Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)

Section 1848(q) of the Social Security Act, as amended by section 101 of the Medicare Access and CHIP Reauthorization Act of 2015, authorizes the establishment of a Merit-based Incentive Payment System (MIPS) for eligible clinicians. Beginning in CY 2017, eligible clinicians are required to collect and submit data on four performance categories to CMS (quality, cost, advancing care information and improvement activities). This program replaces and consolidates portions of the PQRS, Value-based Modifier, and the Medicare EHR Incentive Program. The Act also establishes a second track, Advanced Alternative Payment Models (APMs) for clinicians to participate in instead of MIPS.

The latest form for Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621) expires 2022-01-31 and can be found here.

(Quality Performance Category) Claims Collection Type (see Table SS-A 10)

Federal Enterprise Architecture: Health - Health Care Services