MIPS: Last 90-day period for the 2017 MIPS performance year under the CMS Quality Payment Program
Due to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Centers for Medicare & Medicaid Services (CMS) designed a new Quality Payment Program that has two payment pathway options: the Merit-Based Incentive Payment System (MIPS) and advanced alternative payment models (APMs). The CMS Quality Payment Program began on Jan. 1, 2017, and performance in the pathway you choose this year will affect your Medicare payment in 2019.
Under the CMS Quality Payment Program framework, if you do not participate in an advanced APM in 2017, you may be subject to MIPS this year. To find out if you are required to submit data to MIPS or if you are exempt this year, refer to the letter CMS sent to your practice or access the online lookup tool on the Quality Payment Program website at https://qpp.cms.gov/learn/eligibility. If you are not exempt and choose not to participate in either pathway in 2017, you will receive an automatic 4-percent pay cut on a per-claim basis to your Medicare Part B payments in 2019.
If you are required to participate in MIPS for the 2017 performance year, you may pick your pace to participate by submitting data to MIPS representing a full calendar year (Jan. 1-Dec. 31) or partial year (any 90-day period), or by submitting a minimum amount of data for any point in time in 2017. The data submission timeframe for the 2017 MIPS performance year ranges from Jan. 1 to March 31, 2018, and reporting deadlines within this timeframe vary depending on the reporting mechanism you use for each MIPS category. To avoid the 2019 payment penalty, you must report at least one quality measure/one patient for the quality category, one improvement activity for the improvement activities category, or the required measures for the base score for the advancing care information category. For complete details about 2017 MIPS participation and reporting options, click on the CMS link above to visit the Quality Payment Program website. For questions, contact the CMS Quality Payment Program Service Center by phone at (866) 288-8292 or by email at QPP@cms.hhs.gov.