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Home » CMS TCPI SAN 2.0 » MIPS Reporting Deadlines March 1, 16 & 31 – We Can Help You; Quality Payment Program Video & Factsheet Give Steps to Submit Data

MIPS Reporting Deadlines March 1, 16 & 31 – We Can Help You; Quality Payment Program Video & Factsheet Give Steps to Submit Data

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

This Week’s Key Messages:
  • MIPS Reporting Deadlines March 1, 16 & 31 Fast Approaching – Can We Help You?
  • Quality Payment Program Video and Factsheet Give Steps to Submit Data
  • CMS to Host Q & A Sessions on QPP Reporting to Meet Deadlines
  • Have You Sent Your Selected Measures Baseline Data to VCSQI Yet?
  • Learn More About Bundled Payments for Care Improvement Advanced Model
  • Alternative Payment Models Table Published
  • Upcoming “Physician Compare” Webinars 
  • Opioid Management and PFE Workgroups – Sharing Resources


Welcome to New Practices Joining the VCSQI SAN 2.0

  • Bolduc Eye Care – Biddeford, ME – Optometry
  • Farzad Eye Institute – Beverly Hills, CA – Ophthalmology
  • Comprehensive Pain Clinic and Wellness Center – Fort Wayne, IN – Pain Management
  • James Rau, MD – Inglewood, CA – Infectious Disease
  • Linda Morton, MD– Inglewood, CA – Infectious Disease
  • Peter Katona, MD– Inglewood, CA – Infectious Disease
  • Scott Layne, MD– Inglewood, CA – Infectious Disease
  • Thomas Yoo, MD– Inglewood, CA – Infectious Disease
  • Kitten Cardiovascular Associates – Shenandoah, TX – Cardiac Surgery

MIPS Reporting Deadlines Fast Approaching: Let Us Know if You Need Help to Access the CMS QPP MIPS Data Entry Portal
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.

  • 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 to Host Q & A Sessions on QPP Reporting to Meet Deadlines

To help individual eligible clinicians and groups prepare for submission, CMS is hosting 3  sessions when CMS experts will answer questions about submission on qpp.cms.gov. Registrants will also have the opportunity to email their questions prior to the sessions.

Register Below:

Date: February 14, 3:30-4:30pm ET

Title: Quality Payment Program Data Submission Office Hours: Individual Eligible Clinician and Group Submission


Date: February 28, 3-4pm ET

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


Date: March 14, 3-4pm ET

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


Space for these sessions is limited. Register now to secure your spot.


PDF of MIPS Reporting Deadlines Fast Approaching: Click Here for Top 10 Things to Know and 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.

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.

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

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.


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

Thursday, February 15, 2018, 12 – 1 pm EST  Register HERE for Open Door Forum

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, which will close on 11:59 pm EST on March 12, 2018. Applications submitted via email will not be accepted.


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


“What’s New with Physician Compare” Webinars 

 CMS is hosting a 90-minute Physician Compare webinar to talk about the recent Physician Quality Reporting System (PQRS) and non-PQRS PY 2016 measures release on Physician Compare. Learn about star ratings and what Quality Payment Program information is in the pipeline for potential inclusion on Physician Compare in late 2018.  To learn more, visit the Initiative page and click on the webinar date you prefer below to register:


Opioid & PFE Workgroups – Sharing Resources

Follow this link to Opioid and PFE Workgroup shared resources.

Quick link directly to PFE Compendium of Resources: 

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.


More PFE Resources to Help Your Practice Meet PFE Goals

 Agency for Healthcare Research and Quality’s SHARE Approach

AHRQ’s SHARE Approach is a five-step process for shared decision making that includes exploring and comparing the benefits, harms, and risks of each option through meaningful dialogue about what matters most to the patient.  Fact Sheet  The SHARE Approach Workshop curriculum was developed to support the training of health care professionals on how to engage patients in their health care.  Here are a series of questions to assess your readiness for the use of the SHARE Approach Workshop Curriculum.  The SHARE Approach tools are a collection of reference guides, posters, and other resources, all designed to support implementation of AHRQ’s SHARE Approach.


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.

Last Week at the Society of Thoracic Surgeons Conference

Dr. Pankaj Kulshrestha, MD, (center) a cardiac surgery specialist in Lake Havasu City, AZ, who participates with VCSQI SAN 2.0 had the opportunity to meet Project Manager, Debbie (Nadzam) Melnyk, and Assistant Program Manager Eddie Fonner.  Dr. Kulshrestha specializes in cardiac and vascular surgery and has been practicing for 23 years.

2,300 Americans die of cardiovascular disease each day, an average of 1 death every 38 seconds. 

Working together, we can change that! VCSQI was founded over 20 years ago with the goal to improve cardiac care outcomes and save lives.  From primary care to cardiac surgery, all clinicians can help patients with outstanding care and provide motivation for patient engagement in better self care.


Quote for the Week from Pablo Picasso:


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 and check out https://www.cleaningallstars.com/ for time saveing.  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. 


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