BC Advantage - 2018 Issue 7
The 2019 QPP A Summertime Intro
Subscribe or sign in to view the full article.
Article Overview
This article summarizes proposed 2019 Quality Payment Program changes discussed in the 2019 Medicare physician fee schedule rulemaking. It is aimed at clinicians and coding or compliance professionals who want a broad view of how MIPS categories, performance periods, quality reporting, cost measurement, and participation rules were being reconsidered for the upcoming payment year. The discussion stays at a policy level and highlights the areas most likely to affect specialty practices, especially nephrology and facility-based care.
Why This Topic Matters
Understanding the proposed QPP updates helps practices anticipate changes that may affect reporting workflows, performance measurement, and participation strategy before the final rule is issued.
Article Sections
-
Category weighting
Discusses the proposed MIPS category weighting changes and the general direction of the payment-year transition. The section also references broad feedback and survey perspectives on how the categories are viewed.
-
Performance period
Summarizes proposed performance period alignment across MIPS categories and notes an exception for one category. The emphasis is on timing and future-year application.
-
Quality
Covers proposed changes to quality measurement, reporting approaches, and measure sets. It also addresses facility-based measurement concepts and broader options under consideration for certain care settings.
-
Cost
Reviews the proposed gradual changes to the Cost category and mentions the introduction of additional episode-based measures. The section is framed as an overview of category expansion and timing.
-
Odds and ends
Notes additional proposal topics, including low-volume threshold adjustments and expansion of eligible clinician types. This section provides brief commentary on other policy changes not covered in the main categories.
-
More to come
Concludes with a preview of follow-up coverage and a reminder about the public comment process. It serves as a transition to future discussion rather than a technical section.
What You Will Learn
- How the proposed 2019 QPP changes were organized across major MIPS categories
- What kinds of quality-reporting and facility-based measurement topics were highlighted
- How the article frames the proposed timing and weighting changes for MIPS
- Which broader participation and eligibility issues were raised in the proposal
- What additional rulemaking topics were identified for later discussion
Who Should Read This
- Physicians and specialty clinicians
- Nephrology practices
- Quality reporting and compliance staff
- Medical coding professionals tracking Medicare policy
- Health system administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com