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New Resources are
Now Available on the QPP Resource Library
The Centers for Medicare & Medicaid Services (CMS) has
posted many new Quality Payment Program (QPP) resources to the QPP Resource Library: 2020 Merit-based Incentive
Payment System (MIPS) User Guides: These guides provide
details on a variety of topics to help clinicians understand the MIPS 2020
performance period requirements. The guides cover the following:
2020 MIPS Measure Specialty
Guides: These guides provide a detailed sample of measures and
activities for the 2020 MIPS performance categories relevant to various
eligible specialists. Each guide explains how measures and activities are
applicable to the individual specialty, includes the weight of each
performance category for the MIPS Final Score, and provides information about
submitting data. All guides posted in 2019 have been updated for the 2020
performance period. Additionally, CMS has finalized the following new guides: The guides can be found in the QPP Resource Library by using the drop down
menu “Resource Type” and sorting by “Specialty Guides.” 2020 CMS Web Interface
Quick Start Guide:
This guide shares information to help stakeholders understand and report
their data via the CMS Web Interface. 2020 Quality Measures
List with Telehealth Guidance: This resource
provides a list of quality measures that currently include telehealth for the
2020 performance period. 2020 CAHPS for MIPS
Approved Survey Vendors: This resource contains the list and
contact information of survey vendors who are approved to administer the
CAHPS for MIPS Survey for 2020. For More Information Contact the Quality Payment Program at 1-866-288-8292 or by
e-mail at: QPP@cms.hhs.gov.
To receive assistance more quickly, consider calling during non-peak
hours—before 10 a.m. and after 2 p.m. Eastern Time (ET).
Reminder: 2021
Virtual Group Election Period for MIPS Closes on 12/31
To form a virtual group for the 2021 Merit-based Incentive
Payment System (MIPS) performance year, an election must be submitted to CMS via
e-mail by
December 31, 2020 (11:59 p.m. Eastern Time). NOTE: A virtual group must submit an election to CMS for each
performance year that it intends to participate in MIPS as a virtual group
(as required by statute). If your virtual group was approved for the 2020
MIPS performance year and intends to participate in MIPS as a virtual group
for the 2021 MIPS performance year, your virtual group is still required to
submit an election to CMS for the 2021 MIPS performance year between October 1, 2020 and December 31, 2020
(11:59 p.m. Eastern Time). What Is a Virtual Group? A virtual group is a combination of 2 or more Taxpayer
Identification Numbers (TINs) consisting of the following:
A virtual group has the flexibility to determine its own
makeup. A solo practitioner or group can only participate in one virtual
group during the performance year. What Are the Advantages of
Participating in a Virtual Group? Participating in MIPS as a virtual group has the following
advantages:
What Is the Virtual Group
Election Process? The following highlights key items that a virtual group needs to
complete prior to the submission of an election:
The following outlines the elements that need to be included in
an election:
Once complete, the virtual group must submit the election via
e-mail to CMS at MIPS_VirtualGroups@cms.hhs.gov by 11:59 p.m. Eastern Time on December
31, 2020 (see Election E-mail Sample in the Virtual Group
Election Process Guide within the 2021 Virtual Group Toolkit). For further information regarding virtual group participation in
MIPS, virtual group reporting requirements, the election process, checklists
for virtual groups to consider, and sample templates, download the 2021 Virtual Group Toolkit. Need Help?
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To be a Medicare Agent's source of information on topics affecting the agent and their business, and most importantly, their clientele, is the intention of this site. Sourced from various means rooted in the health insurance industry - insurance carriers, governmental agencies, and industry news agencies, this is aimed as a resource of varying viewpoints to spark critical thought and discussion. We welcome your contributions.
Monday, November 16, 2020
New Resources are Now Available on the QPP Resource Library; Reminder: 2021 Virtual Group Election Period for MIPS Closes on 12/31
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