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). 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.

We help eligible clinical practices 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. End-stage renal disease (ESRD) patient providers can seek assistance through the appropriate ESRD Network.

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 provides direct assistance to 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 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.

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

The MIPS Orientation session is designed for newly eligible clinicians, those new to supporting your practice with MIPS or reporting MIPS for the first time. Discussion includes what MIPS is, the data collection is needed and how to report that data.

Be sure you have the tools and knowledge you need to perform a valuable risk assessment in 2020.

Discussion of the Merit-based Incentive Payment System (MIPS) Performance Reports and have an in-depth discussion about the Cost Category scoring and things that can be done to increase your scores.

Chronic Care Management provides services for patients 65 and older for traditional Medicare B patients. It can assist providers by reducing hospital inpatient visits, which can lower a provider’s cost portion for MIPS attesting. Learn more in this recorded webinar.

Quality Payment Program Blog

  • QPP | Deadline to Submit a MIPS Targeted Review Request is Sept. 30

    QPP | Deadline to Submit a MIPS Targeted Review Request is Sept. 30

    Deadline to Submit a MIPS Targeted Review Request is Sept. 30 If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes your MIPS final score and payment adjustment factor(s), are now available for review on the Quality Payment Program website. The MIPS payment adjustment you will receive in […]Read More »
  • 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 »