decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 12 (December)
2018 QPP: Cost makes a comeback a year ahead of schedule
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Article Overview
This premium article reviews final-rule changes to the 2018 Quality Payment Program and highlights how CMS adjusted MIPS scoring, reporting expectations, and advanced APM participation policies. It is aimed at clinicians, practice administrators, and coding or compliance professionals who need to track Medicare payment-program updates and understand how the final rule differs from the proposal. The discussion covers broad categories of quality reporting, cost and performance weighting, data completeness, facility-based measurement, CPC+ participation, medical home risk, and related implementation timing.
Why This Topic Matters
These final-rule changes affect how clinicians and practices are evaluated under Medicare payment reform programs and can influence reporting strategy, participation decisions, and future payment exposure.
Article Sections
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MIPS scoring and reporting updates
This section summarizes changes affecting MIPS performance categories and reporting requirements. It focuses on how CMS finalized several measurement and timing policies for the 2018 performance period.
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Advanced APMs provisions
This section outlines final-rule updates for advanced APM participation and related risk standards. It also covers eligibility-related changes, reporting windows, and expected participation trends.
What You Will Learn
- How the final rule changed several Quality Payment Program policies for the 2018 performance year
- Which broad MIPS scoring and reporting areas were affected by CMS updates
- What the article says about advanced APM participation, risk, and eligibility changes
- How timing and implementation issues are addressed in the final rule
Who Should Read This
- Clinicians participating in Medicare payment programs
- Practice managers and administrators
- Medical coding and compliance professionals
- Healthcare reimbursement analysts
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