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December 2021 Quest Details

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QPP SURS Initiative Ending 

The Centers for Medicare & Medicaid Services (CMS) is committed to providing continued support and educational resources for small, underserved and rural practices participating in Quality Payment Program (QPP) and will continue to have the following options available: 

  • The QPP Service Center will serve as a primary point of contact to help address your questions and concerns. The Service Center is able to address basic questions as well as more complex scenarios.  
    • Connect with the Service Center at 1.866.288.8292 (TTY 1.877.715.6222) or via email at QPP@cms.hhs.gov Monday–Friday, 8 a.m.–8 p.m. ET 
  • The QPP website provides a centralized location for resources, and specifically, the Support for Small Practices page will provide updates and resources for small practices.  
  • Upcoming Webinars and trainings will be listed on the QPP Webinar Library. Recordings, slides and transcripts of past events will also be available and posted to the Webinar Library. 
  • The QPP listserv to receive updates on the QPP and upcoming program deadlines.  
    • Please encourage your fellow small, underserved and rural clinicians and their staff to sign up for the QPP listserv by entering their email address into the box at the bottom of any cms.gov webpage. 
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    • CMS also is looking into the possibility of creating a targeted listserv focused on small practices so that we can get you the information you need most. 

What Should I Do Now? 

  1. Bookmark the QPP website Support for Small Practices page
  2. Sign-up for the QPP listserv. 
  3. Small practices participating in QPP for Performance Year (PY) 2021 should make plans to submit data early while technical assistance support is still available. The data submission window for PY 2021 opens on January 3, 2022 and closes on March 31, 2022.  
    • Reminder: Under current policies, CMS automatically calculates a quality score from Medicare Part B claims measures at the individual and group level. Some small practices may not be aware of the implications of their PY 2021 claims reporting due to some of the policies CMS introduced at the onset of the COVID-19 Public Health Emergency (PHE). As a result, these small practices may wish to request performance category reweighting on behalf of the group through the PY 2021 Extreme and Uncontrollable Circumstances (EUC) Exception Application, citing COVID-19 as the triggering event.  
      • PY 2021 EUC Exception Applications can be submitted by signing in to qpp.cms.gov and clicking Exception Applications on the left-hand navigation. 
      • December 31, 2021 is the deadline to submit an EUC Exception Application for PY 2021. 

CMS understands clinicians in small practices, including those in rural locations, health professional shortage areas, and medically underserved areas are a vital part of the healthcare system.  Therefore, CMS remains committed to providing educational resources to help maximize participation in QPP beyond the end of the SURS initiative on February 15, 2022. WCMS is working with its SURS technical assistance organizations to identify areas where greater support is needed for small practices so that CMS can improve existing resources or develop new resources as feasible and ensure small practices continue to be successful in QPP. 

2022 QCDRs and Qualified Registries Qualified Postings Now Available 

On December 9, 2021, CMS posted the 2022 approved Qualified Clinical Data Registries (QCDRs) and Qualified Registries Qualified Postings in the QPP Resource Library. The Qualified Postings assist clinicians in the selection of a QCDR or Qualified Registry that will collect and report clinical data to the MIPS program on their behalf. Qualified Postings provide the names of approved QCDRs and Qualified Registries, including the applicable QCDR measures and MIPS quality measures, Promoting Interoperability measures and objectives, and/or improvement activities they are approved to support for the 2022 MIPS performance period. 

  • 2022 Qualified Registries Qualified Posting—Included in this posting is a list of Qualified Registries that have been approved to participate in reporting MIPS quality measures, Promoting Interoperability measures and objectives, and/or improvement activities for the 2022 performance period. A Qualified Registry is a CMS-approved entity that collects clinical data from an eligible clinician, group, virtual group, and/or an Alternative Payment Model (APM) Entity and submits the data to CMS on their behalf as a part of MIPS. These approved Qualified Registries may report data (quality measures and/or activities) for the quality, Promoting Interoperability, and improvement activities performance categories. 
  • 2022 QCDRs Qualified Posting—Included in this posting is a list of QCDRs that have been approved to participate in reporting QCDR measures and/or MIPS quality measures, Promoting Interoperability measures and objectives, and/or improvement activities for the 2022 performance period. A QCDR is also a CMS-approved entity that collects clinical data from an eligible clinician, group, virtual group, and/or APM Entity and submits the data to CMS as a part of MIPS. A QCDR is defined as an entity that demonstrates clinical expertise in medicine and quality measurement development. QCDRs collect medical or clinical data on behalf of clinicians, groups, virtual group, and/or APM Entities to track patients and diseases and foster improvement in the quality of care provided to patients. QCDR reporting is different from a Qualified Registry as it is not limited to MIPS quality measures. QCDRs may also report on approved QCDR measures. These approved QCDRs may report data (quality measures and/or activities) for the quality, Promoting Interoperability, and improvement activities performance categories. 

For More Information 

  • Visit QPP.cms.gov to check your participation status, explore measures, and review guidance on MIPS, APMs, what to report, and more. 
  • Go to the QPP Resource Library on CMS.gov to review new and existing QPP resources.