tci Medicare Compliance & Reimbursement - 2020 Issue Q4
Industry Notes: Use Handy QPP Tools to Check PY 2021 APM and MIPS Status
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Article Overview
This short industry note explains that CMS updated Quality Payment Program resources to help clinicians and practices check their Performance Year 2021 status under Alternative Payment Model and Merit-Based Incentive Payment System pathways. It is relevant for providers and coding/billing teams tracking QPP eligibility changes, CMS threshold updates, and the agency’s resource tools for status review and measure-related guidance.
Why This Topic Matters
2021 QPP status affects whether a provider is evaluated under an alternative payment pathway or through MIPS, which can change reporting responsibilities and compliance planning. The note highlights that CMS threshold changes may alter prior-year status and points readers to official decision-support tools.
What You Will Learn
- How CMS framed 2021 QPP status changes
- What types of QPP tools CMS made available for eligibility review
- Why threshold updates can affect participation pathway status
- Where to find the official CMS resource library for QPP guidance
Who Should Read This
- Physicians and clinicians participating in QPP
- Practice managers
- Medical coders and billing staff supporting QPP reporting
- Quality reporting and compliance teams
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