- MIPS 2021 Data Submission Period is Now Open
- 2022 MIPS Payment Adjustments in Effect Based on 2020 Performance
- QPP Service Center Hold Times Expected to Increase
MIPS Eligible Clinicians Can Start Submitting Data for 2021 through March 31
CMS has opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2021 performance year of the Quality Payment Program (QPP). Data can be submitted and updated from now until 8:00 p.m. ET on March 31, 2022.
How to Submit Your 2021 MIPS Data
Clinicians will follow the steps outlined below to submit their data:
- Go to the Quality Payment Program webpage.
- Sign in using your QPP access credentials (see below for directions).
- Submit your MIPS data for the 2021 performance year or review the data reported on your behalf by a third party.
How to Sign In to the Quality Payment Program Data Submission System
To sign in and submit data, clinicians will need to register in the HCQIS Authorization Roles and Profile (HARP) system. For clinicians who need help enrolling with HARP, please refer to the Quality Payment Program Access User Guide.
Note: Clinicians who are not sure if they are eligible to participate in the Quality Payment Program can check their final eligibility status using the QPP Participation Status Tool. Clinicians and groups that are opt-in eligible will need to make an election before they can submit data. (No election is required for those who don’t want to participate in MIPS.)
If you are in a small practice (15 or fewer clinicians) and need help from our Small, Underserved, and Rural Support (SURS) technical assistance organizations to submit your data, we encourage you to reach out early in the data submission period. The SURS initiative will be ending on February 15, 2022 and this support will no longer be available after that date.
For More Information
To learn more about how to submit data, please review the following resources available on the QPP Resource Library:
- 2021 Data Submission FAQs
- 2021 CMS Web Interface User Guide
- 2021 CMS Web Interface FAQs
- 2021 APP Data Submission User Guide
In Summer 2021, each Merit-based Incentive Payment System (MIPS) eligible clinician received a 2020 MIPS final score and associated payment adjustment factor(s) as part of their 2020 MIPS performance feedback, available on the Quality Payment Program website.
2022 MIPS payment adjustments, based on each MIPS eligible clinician’s 2020 MIPS final score, will now be applied to payments made for Part B covered professional services payable under the Physician Fee Schedule. Payment adjustments are determined by the final score associated with your Taxpayer Identification Number (TIN)/National Provider Identifier (NPI) combination.
MIPS eligible clinicians, identified by TIN/NPI combination for the 2020 performance period, will receive a positive, neutral, or negative MIPS payment adjustment in 2022 if they:
- Were a clinician type that was included in MIPS;
- Enrolled in Medicare prior to January 1, 2020;
- Were not a Qualifying Alternative Payment Model (APM) Participant (QP);
- Were a Partial Qualifying APM Participant (Partial QP) that elected to participate in MIPS as a MIPS eligible clinician; and
- Met one of the following criteria:
- Individually exceeded the low-volume threshold;
- Were in a practice that exceeded the low-volume threshold at the group level and submitted group data or were part of an approved virtual group; or
- Were in a MIPS APM and the APM Entity group exceeded the low volume threshold (This also includes Partial QPs who elected to participate in MIPS).
For More Information
Visit the Quality Payment Program Resource Library for the 2022 MIPS Payment Adjustment User Guide and more Quality Payment Program resources. For questions, contact the Quality Payment Program at 1-866-288-8292, Monday through Friday, 8:00 AM-8:00 PM ET or by e-mail at: QPP@cms.hhs.gov. Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.
QPP Service Center Hold Times Expected to Increase
The Quality Payment Program (QPP) Service Center is projecting an increase in volume of calls and emails between January and March 2022 due to the opening of 2021 MIPS data submission period. The increase in call volume and emails will result in longer wait times.
In order to reduce wait times and ensure successful 2021 submission, CMS recommends taking the following actions:
- Use One Method to Report Issues—Due to the increase in volume at the QPP Service Center and to minimize backlog, we request that you use only one method of reporting for the same issue (email or phone). Note: Cases are processed in the order in which they are received regardless of the manner in which the Service Center was contacted. Please allow time for processing.
- Submit Your Data Early—It is encouraged that you submit your 2021 MIPS performance year data early during the submission period as this allows you plenty of time for any necessary Service Center assistance.
- Call the Service Center at Off-Peak Hours—We strongly recommend calling the Service Center during off-peak hours (8:00 AM-10:00 a.m. ET OR 2:00 p.m.-8:00 p.m. ET).
For More Information
- Visit the QPP Resource Library to review new and existing QPP resources.
- Contact the Quality Payment Program at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov.
- Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.
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