The Centers for Medicare & Medicaid Services (CMS) has opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2019 performance period of the Quality Payment Program (QPP). Data can be submitted and updated until 8 pm EDT on March 31, 2020.
The data submission period for ACOs and pre-registered groups and virtual groups also closes March 31. Quality measures reported via Medicare Part B claims have been submitted throughout the 2019 performance period. Sign in here
for your preliminary feedback on Part B claims measure data processed to date.
How to submit data
Clinicians will follow these steps to submit their data:
- Go to the QPP website.
- Sign in using your QPP access credentials.
- Submit MIPS data for the 2019 performance period or review the data reported on your behalf by a third party.
How to sign in to the Quality Payment Program Data Submission System
To sign in and submit data, clinicians will need to register in the HCQIS Authorization Roles and Profile (HARP) system. For clinicians who need help enrolling with HARP, please refer to the QPP Access User Guide
Note: Clinicians who are not sure if they are eligible to participate in the Quality Payment Program can check their final eligibility status using the QPP Participation Status Lookup Tool
. Clinicians and groups that are opt-in eligible will need to make an election before they can submit data. (No election is required for those who don’t want to participate in MIPS.)
Support for small, underserved and rural practices
Clinicians in small practices (including those in rural locations), health professional shortage areas and medically underserved areas may request technical assistance from organizations that can provide no-cost support. Indiana clinicians should contact the state’s selected technical assistance provider, Alatarum, at firstname.lastname@example.org for more information.
Additional information is available on QPP’s Small, Underserved, and Rural Practices page
on the QPP website.
For more information
Check initial 2020 MIPS eligibility on the QPP website
Clinicians can now enter their National Provider Identifier, or NPI
in the updated CMS Quality Payment Program Participation Status Lookup Tool
to check whether they need to participate in MIPS during the 2020 performance period.
Low-volume threshold requirements
To be eligible to participate in MIPS in 2020, clinicians must:
- Bill more than $90,000 a year in allowed charges for covered professional services under the Medicare Physician Fee Schedule (PFS), AND
- Furnish covered professional services to more than 200 Medicare Part B beneficiaries, AND
- Provide more than 200 covered professional services under the PFS.
If clinicians do not exceed all three of the above criteria
for the 2020 performance period, they are excluded from MIPS. However, clinicians have the opportunity to opt in to MIPS and receive a payment adjustment if they meet or exceed one or two, but not all, of the low-volume threshold criteria. Alternatively, clinicians may choose to voluntarily report to MIPS and not receive a payment adjustment if they do not meet any of the low-volume threshold criteria or if they meet some, but not all, of the criteria.
Find out today
whether you’re eligible for MIPS today. Prepare now to earn a positive payment adjustment in 2022 for your 2020 performance.
The 2020 Eligibility Tool for QPs/APMs will be updated. Additionally, the tool will be updated in late 2020 to indicate final MIPS eligibility.
For more information