Year 3 of the Quality Payment Program (QPP) has seen substantial changes for the MIPS track across all four performance categories. The minimum threshold for the program increased from 15 to 30 points, making it essential to participate in more than one performance category to avoid a penalty.

The Quality performance category is very different for Year 3, including the expansion of flexibility under submission methods, restructuring of the Web Interface submission method, and the adoption of Facility-Based scoring, to name a few. This category is set to make up 45% of an Eligible Clinician’s or an Eligible Group’s MIPS final score, and requires a full 365 days of reporting. The weighting, paired with the reporting time frame, makes this category one of the most challenging. All of this makes it important to perform well on Quality for 2019.

Kentucky REC experts will interpret these changes and how they can impact your performance in 2019. We will explore the issues these changes present and what you can do to maximize your score for Year 3.

Webinar – QPP Year 3: Quality Category
Thursday February 21, 12:30 – 1:30 p.m. ET


ATTENTION PHYSICAL Therapists! QPP Webinar February 13


Kentucky REC quality experts and KPTA are hosting a webinar with guest expert Heather Smith of the American Physical Therapy Association. The information presented will help physical therapists understand the impact the Quality Payment Program will have on reporting requirements, payments, and services delivered for this year and the coming years.

Physical Therapy plays a critical role in a patient’s healing and quality of life after an injury or illness. Therefore, it should come as no surprise that CMS is extending its Quality Payment Program from previously included clinician types to physical therapists in Year 3. The QPP has already helped thousands of clinicians reduce costs, improve outcomes, and provide better care. Join us for this webinar, tailored to the specific needs and roles of physical therapists.

Webinar – Quality Payment Program 2019 – Helping Physical Therapists in the Value-Based Payment World

Wednesday February 13, 12:00 – 1:30 p.m. ET

Have questions? We’re here to help! Contact the Kentucky REC today or call us at 859-323-3090.

Webinar Feb 12 – Patient Centered Medical Home and Specialty Practice: A Clear Roadmap for Practice Transformation

PCMH and PCSP are excellent practice transformation models for organizations committed to improving access, communication, and care coordination. PCMH and PCSP practices succeed in increasing quality outcomes, patient satisfaction, and cutting costs. Now is the perfect time to pursue recognition since your organization can also receive full points in the Improvement Activities category of the Merit-Based Incentive Payment System (MIPS) under the Medicare Access and CHIP Reauthorization Act (MACRA).

Designed to accelerate your journey to PCMH/PCSP Recognition, our framework provides expert training, coaching, and resources. Your staff will be well prepared to carry out the practice transformation process within a 12-month period. Our webinar will discuss the possible financial benefits and other incentives of the PCMH/PCSP programs and our services.

Don’t miss the opportunity to be a part of something special as we work together to transform healthcare in Kentucky!

Webinar – PCMH & PCSP: A Clear Roadmap for Practice Transformation
Tuesday February 12th 12-1 p.m. ET


Webinar February 7 – QPP Year 3: Promoting Interoperability

This time of year in the Quality Payment Program is stressful. Practice representatives have to juggle attestation prep along with all the changes for the new program year that started January 1st. There are major overall changes to Year 3, including the expansion of eligible clinician types, and a third criteria for exclusion (200 covered physician fee services). Along with those changes, each performance category was updated, with Promoting Interoperability (PI) standing out as the most altered category.

While PI Performance Category is still weighted at 25% of your MIPS final score, the approach to receiving full credit has changed. In an effort to simplify the math for Year 3, CMS has moved to straight performance based scoring. The result of this is that an individual’s or group’s ability to earn a perfect score of 25 points has been dramatically limited. The number of raw points has gone from the previous 155 down to 110.  This scoring change, along with the streamlining of Objectives and Measures, stands to have serious impact for this performance year.

Join us on February 7th when our panel of experts will discuss the changes to the PI category and what you can do now to limit the impact it will have on your MIPS final score for Year 3. During this webinar we will review the final objectives, measures and associated weights, along with the challenges of the new scoring approach. We’ll discuss how your practice can plan out the year now to mitigate any potential risk due to these changes and be successful in Year 3 of the QPP.

Webinar – QPP Year 3: Promoting Interoperability

Thursday February 7,   12:30 – 1:30 p.m. ET


Webinar Jan 24 – QPP Identifying Your Eligible Clinicians Year 3

As expected, CMS expanded the eligible clinician types for Year 3 of QPP. This fulfills their goal to include more providers who bill Medicare Part B. This change more than doubles the total number of EC’s required to participate in Program Year 3.

Newly eligible clinician types for 2019:

  • Physical therapists
  • Occupational therapists
  • Qualified speech-language pathologists
  • Qualified audiologists
  • Clinical psychologists
  • Registered dietitian or nutritional professionals

We’ll discuss the new expanded clinician types and what flexibilities are available for 2019. In addition, we’ll highlight how the expanded clinician types, along with other changes such as the opt-in option, will impact Year 3.

Webinar – QPP Year 3: Identifying Your Eligible Clinicians
Thursday January 24, 12:30 – 1:30 p.m. ET



QPP EIDM replaced by HARP

CMS just announced an updated and streamlined system for creating and verifying user accounts for the Quality Payment Program (QPP).

For 2017 and 2018 an organization representative was required to have access to their organization data through the Enterprise Identity Data Management (EIDM) System. This was in order to gain access to the submission area of, to submit QPP data and verify eligibility. This system is no longer used for the QPP and is now replaced by the HCQIS Access Roles and Profile (HARP) System.

Good News! If you already had an EIDM account, your login information and accesses should have migrated to the new HARP System.

Any new users will need to request and manage their access to organizations by using the HARP System and Access to this identity verification system is REQUIRED to be able to submit data for the QPP program. It is also used to request any targeted reviews, view progress on claims measure performance, view eligibility, and many other tasks, depending on your access and the type of organization you represent. For a step-by-step guide to signing up for a HARP account, refer to the QPP Access User Guide.

Contact our Quality Payment Program expert advisors at Kentucky REC with your questions. We’re here to help. 859-323-3090