QPP Fact Sheet (PDF) that highlights many of the major provisions of the MPFS. To view the Proposed Rule in its entierty, please see the Medicare Physician Fee Schedule Proposed Rule for 2021.
CMS Announces Relief for Clinicians Participating in the Quality Payment Program in 2020
In response to the COVID-19 public health emergency, CMS has announced flexibilities for clinicians participating in the Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS) in 2020.
Clinicians significantly impacted by the public health emergency may submit an Extreme & Uncontrollable Circumstances Application to reweight any or all of the MIPS performance categories. If you are requesting relief via the application, you will need to provide a justification of how their practice has been significantly impacted by the public health emergency.
Please review the 2020 Exception Applications Fact Sheet for more information, helpful hints, and FAQs about submitting an Extreme & Uncontrollable Circumstances Application.
If you have questions, please contact the QPP at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov. To receive assistance more quickly, please consider calling during non-peak hours—before 10:00 a.m. and after 2:00 p.m. ET.
Quality Payment Program (as Required by MACRA)
The Centers for Medicare & Medicaid Services (CMS) began the Quality Payment Program (QPP) on January 1, 2017. The QPP fulfills the mandate of the Medicare Access and CHIP Reauthorization Act (MACRA) to implement an incentive program that rewards Medicare-participating clinicians for high quality, cost efficient, value-based care. The QPP comprises two tracks: the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs). ID physicians may choose which track to participate in based on practice size, location, or patient population.
Most ID physicians will participate in the MIPS. For information on your MIPS eligibility, enter your 10-digit National Provider Identifier (NPI) into the CMS QPP Participation Status tool.
CMS updates the Quality Payment Program and physician payment formulas annually, typically through issuing first a proposed rule, on which it receives public comment, and then a final rule. IDSA continually submits comment letters to CMS on the proposed and final QPP/ Physician fee schedule rules advcoating on behalf of our members.
The American Medical Association (AMA) offers podcasts, learning modules, and webinars to help physicians and their staff prepare for participation in the QPP.