CMS Issues Telehealth Encounter Guidance for Quality Reporting Programs

CMS Issues Telehealth Encounter Guidance for Quality Reporting Programs

New telehealth encounter guidance is available for the Promoting Interoperability Programs and Quality Payment Program. There are 42 telehealth codes eligible for inclusion within the eligible professional/eligible clinician eCQMs for the 2020 performance period. For the 2021 performance period, 39 telehealth codes would be eligible, however, there are also additional eCQMs identified as not eligible for telehealth encounters.

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CMS Continues COVID-19 Assistance for the Promoting Interoperability and Quality Payment Programs

CMS Continues COVID-19 Assistance for the Promoting Interoperability and Quality Payment Programs

As hospitals and providers continue to struggle in response to the COVID-19 pandemic, CMS has announced several efforts to provide assistance under the Promoting Interoperability Programs and Quality Payment Program. 

For the Quality Payment Program, CMS had previously extended the deadline for MIPS eligible clinicians to submit data and reopened the application period for MIPS eligible clinicians to file for a hardship exception for the 2019 payment year.  Additionally, CMS announced that any individual MIPS eligible clinician who did not submit data or which submitted data for only one performance category for the 2019 payment year by April 30 will automatically receive a neutral payment instead of a negative payment adjustment (this “extreme and uncontrollable circumstances” policy is not available to groups/virtual groups). If a MIPS eligible clinician is able to submit data, CMS noted that the data submission would override the automatic “extreme and uncontrollable circumstances” policy and the clinician could be eligible for negative, neutral or positive payment adjustments based on the data submission. 

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