If you’re in a physician group that participates in MIPS, gather everybody together soon and ask this question: “How are we going to report data under the new Quality Payment Program?”
Why should you do this soon? Because you’re bumping up against a June 30 deadline, depending on how you choose to report. Yep, that’s two weeks from now.
So let’s get down to it:
In general, if you participate in MIPS (the Merit-Based Incentive Payment System), you have six options for reporting Quality Performance Category data to the Centers for Medicare & Medicaid Services (CMS). And that all comes down to whether you report as a group or you want to “go rogue” and report as individuals. You rebel, you.
But only two of those options require registration by June 30: the CMS Web Interface and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
What’s the difference between them? Well, among other things described in the links above, the CMS Web Interface is for physician groups of 25 or more. CAHPS is for groups of two or more.
The other four choices, which don’t have that pesky June 30 deadline, are via claims (for individuals only), qualified registry, qualified clinical data registry (QCDR), and electronic health record (EHR).
And remember the old Physician Quality Reporting System (PQRS)? Well, unlike that system, groups do not need to register with CMS if they plan to report Quality Payment Program data via qualified registry, QCDR, or EHR.
In addition, if your group registered for the Group Practice Reporting Option (GPRO) Web Interface in 2016 to report quality data for the PQRS program, CMS automatically registered your group to use the CMS Web Interface in 2017 for MIPS. (How about that?!)
But, if your group would like to use a different reporting mechanism, you must cancel this registration by June 30.
You can learn a lot more about the registration process, or how to cancel your group’s registration, through the CMS website. For questions, contact the CMS Quality Payment Program Service Center by phone at (866) 288-8292 or by email. You can also check out the CMS Quality Payment Program website for more information, and don’t forget about the TMA MACRA Resource Center. It’s MACRA-tastic.
Action, June 15, 2017