Do your patients get the right care at the right time?

Do your patients get the right care at the right time?

Assess the quality of care you provide

Quality Payment Program

The Centers for Medicare and Medicaid Services Physician Quality Payment Program is a reporting program that uses a combination of incentive (bonus) payments and payment adjustments (penalty) to promote reporting of quality information by eligible professionals. The program provides an incentive payment to practices with eligible professionals (identified on claims by their individual National Provider Identifier [NPI] and Tax Identification Number [TIN]) who satisfactorily report data on quality measures for covered Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries (including Railroad Retirement Board and Medicare Secondary Payer).

To participate in Physician Quality Reporting, individual eligible professionals may choose to participate individually or as a group. Those who choose to participate individually must report on individual Physician Quality Reporting quality measures or measures groups through Medicare Part B claims, a qualified Physician Quality Reporting registry, or a qualified electronic health record. (EHR) Those who choose to participate as a group can only report individual measures using a CMS-qualified registry or groups of eligible professionals may participate through a web interface.

Performance is measured through the data clinicians report in four areas - Quality, Improvement Activities, Promoting Interoperability (formerly Advancing Care Information), and Cost.


<p>QPP enables better patient care</p>

QPP enables better patient care

QPP Interim Feedback Dashboard

2018 is the time to “Max your MIPS” score. Note that in 2018, there are 6 topped out measures that be will scored with a maximum of 7-points instead of the standard 10-points:

  • #21. Perioperative Care: Selection of Prophylactic Antibiotic-First or Second Generation Cephalosporin
  • #23. Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
  • #52. Chronic Obstructive Pulmonary Disease (COPD): Inhaled Bronchodilator Therapy
  • #224. Melanoma: Overutilization of Imaging Studies in Melanoma
  • #262. Image Confirmation of Successful Excision of Image Localized Breast Lesion
  • #359. Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computerized Tomography (CT) Imaging Description