BREAKING NEWS: QPP Year 2 Final Rule Released

CMS released the highly anticipated QPP Year 2 Final Rule late last week. The 1600 page document builds off the 2015 MACRA legislation and provides flexibility and clarification of the Quality Payment Programs and MIPS. Please join us at the Kentucky Regional Extension Center on November 16th at 11 am for a live webinar where we will highlight the changes for 2018 to the Quality Payment Program made in the Year 2 Final Rule.

Register here for Kentucky REC’s QPP Year 2 Final Rule Webinar Thursday Nov 16, 2017 11am-12 pm Password: MACRA

Provided below is a summary of a few of the changes as well as links to additional information. We will have a more complete review of the changes during our webinar next week.

Some changes of the 2018 Quality Payment Program Final Rule:

  • Low volume threshold finalized at ≤$90,000 in Part B allowed charges or ≤200 Part B beneficiaries
  • New performance threshold is set at 15 points, up from 3 points in 2017
  • Cost performance category will remain 10% of final score in 2018 and will be calculated based on two measures: Medicare Spending Per Beneficiary and Total Per Capita Cost
  • Quality performance category will require 12 months of reporting for 2018
  • To receive full credit using patient-centered medical home recognition/certification for the Improvement Activities performance category, organizations must have 50% of practice sites within a TIN recognized/certified
  • New bonus points are available for showing improvement in the Quality category year over year, demonstrating care for complex patients and being a clinician or group with 15 or fewer clinicians
  • Use of either 2014 or 2015 Certified EHR Technology for 2018 is allowed; a new 10% bonus is available in the Advancing Care Information (ACI) category if you only use 2015 Edition CEHRT all year

Additional information on the MACRA/ Quality Payment Program Final Rule:The Quality Payment Program final rule with comment period (CMS-5522-FC and CMS-5522-IFC) can be downloaded from the Federal Register here.

A Fact Sheet on the Quality Payment Program final rule with comment period is available here.

Contact the experts at Kentucky REC for all your QPP and MIPS questions. We’re here to help. Call us at 859-323-3090

Join us for a MACRA 2016 Feedback Report Webinar on Monday, October 30th

On September 18, 2017, CMS released the annual Quality and Resource Use Reports (QRUR) for all group and solo practitioners across the country. We hope that you can join us for a live webinar where we will be digging into the 2016 QRUR. During this webinar we will be highlighting some key aspects of the report as well as how you can use this report to drive improvement in your practice.

In addition, we will be discussing the supplemental tables and how these tables can be used to focus in on target populations to improve outcomes and reduce overall cost. We highly encourage that you pull your 2016 QRURs so that you can follow along as we walk through a sample QRUR and discuss each section and how this feedback report can be used to improve your MIPS performance in the future.

What: MACRA 2016 Feedback Report Webinar
When: Monday, October 30, 2017 12:00 pm


Upcoming Web Event: Maximizing MIPS ACI Scores for Small Group Practices and Solo Clinicians

Obtaining a high Advancing Care Information (ACI) score is essential for small group practices seeking to achieve bonuses in the MIPS program. But, because many small practices have limited or no electronic health records and may not participate in registries, achieving a good ACI score may seem difficult.

This event will help small practices understand ACI scoring and advise them on how to maximize their limited resources to earn the best ACI score possible. Panelists will discuss the ACI measures required for reporting, how to choose quality measures, ACI measures, and improvement activities that can maximize your efficiency, eligibility for a hardship exemption, and what to do if your practice does not have an EHR or use a registry.

This event is designed for:

  • MIPS-eligible clinicians from solo and small practices with 15 or fewer clinicians
  • Practice managers and other staff tasked with submitting MIPS data
  • Clinician stakeholders such as State and Medical Associations assisting small practices preparing to participate in MIPS

Two sessions of this presentation are being offered. Please click the date and time to register for the session you would like to attend:



See the flyer to learn more. This event is being hosted by the QPP SURS Central Support Team, you may contact them at:

Free Webinar: EHR/CEHRT for Advancing Care Information—October 16

Join us for a webinar where we will discuss the advantages and potential challenges that come along with upgrading to a 2015 certified Electronic Health Record (EHR). During this webinar we will take a closer look into the 2015 CEHRT objectives for Advancing Care Information and how upgrading your EHR in 2018 can increase your options for maximizing your MIPS score. We will also highlight some common challenges that arise with an upgrade.

What: EHR/CEHRT Webinar
When: Monday, October 16, 2017 12:00 pm

Patient-Centered Medical Home (PCMH) Cohort will begin on September 22

PCMH is an excellent practice transformation model for practices committed to access, communication, and care coordination. Now is also the perfect time to pursue recognition since your organization can receive full points in the Improvement Activities category of the Merit-Based Incentive Payment System under the Medicare Access and CHIP Reauthorization Act (MACRA).

Kentucky REC’s newest PCMH cohort will begin on September 22, 2017.

Our cohort framework is designed to accelerate your journey to NCQA PCMH Recognition within a 12-month period. Through our expert training, coaching, and resources, your staff will be well-prepared to carry out the practice transformation process.

To learn about the PCMH program and our cohort services:

Watch our FREE educational webinar recording

Contact us If you are interested in joining the PCMH Cohort or would like additional information.

Web Event: Quality Payment Program in Small Group Practices: Picking Quality Measures and Improvement Activities for MIPS Reporting

qpp-surs-logoClinicians in small group practices will need to report quality measures and quality improvement (QI) activities for 2017 to be eligible for an incentive payment. This webinar will pool the advice from QI advisors who are supporting small group practices preparing for the transition to MIPS. You will receive guidance on how to choose QI activities to report on to maximize your MIPS score. And you will have an opportunity to ask questions of these experts and your peers about the specific challenges you’re working through as you prepare to succeed in MIPS.

This event is designed for:

  • Clinicians and Practice Managers from small group practices
  • Persons assisting small group practices in the 2017 transition year
  • Clinicians from small group practices unsure about their MIPS status

Two sessions of this presentation are being offered. Please click the date and time below to register for the session you would like to attend:

Tuesday, September 12, 11 am-Noon (Eastern)

Thursday, September 14, 3:30-4:30 pm (Eastern)

See the flyer to learn more. This event is being hosted by the QPP SURS Central Support Team, you may contact them at: