General Surgery Coding Alert - 2020 Issue 7
Quality Payment Program: CMS Offers COVID-19 Relief for QPP Participants
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Article Overview
This article explains CMS’s temporary COVID-19 relief for Quality Payment Program participants during the early pandemic period. It addresses extensions and exceptions affecting MIPS participants, Accountable Care Organizations, hospitals, and post-acute care programs, along with the general implications for performance reporting, payment adjustments, and future CMS guidance. The article is relevant to coding and quality-reporting professionals who need to understand how CMS adjusted reporting timelines and participation expectations during the public health emergency.
Why This Topic Matters
CMS quality reporting changes can affect whether organizations submit data, how performance is calculated, and how payment adjustments are determined. Understanding these temporary relief measures is important for compliance, reporting workflows, and planning around Medicare quality programs.
Article Sections
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Know the extreme and uncontrollable circumstances policy update
Introduces CMS’s temporary relief framework during the COVID-19 public health emergency and the general reason the agency adjusted reporting expectations.
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Here’s Why the Feds Eased Up on QPP Requirements
Explains the broader rationale for the reporting relief and the types of organizations affected by the changes.
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Know These MIPS Updates
Summarizes the reporting timeline changes for MIPS participants and related implications for payment adjustments and future guidance.
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See New 2019 QPP Submission Changes for Hospitals and PACs
Describes the submission changes affecting hospitals and post-acute care programs, including how CMS treated certain reporting periods during 2019 and 2020.
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AMA Weighs In
Notes the response from the American Medical Association regarding CMS’s relief decisions during the pandemic.
What You Will Learn
- How CMS adjusted Quality Payment Program reporting expectations during COVID-19
- Which participant groups were affected by the temporary relief measures
- How the article frames the impact of reporting changes on quality programs and payment adjustments
- What general types of CMS guidance were released for clinicians, hospitals, and post-acute care organizations
Who Should Read This
- Medical coders
- Quality reporting staff
- Compliance professionals
- Physician practice administrators
- Hospital quality reporting teams
- Post-acute care administrators
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