Quality Payment Program Archives

CMS Proposes Changes to the Quality Payment Program

By Renee Dustman

In Billing

Jul 29th, 2025

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In the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) proposed rule, issued July 14, the Centers for Medicare & Medicaid Services (CMS) lays out further changes to the Quality Payment Program (QPP). One such proposed change is to split the conversion factor (used to determine Medicare-allowed payments for physician services) into two — ...

HHS Final Rule Disincentivizes Providers for Healthcare Information Blocking

By Michelle Dick

In Compliance

Jul 9th, 2024

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Besides paying OIG civil penalties for committing information blocking, healthcare providers are also disincentivized. If you aren’t familiar with what information blocking is in the healthcare arena, it’s when a healthcare provider intentionally interferes, prevents, or discourages the access, exchange, or use of electronic health information (EHI). This includes medical practices that restrict au...

Tips for Successful MIPS Participation

By Darah Huels

In Billing

Jan 3rd, 2023

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This year, take measures to earn a positive payment adjustment on your Medicare claims. Are you ready for Merit-Based Incentive Payment System (MIPS) in 2023? The Medicare performance-based incentive program can be overwhelming and confusing to anyone, whether your practice is an annual MIPS participant or a novice. With impending cuts to Medicare reimbursement, however, ...

Learn What’s New for MIPS in 2022

By Renee Dustman

In CMS

Mar 1st, 2022

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Stay on top of the latest changes to help your providers earn positive payment adjustments and favorable consumer ratings this year. The Centers for Medicare & Medicaid Services (CMS) had until the 2022 performance period/2024 payment period to fully implement the Quality Payment Program (QPP) and its two tracks for participation: the Merit-Based Incentive Payment ...

eCQMs and Telehealth

By Renee Dustman

In Quality Payment Program

Jan 29th, 2021

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CMS guidance clarifies MIPS measure specifications. Which electronic clinical quality measures (eCQMs) include telehealth-eligible encounter codes, and which do not? Guidance from the Centers for Medicare & Medicaid Services (CMS) identifies the eCQMs that eligible clinicians may report for the Merit-Based Incentive Payment System (MIPS) 2021 performance period to receive credit, even if the en...