Quality Payment Program

We help clinical practices succeed in the Quality Payment Program (QPP).

Assistance is free and available immediately.
Created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), QPP is an enhanced approach to paying physicians and clinicians who care for Medicare beneficiaries. It streamlines CENTERS for MEDICARE & MEDICAID SERVICES (CMS) quality reporting programs (PQRS, VM and MU) to reward the delivery of high-quality patient care for eligible clinicians or groups through one of two paths: the Merit-based Incentive Payment System (MIPS) or Alternative Payment Model (APM).

We help eligible clinical practices that participate in Medicare understand QPP reporting measures and requirements, meet performance goals and sustain or enhance reimbursement. Qsource’s Practice Solutions team can help you find the free resources and tools you need to be successful in the QPP, and will provide technical assistance to inform, implement and measure your practice transformation to patient-focused care. End-stage renal disease (ESRD) patient providers can seek assistance through the appropriate ESRD Network.

Small, Underserved and Rural Support (QPP-SURS)
Small practices with 15 or fewer clinicians, including those in rural locations, health professional shortage areas, and medically underserved areas are a crucial part of the healthcare system. MACRA provides for direct assistance with MIPS through local, experienced organizations.

Qsource can help determine if you qualify for MIPS or another payment program option to maximize your Medicare reimbursement through ongoing education and support in performance data and trends.

Contact us today!

Sign up at Providers.Exchange, our QPP resource center Website for individualized support, events and resources, email TechAssist@Qsource.org, or call us toll-free Monday to Friday at 844-205-5540 from 8:30 a.m. to 5 p.m. CT, to connect to the technical assistance you need regardless of practice size or location.

Qsource and our QIN-QIO atom Alliance provide direct assistance to the following:

  • Large practices (16 or more clinicians) in Alabama, Indiana, Kentucky, Mississippi and Tennessee
  • Small practices (15 or fewer clinicians) in Alabama and Tennessee

For additional information about program, visit https://qpp.cms.gov or email QPP@cms.hhs.gov.
Contact CMS at 1-866-288-8292 (Monday–Friday, 8 a.m.–8 p.m. ET). TTY users can call 1-877-715-6222.

CMS Releases MIPS Eligibility Tool
You can now use the updated CMS MIPS Participation Lookup Tool to check on your 2018 eligibility for the Merit-based Incentive Payment System (MIPS). Click here

Just enter your National Provider Identifier, or NPI, to find out whether you need to participate during the 2018 performance year.

CMS has released a web based training course that may be of interest to your small group practices or to your staff working to fully understand QPP.  The Pick Your Pace Web-Based Training Course offers continuing education credit and is available online through the CMS Learning Management System

Quality Payment Program

Quality Payment Program Blog

  • Webinar | Maximizing Your Quality Score: Beyond the Basics for Solo, Small Group Practices

    Webinar | Maximizing Your Quality Score: Beyond the Basics for Solo, Small Group Practices

    As the Quality Payment Program matures, many solo and small group practices, including specialty practices, are realizing that earning a high-quality score is becoming more challenging as some quality measures are becoming topped-out, preventing providers from earning a higher than average score. Each year practices should reassess which quality measures will work best for them […]Read More »
  • 2018 Performance Feedback Review Deadline Sept. 30

    2018 Performance Feedback Review Deadline Sept. 30

    MIPS eligible clinicians, groups, and virtual groups (along with their designated support staff or authorized third-party intermediary), including APM participants, may request CMS to review the calculation of their 2020 MIPS payment adjustment factor(s) through a process called targeted review. If one of your practices believe an error has been made in their 2020 MIPS […]Read More »
  • Proposed Rule to Set Performance Threshold for 2020, 2021

    Proposed Rule to Set Performance Threshold for 2020, 2021

    Every year the most significant news that comes from the proposed rule and later the final rule is the increase in the performance threshold, otherwise known as the minimum score an eligible clinician must achieve to stay penalty-free. The proposed rule in 2020 aims to set the performance threshold for both 2020 and 2021, moving […]Read More »