluator — Payment Model Evaluator* – American Medical Association (AMA)

SURS 2018 MIPS Preparation — Preparing for MIPS 2018 – Small Practices

QP Methodology Fact Sheet — Qualifying APM Participant Methodology Fact Sheet (PDF)

Quality Payment Program Acronyms — Quality Payment Program – Acronyms (PDF)

Quality Payment Program Website by CMS — Quality Payment Program CMS Website

Internal Medicine Solo & Small Practice Specialty Toolkit 2018 — Solo & Small Practice Specialty Toolkit 2018: Internal Medicine

Podiatry Specialty Toolkit 2018 — Solo & Small Practice Specialty Toolkit 2018: Podiatry

Ophthalmology Specialty Toolkit 2018 — Solo and Small Practice 2019 Quality Checklist: Ophthalmology

Understanding MIPS for Specialties – Solo & Small Group Practices

Readiness Assessment 2018 — What You Need to Know and Readiness Assessment 2018 (PDF)

2018 Fact Sheet for MIPS Quality — 2018 MIPS Quality Performance Fact Sheet (PDF)

Quality Performance Category Scoring for APMs 2018 — 2018 Quality Performance Category Scoring for APMs (PDF)

2018 Other MIPS APM Quality Performance — Other MIPS APM Quality Performance Category 2018 (PDF)

CMS Specifications for only Claims Release Notes — 2018 Measure Specifications for Claims Release Notes (PDF)

2018 Cost Category — 2018 MIPS Cost Performance Category Fact Sheet (PDF)

Improvement Activities 2018

Scores for IAs — Scores for Improvement Activities in MIPS APMs 2018 (PDF)

Promoting Interoperability 2018

2018 MIPS Interoperability — 2018 Promoting Interoperability Fact Sheet (PDF)

2018 Promoting Interoperability Hardship Exception for Small Practices — Promoting Interoperability (PI) Hardship Exception for Small Practices (QPP MIPS 2018)

2017 Resources

One Patient, One Measure, No Penalty Video: American Medical Association — 1 Patient, 1 Measure, No Penalty Video: American Medical Association

QPP Payment Adjustments — 2019 MIPS Payment Adjustments Based on 2017 MIPS Final Scores (PDF)

Advancing Care Information Specifications — ACI Specifications (PDF)

APMs Overview

Are you eligible to participate?

Small, Underserved, and Rural Practice Support — Available Support for Small, Underserved, and Rural Practices

QPP Extreme and Uncontrollable Circumstances Policy — CMS Extreme and Uncontrollable Circumstances Policy for MIPS in 2017 (PDF)

Diabetes and QPP Alignment Tool — Everyone with Diabetes Counts and the CMS QPP Alignment Tool (PDF)

APM Five-Step Guide — Five-Step Guide to APMs (PDF)

MIPS 2017 Group Participation — Group Participation in the MIPS in 2017 (PDF)

MIPS Clinician Participation Letter from CMS — Letter from CMSMIPS Clinician Participation (PDF)

2017 Qualified Registries that are CMS-Approved — List of 2017 CMS-Approved Qualified Registries (PDF)

MIPS Calculator 2017 Transitional Year April 2017 Version

MIPS Data Validation Criteria (PDF)

MIPS Estimator 2017 – Stratis Health

MIPS Q&A Town Hall Event for Small Practices and Solo Practitioners – IMPAQ (PDF)

2017 Performance Period MIPS Scoring Guide — MIPS Scoring 101 Guide for the 2017 Performance Period (PDF)

Antibiotic Stewardship and the QPP Alignment Tool — QPP & Antibiotic Stewardship Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP & Cardiac Health Alignment (PDF)

Diabetes Care and the QPP Alignment Tool — QPP & Diabetes Care Alignment (PDF)

Medication Safety and the QPP Alignment Tool — QPP & Medication Safety Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP Alignment with Million Hearts® (PDF)

QP Methodology Fact Sheet — Qualifying APM Participant Methodology Fact Sheet (PDF)

Quality Payment Program Acronyms — Quality Payment Program – Acronyms (PDF)

Quality Payment Program Website by CMS — Quality Payment Program CMS Website

MIPS Quick Start Guide — Quick Start Guide to MIPS (PDF)

How to Prepare for the Quality Payment Program — Reporting Ready Toolkit: How to Prepare for the Quality Payment Program (PDF)

Diabetes and QPP Alignment Tool — Everyone with Diabetes Counts and the CMS QPP Alignment Tool (PDF)

2017 Qualified Registries that are CMS-Approved — List of 2017 CMS-Approved Qualified Registries (PDF)

Antibiotic Stewardship and the QPP Alignment Tool — QPP & Antibiotic Stewardship Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP & Cardiac Health Alignment (PDF)

Diabetes Care and the QPP Alignment Tool — QPP & Diabetes Care Alignment (PDF)

Medication Safety and the QPP Alignment Tool — QPP & Medication Safety Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP Alignment with Million Hearts® (PDF)

Diabetes and QPP Alignment Tool — Everyone with Diabetes Counts and the CMS QPP Alignment Tool (PDF)

2017 Qualified Registries that are CMS-Approved — List of 2017 CMS-Approved Qualified Registries (PDF)

Antibiotic Stewardship and the QPP Alignment Tool — QPP & Antibiotic Stewardship Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP & Cardiac Health Alignment (PDF)

Diabetes Care and the QPP Alignment Tool — QPP & Diabetes Care Alignment (PDF)

Medication Safety and the QPP Alignment Tool — QPP & Medication Safety Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP Alignment with Million Hearts® (PDF)

Improvement Activities 2017

Diabetes and QPP Alignment Tool — Everyone with Diabetes Counts and the CMS QPP Alignment Tool (PDF)

2017 Qualified Registries that are CMS-Approved — List of 2017 CMS-Approved Qualified Registries (PDF)

Antibiotic Stewardship and the QPP Alignment Tool — QPP & Antibiotic Stewardship Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP & Cardiac Health Alignment (PDF)

Diabetes Care and the QPP Alignment Tool — QPP & Diabetes Care Alignment (PDF)

Medication Safety and the QPP Alignment Tool — QPP & Medication Safety Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP Alignment with Million Hearts® (PDF)

Promoting Interoperability 2017

Advancing Care Information Performance Category — ACI Performance Category (PDF)

Diabetes and QPP Alignment Tool — Everyone with Diabetes Counts and the CMS QPP Alignment Tool (PDF)

2017 Qualified Registries that are CMS-Approved — List of 2017 CMS-Approved Qualified Registries (PDF)

Antibiotic Stewardship and the QPP Alignment Tool — QPP & Antibiotic Stewardship Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP & Cardiac Health Alignment (PDF)

Diabetes Care and the QPP Alignment Tool — QPP & Diabetes Care Alignment (PDF)

Medication Safety and the QPP Alignment Tool — QPP & Medication Safety Alignment (PDF)

Cardiac Health and the QPP Alignment Tool — QPP Alignment with Million Hearts® (PDF)