CMS Releases 2019 Merit-based Incentive Payment System (MIPS) Performance Feedback and Final Scores

The Centers for Medicare & Medicaid Services (CMS) has released 2019 Merit-based Incentive Payment System (MIPS) performance feedback and final scores for eligible clinicians (ECs) and their groups. MIPS ECs and groups may see their performance feedback and scores by logging into their Quality Payment Program (QPP) accounts.

The performance feedback summary includes the following elements: measure-level performance data and score, activity-level scores, performance category-level scores and weights, final score, and payment adjustment information. Upon review, if a MIPS eligible clinician or group feel there is a discrepancy in their report, then they may request a targeted review by October 5. 2020 at 8:00 pm ET.

MIPS ECs, including those who opt-in to MIPS participation during the submission period, will receive performance feedback for each associated practice at which they are eligible. Groups and those who opt-in as groups will receive one feedback report. Additional information on the MIPS performance feedback and targeted review, please visit the QPP resource library.

Please contact the Anesthesia Quality Institute at askaqi@asahq.org or ASA Department of Quality and Regulatory Affairs at qra@asahq.org with any questions.

NACOR participant survey

To help improve the NACOR experience, AQI is soliciting feedback regarding AQI participation and the NACOR dashboard. The deadline for survey responses has been extended to Friday, August 14. Complete the survey now.

FTP access - inactive after 90 days

For security, all FTP accounts (for those who upload data to NACOR) will be disabled if no activity occurs within a 90-day window. If you suspect your account has been disabled due to inactivity, submit a help desk ticket by emailing nacorsupport@asahq.org. FTP access has no impact on user access to the NACOR dashboard.

Reporting MIPS 76

AQI continues to receive questions on reporting MIPS 76 Central Line: Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections.

As paraphrased in the ASA CROSSWALK: Anesthesiologists may report codes for diagnostic or therapeutic procedures, in addition to the anesthesia code for the primary procedure. When an anesthesia provider administers anesthesia in support of procedures like an insertion of a central venous access device, the appropriate anesthesia code should be reported.

When reporting these measures to NACOR, the following applies: If the anesthesiologist places the line, the surgical CPT should be placed in the <CPTValue> section of the XML data file. If the anesthesiologist provides anesthesia for the line placement, the anesthesia CPT code should be placed in the <CPTAnesValue> section of the XML. For more information, email AskAQI@asahq.org.

August Office Hours

AQI's regularly scheduled Quality Reporting Office Hours are scheduled at 11 a.m. Tuesday, August 11. The June and July Office Hour recording and slides will be available on the AQI website soon.

2020 Resources

NACOR News Library

Read past issues of AQI's NACOR News.

Office Hours FAQs

Question: Which NACOR reporting option(s) include national benchmarks?

NACOR Benchmarking, NACOR Quality Reporting and Quality Concierge all include national benchmarks. NACOR Basic is benchmarking at the local level only.

Question: Where do we apply for a HARP account?

HARP accounts can be obtained through the CMS enterprise portal. Visit the New User Application, then select PQRS: Physician Quality Reporting System when asked to choose your application. HARP accounts are required to review your practice's final MIPS scores.

Question: Is it possible for all providers in a practice to be non-MIPS eligible and not required to submit data as individuals, but are eligible as a group?

Yes if the individual providers do not meet the MIPS participation criteria (billed $90,000 or less in Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries (including Railroad Retirement Board and Medicare secondary Payer) and have 200 or fewer Medicare Part B FFS beneficiaries) the practice can be MIPS eligible as a group if the group has billed $90,000 or more in PFS services furnished to Medicare Part B beneficiaries and have 200 or more Medicare Part B beneficiaries.