BC Advantage - 2018 Issue 9
2019 QPP Proposed Rule MIPS Wrap Up
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Article Overview
This article reviews proposed changes in the 2019 QPP rule with a focus on the MIPS program. It is useful for clinicians, practice administrators, and coding or compliance staff who track Medicare quality reporting policy and scoring methodology. The discussion covers improvement activities, cost, quality, and payment adjustments, along with general references to CMS rulemaking and comment timing.
Why This Topic Matters
The proposed changes affect how clinicians report, how scores are calculated, and how payment adjustments are applied under Medicare’s quality program. Understanding the scope of the proposal helps practices assess operational and compliance impact before final rules are issued.
Article Sections
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Improvement activities
Discusses proposed changes to the improvement activities category within MIPS, including reporting period length and inventory updates. Also notes related bonus-point changes in the broader quality program context.
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Cost
Summarizes proposed changes to the cost category, including category weighting and the addition of episode-based measures. It also contrasts the proposed measure approach with existing cost measures.
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Quality
Covers proposed updates to the quality category, including score weighting, handling of measure updates during the performance period, and bonus-point changes. The section focuses on how CMS proposes to manage measure revisions and scoring effects.
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Payment adjustments
Explains proposed changes to how Medicare payment adjustments would be applied under MIPS. It also references statutory limits on which Part B services are affected.
What You Will Learn
- The main areas of proposed change in the 2019 QPP/MIPS rule
- How the article frames updates to improvement activities, cost, and quality
- What the article says about proposed payment adjustment application
- Which CMS policy topics are highlighted for further comment and review
Who Should Read This
- Clinicians participating in MIPS
- Practice administrators
- Medical coding and compliance professionals
- Healthcare policy and reimbursement staff
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