tci Medicare Compliance & Reimbursement - 2023 Issue Q2
Industry Notes: Offer Your 2 Cents on MIPS Measures for PY 2025
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Article Overview
This article explains the Centers for Medicare & Medicaid Services’ annual request for submissions tied to the Merit-Based Incentive Payment System for the 2025 performance year. It is aimed at stakeholders who develop or evaluate quality measures, interoperability measures, cost measures, and improvement activities, and it highlights the general proposal areas, submission windows, and program priorities referenced in the CMS and QPP guidance.
Why This Topic Matters
Organizations and measure developers need to know when CMS is accepting proposals and what general priorities are being emphasized for upcoming MIPS rulemaking and program updates.
Article Sections
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CMS call for MIPS measure proposals for PY 2025
An overview of the annual submission opportunity and the MIPS categories included in the call for proposals. The section also notes the submission windows and where CMS directs readers for supporting materials.
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Quality and Cost proposal priorities
General guidance on the types of proposals CMS is seeking for the Quality and Cost categories. The section references broad framework themes and focus areas used in evaluating submissions.
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Promoting Interoperability proposal priorities
A summary of the broad attributes CMS wants in proposed Promoting Interoperability measures for the 2025 performance year. The section covers alignment, outcomes, burden reduction, and coordination themes.
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Improvement Activities proposal priorities
A summary of the broad attributes CMS wants in proposed Improvement Activities for the 2025 performance year. The section covers expansion of options, feasibility, practice support, and alignment with other MIPS categories.
What You Will Learn
- Which MIPS categories are included in CMS’s annual call for proposals
- When the submission windows for different proposal types close
- What broad priorities CMS is emphasizing for future MIPS-related submissions
- Where to find CMS resource materials related to the annual call for measures
Who Should Read This
- Quality measure developers
- Health care organizations participating in MIPS
- Practice administrators
- Revenue cycle and compliance professionals
- Healthcare policy analysts
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