~ ANNOUNCEMENTS ~

IMPORTANT: If you are participating in Traditional MIPS, MIPS Value Pathways (MVP), APM Performance Pathway (APP), or Advanced APM, it is your responsibility to review the reporting requirements and measure specifications on https://qpp.cms.gov/. NOTE: The performance year changes may include removal, addition, or modification of measures.

2024 Performance Year:

Please review the Quality Payment Program Resource Library and Webinar Library for details on reporting requirements, measure specifications, exemptions, data submission, scoring, targeted review and timelines. PCM workflow for Promoting Interoperability measures and eCQMs (Electronic Clinical Quality Measures) must be completed by December 31, 2024.

• Check your QPP participation status: https://qpp.cms.gov/participation-lookup
• Data collection for Quality measures began on January 1^st. The reporting requirements and measure specifications vary by data collection type (eCQM, MIPS CQMs, QCDR Measures, Medicare Part B Claims Measures). For a list of Electronic Clinical Quality Measures (eCQMs) available for reporting through PCM, click here.
• The performance period for Promoting Interoperability increased to a minimum of 180 continuous days within the calendar year. The last day to start a 180-day performance period was July 5, 2024.

CMS has provided online tools for completing the Promoting Interoperability objective Protect Patient Health Information:

• Safety Assurance Factors for EHR Resilience (SAFER) Guides Measure: https://www.healthit.gov/topic/safety/safer-guides
• Security Risk Assessment (SRA): https://www.healthit.gov/topic/privacy-security-and-hipaa/security-risk-assessment-tool

The data submission period opened January 2, 2025 and closes March 31, 2025. Contact support@primeclinical.com to request a PCM update to the latest release before using the Meaningful Use Report, CMS ECQM Reporting Module (to export QRDAIII file) or QRDA Batch Export (to export QRDA1 file) in PCM for data submission.

2025 Performance Year:

• CMS published the 2025 Quality Payment Program Final Rule, Quick Start Guides and Measure Specifications on QPP Resource Library. It is your responsibility to review the performance year changes and begin the required data entry on January 1^st.

1. Have you run your MIPS/Meaningful Use Report Card lately?

• Are you meeting the minimum requirements or exclusions for each measure?
• Have you identified measures where the performance rate needs improvement?
• Are you familiar with the PCM workflow requirements?
• Detailed online documentation is now available for Meaningful Use Reports. See PCM documentation under Infrastructure Building/Managing; Chapter: Data Maintenance; Section: Meaningful Use; Document: Meaningful Use Reports.

2. Are you familiar with the 2025 Promoting Interoperability Objectives & Measures?

•  2025 MIPS Promoting Interoperability Measures
• Have you reviewed the PCM Workflow documentation available on our website?

3. Are you familiar with the Quality Payment Program and the other performance categories for the Merit-based Incentive Payment System (MIPS)?

  ~ Quality

• Have you checked if CMS removed or updated the measures you reported last year?

  ~ Improvement Activities

  ~ Cost

Questions? Additional resources are available on www.primeclinical.com -- after logging-in, click on Meaningful Use/QPP Tools and select Meaningful Use/QPP. 

Or, contact our Training Department at MIPS@primeclinical.com. Please include your name, contact information and your Client ID.