How Will Quality Scores Affect Your 2019 Medicare Payments? Get an EIDM Account ASAP
By David Doolittle

MACRA_EIDM

I know we’re more than halfway through 2018, but think back for a minute to 2017.

Did you participate in the Merit-Based Incentive Payment System (MIPS), which, as you know, is under the 2017 Quality Payment Program (QPP)?

If the answer is yes, now’s the time to make sure you have an Enterprise Identity Data Management (EIDM) account. (If the answer was no, just move along, there’s nothing to see here.)

So what’s this all about?

Well, the Centers for Medicare & Medicaid Services (CMS) on July 1 will release final MIPS scores, performance feedback, and Medicare payment adjustment determinations (bonuses and penalties).

But here’s the rub: You’ll need an EIDM account to access your report card. 

MIPS bonuses and penalties based on 2017 performance will be applied on a per-claim basis under the Medicare Part B physician fee schedule in 2019. 

Getting your EIDM account ready now is important because your report card is the only way to see your overall final score and performance feedback. That’s how you’ll know whether you’ll get a bump or cut in your Medicare payments next year. 

Once those reports are released, CMS says you’ll have until Sept. 30 to file an appeal for incorrect data and/or payment adjustment determinations through what’s called the “targeted review” process. If you miss this deadline, there will be no other way to file an appeal. 

Once you establish your EIDM account, or for those that already have one, you can access your preliminary data via the QPP portal

Establishing an EIDM account may take a few days, so you’ll want to start this process as soon as possible. 

For step-by-step guidance, refer to this CMS guide. For questions, contact the QPP Service Center at (866) 288-8292 or by email at QPP[at]cms[dot]hhs[dot]gov. As always, visit the TMA MACRA Resource Center to stay up-to-date on the latest information, and get free QPP support from TMF Health Quality Institute.

Correction: The headline of this article has been corrected to say the scores will affect your 2019 Medicare Payments

Last Updated On

July 10, 2018

Related Content

MACRA | Medicare

David Doolittle

Editor

(512) 370-1385

Dave Doolittle is editor of Texas Medicine and Texas Medicine Today. Dave grew up in Austin, where he attended culinary school as well as the University of Texas. He spent years covering Central Texas for the Austin American-Statesman newspaper. He is the father of two girls, a proud Longhorn, and an avid motorsports fan.

More stories by David Doolittle