Qualified Registry

RCM is entering our second year as a Qualified Registry.  We can report Quality Payment Program (QPP) eligible measures on behalf of our Client Physicians. An important aspect of this service is keeping abreast of CMS changes and communicating this to our Clients in a timely manner.  Monitoring our Clients reporting and providing constructive feedback is another important component for successful reporting.

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The Quality Payment Program (QPP) or the Merit Based Incentive Payment System (MIPS), is CMS’ method of transitioning eligible professionals (EP’s) from a fee-for-service, to a pay-for-performance methodology.

The 2018 Quality Payment Program Final Rule dictates the following changes from 2017:

  • Clinicians who see less than or equal to 200 Medicare beneficiaries or less than or equal to $90,000 in Medicare Part B allowed charges are exempt from the Program. To determine your eligibility status, go to:  (https://qpp.cms.gov/participation-lookup/about) and enter your NPI number
  • The minimum reporting period has increased to 12 months, and you must successfully report on 60% of eligible patients
  • Measure #463 has been added; prevention of post-op vomiting- combination therapy (pediatrics)