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Quality Payment Program 2021 Final Rule Released

From the College  |  December 15, 2020

Improvement Activities Performance Category

  • Modification of two existing improvement activities
  • Continuation of the COVID-19 clinical data reporting improvement activity with modification as outlined in the September Interim Final Rule with Comment (IFC)
  • Removal of one improvement activity that is obsolete
    • CC_5 CMS Partner in Patients Hospital Engagement Network

Promoting Interoperability (PI) Performance Category

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  • The Query of Prescription Drug Monitoring Program measure will remain as an optional measure worth 10 bonus points.
  • The name of the Support Electronic Referral Loops by Receiving and Incorporating Health Information will be changed to Support Electronic Referral Loops by Receiving and Reconciling Health Information.
  • A new optional Health Information Exchange (HIE) bi-directional exchange measure is added as an alternative reporting option to the two existing measures under the HIE objective.

PI Reweighting:
The following clinician types continue to be automatically excepted from having to submit data for the PI category:

  • Nurse Practitioners (NPs)
  • Physician Assistants (PAs)
  • Certified Registered Nurse Anesthesiologists (CRNAs)
  • Clinical Nurse Specialists (CNSs)
  • Physical Therapists
  • Occupational Therapists
  • Qualified Speech-language Pathologists
  • Qualified Audiologists
  • Clinical Psychologists
  • Registered Dieticians or Nutrition Professionals

PI CEHRT Requirements for Performance Periods in CY 2020, 2021, and 2022:

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  • Technology certified to the existing 2015 Edition certification criteria
  • Technology certified to the 2015 Edition Cures Update certification criteria
  • A combination of both to collect and report their Promoting Interoperability data and eCQMs for the Quality performance category

Cost Performance Category

  • Adding telehealth services directly applicable to existing episode-based cost measures and TPCC measure
  • Updated specifications available for review on the MACRA feedback page

These are key takeaways from the final rule; not all changes have been included in this overview. To learn more about the PFS Final Rule and the 2021 Quality Payment Program finalized policies, review the following resources:

  • CMS Press Release – Provides additional details regarding today’s announcement
  • QPP 2021 Final Rule Resources Zip File – Contains the following:
    • Fact Sheet and Table – Offers an overview of the QPP final rule policies for 2021; table compares these policies to the requirements for 2020
    • Frequently Asked Questions (FAQs) – Addresses the frequently asked questions for the 2021 QPP final rule policies

Questions?
Contact the Quality Payment Program at 1-866-288-8292 or [email protected].

ACR RISE registry staff are also available to assist you with questions related to reporting for MIPS. Contact the RISE registry at 404-633-3777 or [email protected].

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Filed under:Quality Assurance/Improvement Tagged with:ACR Rise RegistryMedicare Physician Fee Schedule (MPFS)MIPSQuality Payment Program (QPP)

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