Explanation of Special Status Calculation
The Centers for Medicare and Medicaid Services (CMS) has introduced new information on qpp.cms.gov that indicates whether clinicians have “special status” and can therefore be considered exempt from the Quality Payment Program.
To determine if a clinicians’ participation should be considered as special status under the Quality Payment Program, CMS retrieves and analyzes Medicare Part B claims data. A series of calculations are run to indicate a circumstance of the clinician's practice for which special rules under the Quality Payment Program will affect the number of total measures, activities or entire categories that an individual clinician or group must report. These circumstances are applicable for clinicians in: Health Professional Shortage Area (HPSA), Rural, Non-patient facing, Hospital Based, and Small Practices.
For more information, please visit the Quality Payment Program website.
Now Available: Accredited Online Course – Quality Payment Program 2017 Merit-Based Incentive Payment System: Improvement Activities Performance Category
A new, online and self-paced overview course on the Quality Payment is now available through the MLN Learning Management System. Learners will receive information on:
- The Improvement Activities performance category requirements, and how this category fits into the larger Quality Payment Program
- The steps you need to take to report Improvement Activities data to CMS
- The basics about scoring of the Improvement Activities performance category
This course is the third course in an evolving curriculum on the Quality Payment Program, where learners will gain knowledge and insight on the program all while earning valuable continuing education credit. Keep checking back with us for updates on new courses. First time learners will need to register for the MLN Learning Management System. Once registered, learners will be able to access additional courses without having to register. For information on how to login or find training, please visit our MLN Learning Management System FAQ sheet.
The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires June 1, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.
UPDATED LINK: NOW OPEN: Submissions API Developer Preview
If you're a Developer working on Quality Payment Program reporting, there are new APIs and Github Repositories available to help you: http://qpp.cms.gov/developers
Ready to Get Started?
You can email the Quality Payment Program Service Center at QPP@cms.hhs.gov to get your API Token.
(Not a Developer??Please forward along to your team!)