E/M Coding Alert - 2020 Issue 6
Quality Payment Program: Collect MIPS Points for COVID-19 Clinical Trial Submissions
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Article Overview
This article covers a CMS Quality Payment Program update tied to MIPS reporting for clinicians involved in COVID-19 clinical research, along with a separate update on 2020 MIPS data validation materials. It is aimed at Medicare Part B providers and coding/compliance professionals who track MIPS scoring, improvement activities, and audit readiness. The piece also points readers to CMS resources, agency guidance, and related submission tools for QPP reporting.
Why This Topic Matters
It matters because the article describes a new CMS reporting option that may affect how clinicians document qualifying research participation under MIPS, while also highlighting audit-related resources that support compliance preparation.
Article Sections
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Background and MIPS scoring impact
Introduces the CMS update within the Quality Payment Program and explains how it fits into broader MIPS scoring and performance categories.
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New COVID-19 Clinical Trials Improvement Activity
Summarizes the new improvement activity option and the general circumstances around clinician participation in COVID-19 research reporting.
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How this option affects overall scoring
Describes the category-weight context for MIPS and why the new activity may be relevant to annual performance totals.
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IT input and open source tools
Discusses CMS encouragement to use data tools and the broader technology and submission context for clinical trial reporting.
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Get Ready for MIPS Audits
Covers the separate update on MIPS data validation materials and the agency’s audit-related documentation resources.
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Details, note, and resources
Points to CMS resource locations and external reference materials related to the update.
What You Will Learn
- How CMS updates can affect Quality Payment Program reporting
- What broad type of MIPS improvement activity is discussed
- Which general MIPS performance categories are referenced
- What kinds of validation and audit resources CMS provides
- Where clinicians can find related CMS and clinical trial resources
Who Should Read This
- MIPS-eligible clinicians
- Medicare Part B providers
- Quality reporting staff
- Medical practice compliance teams
- Healthcare coding and reimbursement professionals
Codes Discussed
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