The ACS Quality Payment Program (QPP) Resource Center provides resources to be successful in participating in this Medicare Physician Quality Program, by providing basic information about the program, participation options, and other helpful resources.
To submit their MIPS data, physicians should:
Physicians who have had their data reported by a third party should follow the same steps in order to review their submission for accuracy.
In addition, CMS will only approve EUC applications that cite the cyberattack on Change Healthcare as the basis for requesting reweighting under the MIPS EUC Exception. Any applications submitted for reasons other than the Change Healthcare cyberattack will be denied. As a reminder, any data a surgeon has previously submitted to CMS will override their application for those performance categories.
To submit an EUC application, physicians should:
CMS offers additional resources in the QPP Resource Library, including data submission user guides for Traditional MIPS, MIPS Value Pathways (MVPs), and the Alternative Payment Model Performance Pathway (APP). Physicians can also contact QualityDC@facs.org for additional information.
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 called for major changes in the physician payment system that went into effect in 2017. The QPP continues to advance a policy goal of basing payment on value rather than on volume. For your convenience, we have compiled reporting information for 2021, 2022, and 2023 participation.
The 2024 QPP offers two pathways: the Merit-based Incentive Payment System and Advanced Alternative Payment Models.
The 2022 QPP offers two pathways: the Merit-based Incentive Payment System and Advanced Alternative Payment Models.
For 2021, surgeons need to score a total of at least 60 points to avoid a payment penalty in 2023.