tci Medicare Compliance & Reimbursement - 2019 Issue 1
Industry Note: CMS Transitions to New QPP Data Management System
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Article Overview
This article explains a CMS system transition affecting Quality Payment Program account management and data submission, and it also highlights Medicare Administrative Contractor guidance related to the ongoing shift from older beneficiary identifiers to MBIs. It is relevant to clinicians, billing and quality reporting staff, and other organizations that access QPP data or submit Medicare claims. The article broadly addresses access management, reporting workflow, and transitional Medicare identification guidance from CMS and MACs.
Why This Topic Matters
It matters because organizations reporting under QPP need to know how access and submission are changing, and Medicare providers need to stay current on beneficiary identifier transition guidance to avoid avoidable claim issues.
What You Will Learn
- How CMS is changing QPP account access and data submission management
- What the article says about the Medicare identifier transition period
- Which CMS and MAC organizations are referenced in the guidance
- Why these operational changes affect reporting and claims workflows
Who Should Read This
- Eligible clinicians
- Quality reporting staff
- Billing staff
- Practice managers
- Medicare providers
- Compliance teams
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