CMS Releases Final Rule for the 2019 Quality Payment Program

The Centers for Medicare and Medicaid Services (CMS) recently issued its policies for Year 3 (2019) of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Final Rule.

A few highlights:

  • Expanding the definition of a Merit-based Incentive Payment System (MIPS)-eligible clinician to include physical therapists, occupational therapists, speech-language pathologists, audiologists, clinical psychologists and registered dietitians or nutrition professionals.
  • Modifying the MIPS Promoting Interoperability (formerly Advancing Care Information) performance category to support greater electronic health record (EHR) interoperability and patient access.
  • Moving clinicians to a smaller set of objectives and measures with scoring based on performance for the Promoting Interoperability performance category.
  • Allowing small practices to submit quality data for covered professional services through the Medicare Part B claims submission type for the Quality performance category.
  • Streamlining the definition of a MIPS comparable measure in both the Advanced Alternative Payment Models (APMs) criteria and Other Payer Advanced APM criteria to reduce confusion and burden amongst payers and eligible clinicians submitting payment arrangement information to CMS.
  • Updating the MIPS APM measure sets that apply for purposes of the APM scoring standard.
  • Extending the 8 percent revenue-based nominal amount standard for Advanced APMs and Other Payer Advanced APMs through performance year 2024.

Learn more about the PFS Final Rule and the Year 3 Quality Payment Program policies, by reviewing the Press release, the Executive Summary and this Fact Sheet.

CMS also encourages you to register for the Quality Payment Program Year 3 Final Rule Webinar on November 15 at noon.


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