Mythbusters: Debunk 5 QPP Myths With These Facts

Why This Topic Matters

Accurate QPP knowledge affects whether providers submit data correctly, qualify for special status, and understand how pandemic-era exceptions may influence performance scoring and payment adjustments.

Article Sections

1. Introduction

   Introduces the article’s focus on common Quality Payment Program misunderstandings and the broader context of CMS updates during the pandemic period.

2. Myth 1: Regular MIPS is going away in 2022.

   Discusses reporting framework changes and the timing of CMS pathway updates for upcoming performance years.

3. Myth 2: There will be no bonus pay for PY 2020.

   Covers pandemic-related scoring accommodations and bonus-related policy updates affecting the 2020 performance year.

4. Myth 3: Only small practices get ‘special status’ under MIPS.

   Explains how special status determinations are associated with provider data, determination periods, and broader eligibility categories.

5. Myth 4: An EUC application can erase MIPS providers’ 2020 submissions.

   Addresses how extreme and uncontrollable circumstances applications relate to submitted data and performance category treatment.

6. Myth 5: If an individual clinician leaves a group in PY 2020, the MIPS payment adjustment goes to the group for payment year 2022.

   Reviews how group and individual submissions are handled when clinicians move between practices, including implications for later payment years.