Industry Notes: Use Handy QPP Tools to Check PY 2021 APM and MIPS Status

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This brief industry note explains where to find CMS Quality Payment Program resources for determining performance year 2021 participation status. It is aimed at clinicians, practice administrators, and coding or compliance staff who need to understand how CMS guidance and eligibility tools relate to APM and MIPS reporting decisions under updated 2021 thresholds. The article highlights the availability of CMS decision-support materials and the broader context of regulatory changes tied to the COVID-19 period.

Why This Topic Matters

Correctly identifying QPP status affects whether a provider is treated under an Advanced APM pathway or must participate in MIPS for the performance year. The article matters because it points readers to CMS tools that can help them verify eligibility and avoid administrative reporting errors.

What You Will Learn

  • Where CMS provides QPP resources for performance year 2021
  • What kinds of status-check tools are available for APM and MIPS eligibility
  • How updated QPP threshold changes may affect participation status
  • Which organizations publish and maintain the referenced guidance

Who Should Read This

  • Physicians and other clinicians participating in QPP
  • Practice managers and administrators
  • Medical billing and coding professionals
  • Compliance and reimbursement staff

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