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

Centers for Medicare & Medicaid Services

Quality Payment Program


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).

  • Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

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:

  • Solo practitioners who are MIPS eligible (a solo practitioner is defined as the only clinician in a practice); and/or
  • Groups that have 10 or fewer clinicians (at least one clinician within the group must be MIPS eligible). A group is considered to be an entire single TIN.

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:

  • Can increase performance volume in order to be reliably measured; and
  • Provides an opportunity for members of a virtual group to collaborate, share resources, and potentially increase performance under MIPS.

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:

  • Establish a formal written agreement between each TIN within the virtual group (see Agreement Sample Template in the Virtual Group Election Process Guide within the 2021 Virtual Group Toolkit).
  • Identify an official virtual group representative.

The following outlines the elements that need to be included in an election:

  • Acknowledgement that a formal written agreement has been established between each TIN within the virtual group.
  • The name and contact information for the official virtual group representative.
  • The name and TIN for each practice, and all associated National Provider Identifiers (NPIs) under each TIN.

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?

  • Contact the Quality Payment Program 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 a.m. and after 2 p.m. Eastern Time.
    • Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.
  • Connect with your local technical assistance organization. We provide no-cost technical assistance to small, underserved, and rural practices to help you successfully participate in the Quality Payment Program.

Quality Payment Program


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