Search form

Sunset Timelines - CMS Quality Reporting

Sunset Timelines - CMS Quality Reporting

The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) replaced the Sustainable Growth Rate (SGR) and created the Merit-based Incentive Payment System (MIPS). Under MIPS, clinicians will stop reporting under the Electronic Health Records (EHR) Meaningful Use, Physician Quality Reporting System (PQRS), and Value-based Modifier (VM) programs.

Instead, starting January 1, 2017, eligible clinicians (ECs) will report through MIPS on three categories (Quality, Improvement Activities, and Advancing Care Information) that will add up to a composite performance score. Cost will not be factored into the final MIPS score for 2017, but ECs will receive feedback from CMS on the cost of care provided throughout the year. To learn more about MIPS reporting, which begins January 1, 2017, click here.

Payment adjustments for the EHR Meaningful Use, PQRS, and VM programs will continue through December 31, 2018 based on 2015 and 2016 reporting. 

Click below to learn more about the sunset timelines for each program.

Additional Information

Title: 
EHR Meaningful Use in 2017 and 2018
Body: 

Returning eligible practitioners (EPs) should not report EHR MU in 2017. Returning EP participants who attested in 2015 and 2016 will continue to receive payment adjustments in 2017 and 2018. New EP participants, including participants demonstrating Stage 3 under Medicare or Medicaid may still report for any continuous 90-day period in 2017 to avoid a CY 2018 payment adjustment if the EP successfully attests by October 1, 2017. Learn more about the payment adjustments here.

Medicare providers will continue to attest on EHR measures through the MIPS Advancing Care Information category. MIPS reporting begins January 1, 2017, click here to learn how to report in 2017 to avoid a negative payment adjustment in 2019.

Title: 
PQRS in 2017 and 2018
Body: 

Members may report 2016 PQRS data through qualified registries or GPRO EHR reporting from January 1, 2016 through February 28, 2017.  Payment adjustments for the final 2016 reporting period begin January 1, 2018. Learn more about avoiding the 2018 PQRS payment adjustment here.

If you are not reporting via Regent, click here to access CECity's PQRSwizard for PQRS reporting.

Medicare providers will continue to report measures similar to those found in PQRS through the MIPS Quality category. MIPS reporting begins January 1, 2017. Click here to learn how to report in 2017 to avoid a negative payment adjustment in 2019.

For MIPS 2017 reporting, make sure to sign up with Regent.

Title: 
The Value-based Modifier in 2017 and 2018
Body: 

The application of the VM is based on PQRS reporting. The last quality reporting period for PQRS ends on December 31, 2016 for individuals and group practices. Individuals and groups can report PQRS data through a registry, EHR, or Qualified Clinical Data Registry (QCDR) from January 1, 2017 until February 24, 2017. Eligible practitioners (EPs) may review and provide input on their Physician Feedback quality and resource use reports (QRURs) during the final fall 2017 QRUR release.

In 2017, the VM will apply to physician solo practitioners and physicians in groups with 2 or more EPs based on performance during the 2015 reporting period. In 2018, the VM will apply to physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists who are solo practitioners and physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists in groups with 2 or more EPs based on performance in CY 2016. Learn more here.

Starting January 1, 2017, under MIPS, Medicare providers will receive feedback on the cost of care based on measures similar to the VM program. However, cost will not be factored into the final MIPS score in 2017. To learn more about MIPS reporting, which begins January 1, 2017, click here.

More Resources About: