QPP Roundup: July 2019

QPP Tip of the Month: Understand the New Requirements for the MIPS Promoting Interoperability Category

• Revised to contain a single set of objectives and measures for reporting;
• Required use of 2015 edition certified electronic health record technology (CEHRT); and
• A new scoring methodology for the category that eliminates the base, performance, and bonus score components.

PAI Comments on CMS and ONC Proposed Rules on Interoperability and Increasing Patient Access to their Health Information

• CMS Proposed Rule – Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally-Facilitated Exchanges and Health Care Providers
• ONC Proposed Rule – 21^st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program

CMS QPP Updates

• Cost Category and Quality Category User Guides provide additional technical details on how to participate in each of these categories.
• MIPS Eligibility Decision Tree helps physicians determine if they are eligible or exempt from MIPS participation.
• 2019 QP Methodology Fact Sheet provides an overview of how CMS makes QP and PQ determinations for Advanced APM participation.