Medicare Compliance & Reimbursement - 2022 Issue 16
Quality Payment Program: CMS Aims for ‘Continuity’ in 2023 MIPS Proposals
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Article Overview
This article reviews CMS’s proposed 2023 Quality Payment Program changes and explains how the agency is trying to maintain continuity while expanding the transition toward MIPS Value Pathways. It is relevant for clinicians, practice managers, and coding/billing professionals who track Medicare payment policy, performance reporting, interoperability updates, and Advanced APM participation requirements. The coverage includes proposed changes to traditional MIPS measures and thresholds, MVP revisions and additions, subgroup guidance, and higher-track APM policy updates.
Why This Topic Matters
These proposals affect Medicare reporting expectations, payment adjustment exposure, and the direction of future quality reporting under the Quality Payment Program. Readers following Medicare compliance and reimbursement policy can use the article to understand which parts of the program are changing and which are intended to remain stable.
Article Sections
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Pocket These QPP Proposed Rule Takeaways
An overview of the main themes in the proposed rule and CMS’s stated approach to balancing program changes with continuity for participants.
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Traditional MIPS
Proposed updates affecting the traditional MIPS track, including performance period calculations, measure framework changes, and interoperability-related adjustments.
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MVPs
Proposed revisions to existing MIPS Value Pathways, additions of new pathways, and related guidance on participation and scoring.
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Advanced APMs
Policy proposals and requests for information related to Advanced Alternative Payment Models and participation in the higher QPP track.
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Comments
Information on the public comment period for the proposed rule and how stakeholders can submit feedback.
What You Will Learn
- How CMS is approaching the 2023 Quality Payment Program proposed rule
- What types of changes are being proposed for traditional MIPS
- Which areas of MIPS Value Pathways are being revised or expanded
- What CMS is proposing for Advanced APM participation policy
- How the public comment process fits into the rulemaking timeline
Who Should Read This
- Medicare-participating clinicians
- Practice managers
- Medical coders and reimbursement staff
- Quality reporting professionals
- Healthcare compliance teams
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