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Home » CMS TCPI SAN 2.0 » MIPS Reporting Deadlines March 1, 16 & 31 Fast Approaching – We Can Help You; Don’t Wait: Sign-In to Verify Your Participation Status

MIPS Reporting Deadlines March 1, 16 & 31 Fast Approaching – We Can Help You; Don’t Wait: Sign-In to Verify Your Participation Status

TCPI Goals:  Improve Quality, Reduce Costs, & Focus on Patient-Centered Care

This Weeks Key Messages:
  • MIPS Reporting Deadlines March 1, 16 & 31 Fast Approaching – We Can Help You
  • Don’t Wait: Sign-In to Verify Your Participation Status
  • Steps to Submit MIPS Data: Video (38 min) & Fact Sheet
  • CMS Holds Q & A Sessions on QPP Reporting to Meet Deadlines
  • Your CMS Claims Data Now Available on QPP.cms.gov
  • March 12 Deadline to Apply for APMs – Dr. Jeffrey Rich Urges Consideration & Answers Frequent Questions
  • Quality Data: Have You Sent Your Selected Measures Baseline Data to VCSQI Yet? We Can Help with Formatting



Welcome to New Practices Joining the VCSQI SAN 2.0  
  • Tooele Orthopedics – Orthopedic Surgery – Tooele, UT
  • Potomac Medical Center – Internal Medicine – Falls Church, VA
  • Internal Medicine Associates of Eunice – Internal Medicine – Eunice, LA 



March 1, 16 & 31 MIPS Reporting Deadlines Fast Approaching: Let Us Know if You Need Help to Access the CMS QPP MIPS Data Entry Portal

vcsqi.org@gmail.com | (913) 909-3140


  • March 1st- All 2017 Claims Due to CMS
  • March 16th – All Group Reporting Due on the CMS Web Interface
  • March 31st- All 2017 Data Due and CMS Submission Portal Closed 


Don’t Wait:  Sign-In to Verify Your Participation Status

Click here https://qpp.cms.gov to land on the home page for the Quality Payment Program (it shows a female clinician talking with a female patient). In the upper right corner is a ‘Sign-In’ section.  Once you click there you will see that you need a user name and password – and EIDM number.  There is a link further down on this page to assist you if you need this number.  You may already have one if you have previously participated in PQRS.

MIPS Reporting Deadlines Fast Approaching: 10 Things to Know & Do

This list focuses on reporting via the qpp.cms.gov data submission feature, not on group reporting on via the CMS Web Interface and not on individual reporting on Quality measures via claims submission data. If you’re not sure if you are required to report for MIPS, enter your National Provider Identifier (NPI) in the MIPS Lookup Tool to find out whether you need to report. If you know you are in a MIPS APM or Advanced APM, use the APM Lookup Tool.

We can help you if you need further clarification on the data to enter before March deadlines


Step-by-step instructions on how to submit MIPS data in this VIDEO and FACTSHEET 

If you plan to submit data for the 2017 Merit-based Incentive Payment System (MIPS) performance period, don’t wait until the last minute! All 2017 encounter claims must be submitted to CMS by March 1st.

More Questions? Contact the Quality Payment Program 1-866-288-8292,  Monday – Friday, 8am – 8pm ET

  • March 1 — All 2017 encounter claims must be submitted to CMS
  • March 16 at 8 pm ET for group reporting via the CMS web interface


CMS Holds Q & A Sessions on QPP Reporting to Meet Deadlines

To help individual eligible clinicians and groups prepare for submission, CMS experts will answer questions about submission on qpp.cms.gov. Registrants can email qpp@cms.hhs.gov  prior to the sessions.  Space is limited. Register early.

February 28, 3-4pm ET

Quality Payment Program Data Submission Office Hours: MIPS Quality Data Submission

Register Here

March 14, 3-4pm ET

Quality Payment Program Data Submission Office Hours: MIPS Attestation for Advancing Care Information and Improvement Activities

Register Here


MIPS Eligible Clinicians Can Now View Performance Scores for 2017 Claims Data on qpp.cms.gov

CMS MIPS Video (11 mins): How to log in and view your monthly calculation of claim based measures before the end of the claims period

If you’re an eligible clinician who submitted 2017 Quality performance data for MIPS via claims, you are now able to view your performance scores through the MIPS data submission feature. Reminder: claims data submission is only an option if you’re participating in MIPS as an individual (not as part of a group).


Submitting Quality Performance Data via Claims

If you’ve already submitted quality data via claims, you don’t have to take any additional action. Claims-based quality measures are calculated automatically by CMS based on the Quality Data Codes (G-codes) submitted on your 2017 claims. You can simply login at qpp.cms.gov and view your calculated individual measures’ scores and category score for Program Year 2017.

Please note, scoring of claims data is subject to change monthly based on the processing of any additional 2017 claims and adjustments up to 90 days after the end of 2017. It is possible that claims or adjustments that were submitted towards the end of 2017 have not yet processed. Please check back after March 31st, 2018.


Still Time to Submit Claims for 2017:  Deadline is March 1st

If you still have 2017 claims you’d like to submit for the Quality performance category, make sure to submit them now. Claims, which are processed by Medicare Administrative Contractors (MACs) (including claims adjustments, re-openings, or appeals), must get to the national Medicare claims system data warehouse (National Claims History file) by March 1, 2018 to be analyzed. The MACs can provide you with specific instructions on how to bill.




March 12 Deadline to Apply for APMs:  VCSQI Chief Clinical Advisor & Former Director CMS Dr. Jeffrey Rich Urges Consideration & Answers Frequent Question


Your goal should be to get out of MIPS and move into an APM. The CMS Quality Payment Program is changing from a ‘Fee for Service’ to a ‘Value Based’ payment system. A NEW Bundled Payment Program was announced in January 2018 that rewards Practice Improvement Activities.



Learn More About Bundled Payments for Care Improvement Advanced Model:  Note March 12, 2018 Application Deadline for Voluntary Participation

CMS recently announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced). In BPCI Advanced, participants will be expected to redesign care delivery to keep Medicare expenditures within a defined budget while maintaining or improving performance on specific quality measures.  The audio file and transcript of the first Open Door Forum held on January 30th is now available. For more information about the model and its requirements, or to download a Request for Applications document (RFA), the application template, and the necessary attachments, please visit BPCI Advanced web page. Applications must be submitted via the Application Portal, by March 12.


Alternative Payment Models Table Published: 

CMS just published a table displaying the Alternative Payment Models (APMs) that CMS operates. In the table CMS identifies which of those APMs CMS has determined to be MIPS APMs or Advanced APMs. See the table here: https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/Comprehensive-List-of-APMs.pdf


Quality Data Formatting – We Can Help You
Have You Sent Your Selected Measures Baseline Data to VCSQI Yet?

By February 2018 all TCPI enrolled practices should have a data strategy in place, should be using data to direct and improve care, and should be sharing performance data monthly with your Practice Transformation Advisors even if you do not have a functioning electronic health record system. You need to establish baseline metrics and create a plan to achieve higher quality and reduce costs and start making progress towards achievement of the 7 Aims as a QPP participating practice.

Eddie Fonner and/or Ivan Berkel need your aggregate baseline data for each of the metrics you’ve decided to use in the TCPI project. Baseline data should represent a time period prior to the start of your improvement activities with VCSQI. Please respond to them as soon as possible.


VCSQI SAN 2.0 Opioid Workgroup – Sharing Resources & Successes

The VCSQI SAN 2.0 Opioid Workgroup reviewed CDC’s Guidelines for Opioid Prescribing for Chronic Non-Cancer pain and how these recommendations may assist you with establishing your own guidelines for other types of patients.  Twelve recommendations are outlined, categorized into three major topics: when to prescribe opioids, how to prescribe opioids, and assessing the patient’s risk when using opioids.

Recommendation 6 may be particularly relevant to prescribers treating acute pain:

Long-term opioid use often begins with treatment of acute pain. When opioids are used for acute pain, clinicians should prescribe the lowest effective dose of immediate-release opioids and should prescribe no greater quantity than needed for the expected duration of pain severe enough to require opioids. Three days or less will often be sufficient; more than seven days will rarely be needed.

Steve Dickson, CEO for Cardiovascular Surgeons, PA, Orlando, Fla. shares how their practice is working to standardize opioid prescribing practices among their clinicians.  Ivan Berkel and Eddie Fonner recently made a site visit there to help them in this process. This discussion may help you begin to take your own steps for addressing this critically important care process.


Steve Dickson, CEO, Cardiovascular Surgeons, PA, explains efforts to standardize prescribing among 12 surgeons and other clinicians in their practice in Orlando, Florida.

Click here to read Cardiovascular Surgeons, PA, opioid prescribing practice improvement success story.

Links to Resources:


Follow this link to more Opioid and PFE Workgroup shared resources.


 You’re Invited to Join Our Workgroups

We would like representatives from each practice to participate in the Opioid and Patient & Family Engagement (PFE) Workgroups, including a patient and/or family member if you’d like to engage one on the PFE calls.

  • Regular monthly calls for our Opioid prescribing workgroup are on the 4th Thursday of every month from 1-2 pm ET.
  • Our PFE Workgroup calls are the first Wednesday from 1-2 pm ET.


Other New Opioid Resources

Watch or Listen to Surgeons Discuss the Opioid Epidemic
The first topic in the Society’s 2018 roundtable series addresses the opioid epidemic in the US and how it is affecting cardiothoracic surgery patients. Drs. Keith S. Naunheim, Alexander A. Brescia, David T. Cooke, and James D. Luketich discuss the scope of the problem and what cardiothoracic surgeons are doing to stem the crisis. Watch the video on the Society’s YouTube channel, or—new for 2018—download the audio from the discussion on the STS Podcast page. You also may subscribe to the new Surgical Hot Topics podcast on iTunes, Google Play, or Stitcher.


Medications for Opioid Use Disorder:

TIP 63 Free Publication

As part of SAMHSA’s response to the opioid crisis, TIP 63 is a resource for health professionals throughout the country to employ in addressing crucial facets of the epidemic. Expanding access to OUD medications is an important public health strategy.  TIP 63 and its sub-components are available to download and order from the SAMHSA Store at https://store.samhsa.gov/product/SMA18-5063FULLDOC.


Reminder: If You Missed a VCSQI Webinar, Recordings are on the VCSQI Website

Follow this link to find VCSQI sponsored webinars on our VCSQI website.


Click here to join or log in to the Healthcare Communities website and check the calendar for a full list of webinars and learning sessions.


VCSQI’s TCPI Transformation Roadmap

VCSQI has outlined a TCPI Transformation Roadmap to methodically guide a practice through the 5 phases of transformation. The Roadmap outlines specific activities of our work with you, including the initial preparation.  Ivan Berkel, VCSQI Transformation Improvement Advisor will help guide you through the phases.


 Quote for the Week:


“Double down on what’s working,

do things differently if they are not working.”

— Teresa Davis, M.Sc., CMS Center for Clinical Standards and Quality


About VCSQI SAN 2.0:  Primary Goal

The goal of the VCSQI SAN 2.0 is to assist participating practices progress through the 5 phases of the Quality Payment Program (QPP) practice transformation process.  Starting with review of your baseline practice assessment, we will guide you and your practice leaders through practice improvement activities and changes. Our goal is to successfully keep your practice moving from one phase to the next to optimize your CMS reimbursements in the QPP, and improve quality, reduce costs and focus on patient-centered care.


To see all VCSQI SAN 2.0 Participating Practices, click here. 


VCSQI SAN 2.0 February 2018 – All Rights Reserved



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