MIPS Facility-based Preview, New MIPS Resources and Upcoming Webinars
For the 2019 performance year, the Merit-based Incentive Payment System (MIPS) includes the option to use facility-based measurement for the Quality and Cost performance categories for MIPS eligible clinicians, groups, and virtual groups who are determined to be facility-based. These clinicians will be assessed based on their performance in hospital settings.
How will CMS determine if you’re facility-based?
To determine if you’re facility-based, we’ll look at your Medicare Part B claims billed between October 1, 2017 and September 30, 2018 (including a 30-day claims run out). You are considered facility-based if you are a MIPS eligible clinician type and you:
- Billed at least 75 percent of your covered professional services in a hospital setting;
- Billed at least one service in an inpatient hospital or emergency room; and
- Can be attributed to a facility with a Hospital Value-based Purchasing (VBP) score
How do I know if I am facility-based?
This information is available on the QPP Participation Status lookup tool.
Facility Based Preview
CMS is providing a facility-based preview that allows you to see what your Quality and Cost performance category scores could look like for the 2019 MIPS performance period if you are identified as facility-based and attributed to a facility with a Fiscal Year (FY) 2020 Hospital Value-Based Purchasing (VBP) score. Please note that these are not your 2019 MIPS performance period Quality and Cost performance category scores under the facility-based scoring option. This preview is based on earlier data from the Hospital VBP and should give you an idea of what your facility-based scores for these performance categories may resemble.
How to Access the Facility Based Preview
- Sign into the QPP website. Don’t have an account? Review the QPP Access User Guide.
- From the Home page, click Preview Facility Score (or click the Facility Based Preview link in the left-hand navigation)
For More Information
To learn more about facility-based measurement for MIPS in 2019, view the 2019 Facility-based Measurement Fact Sheet and the Facility-based Preview FAQs.
Additional MIPS Resources Now Available on QPP.CMS.GOV
CMS has posted the following new resources to the Quality Payment Program (QPP) Resource Library:
- 2019 Merit-Based Incentive Payment System (MIPS) Opt-In and Voluntary Reporting Policy Fact Sheet–This fact sheet provides detailed information on the new Merit-based Incentive Payment System (MIPS) opt-in policy as well as the existing voluntary participation option, with a specific focus on the key differences between the two options as it relates to general participation, scoring, and payment adjustments.
- 2019 Facility-based Preview FAQs – This resource answers frequently asked questions about the 2019 Facility-based Preview for select Merit-based Incentive Payment System (MIPS) eligible clinicians, groups, and virtual groups whose primary health care responsibilities take place in hospital settings.
- 2019 MIPS Promoting Interoperability Fact Sheet–This fact sheet provides an overview of the MIPS Promoting Interoperability performance category, which promotes patient engagement and the electronic exchange of health information using certified electronic health record technology (CEHRT)
- 2019 MIPS Participation and Eligibility Fact Sheet - Provides an overview of the eligibility criteria for participating in the Merit-based Incentive Payment System (MIPS) in 2019.
Upcoming Webinars:
Title: MIPS Cost Performance Category in 2019 (Year 3) Webinar
Date: Tuesday, March 12, 2018
Time: 1:00 – 2:00 p.m. ET
Registration Link: https://engage.vevent.com/
Description:
The Centers for Medicare & Medicaid Services’ is hosting a webinar on Tuesday, March 12 at 1:00 PM ET to provide an overview of the Cost performance category of the Merit-based Incentive Payment System (MIPS) in 2019.
During the webinar, CMS subject matter experts will discuss
- MIPS participation and eligibility in 2019
- Cost performance category basics
- 2019 Cost measures
- Reporting requirements
- Scoring
- Preparing for Cost in 2019
- Resources and technical assistance
Title: MIPS Data Submission for Year 2 (2018) of the Quality Payment Program Office Hours – Session 2
Date: Tuesday, March 19, 2019
Time: 2:00 – 3:00 p.m. ET
Registration Link: https://engage.vevent.com/rt/
Description: CMS subject matter experts will answer frequently asked questions about 2018 MIPS data submission and stakeholders have the opportunity to ask questions.
Title: MACRA Cost Measures Post-Field Testing Webinar
Date: Wednesday, March 27, 2019
Time: 1:00 – 2:00 p.m. ET
Registration Link: https://engage.vevent.com/rt/
Description: Provide an update on the development of 11 episode-based cost measures and two revised measures that underwent field testing in October-November 2018.
Title: MIPS Call for Quality Measures
Date: Thursday, March 28, 2019
Time: 12:00 – 1:00 p.m. ET
Registration Link: https://engage.vevent.com/rt/
Description: Provide an overview of the 2019 Merit-based Incentive Payment System (MIPS) Call for Quality measures process.
The audio portion of these webinars will be broadcast through the web. You can listen to the presentations through your computer speakers. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@
Need Help?
If you have questions about MIPS, contact the Quality Payment Program at 1-866-288-8292 (TTY 1-877-715- 6222) or QPP@cms.hhs.gov.
If you have questions about the Hospital VBP Program, contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715- 6222), available Monday through Friday, 7:00 AM-7:00 p.m. CT or email at qnetsupport@hcqis.org.
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