CMS’ Merit-based Incentive Payment System (MIPS) is a pay-for-performance program where a higher score leads to higher reimbursement.  In MIPS, there are four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities.  This blog will explore the Cost Category for 2024.

A Guide to Meeting Promoting Interoperability Program Requirements

As the healthcare landscape evolves, so do the requirements for quality reporting. One such significant change for hospitals and critical access hospitals (CAHs) in the upcoming year (CY 2024) is the mandatory requirement of the Antimicrobial Use and Resistance (AUR) Surveillance measure under the Public Health and Clinical Data Exchange Objective in the Medicare Promoting Interoperability (PI) Program. 

CMS recently published the CY 2024 Outpatient Prospective Payment System (OPPS) Final Rule, which finalized changes for the Hospital Outpatient Quality Reporting (OQR) Program. In the final rule, CMS finalized modifications to three measures and finalized the adoption of two measures in the OQR Program. These modifications aim to further meaningful measurement and reporting of the quality of care provided in the outpatient setting. For the full text of the rule, see the Federal Register.

CMS recently published the CY 2024 Quality Payment Program (QPP) Final Rule which included numerous updates to MIPS Value Pathways (MVPs) and Merit-based Incentive Payment System (MIPS). For the full text of the rule, see the Federal Register.

If your electronic Clinical Quality Measure (eCQM) performance numbers do not reflect your workflow and are not what you would expect them to be, then it’s likely that you have mapping inaccuracies. What is data mapping, and why is it important for accurately calculating quality measure data?

CMS recently published the FY 2024 Inpatient Prospective Payment System (IPPS) Final Rule which includes several changes to the Hospital Inpatient Quality Reporting (IQR) Program and Medicare Promoting Interoperability (PI) Program for eligible hospitals (EHs) and critical access hospitals (CAHs). For the full text of the rule, see the Federal Register.

CMS recently published the FY 2024 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Final Rule which finalized changes to the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program. All IPFs, which include psychiatric hospitals and psychiatric units of an acute care hospital or critical access hospital, paid under the IPF PPS must meet IPFQR reporting requirements. For the full text of the proposed rule, see the Federal Register.

CMS recently published the CY 2024 Quality Payment Program (QPP) Final Rule which included numerous updates to MIPS Value Pathways (MVPs) and Merit-based Incentive Payment System (MIPS). For the full text of the rule, see the Federal Register.

CCMS recently released the CY 2024 Outpatient Prospective Payment System (OPPS) Proposed Rule, which included proposals for the Hospital Outpatient Quality Reporting Program (OQR) Program.For the full text of the rule, see the Federal Register.

CMS recently published the FY 2024 Inpatient Prospective Payment System (IPPS) Proposed Rule which includes several proposed changes to the Hospital Inpatient Quality Reporting (IQR) Program and Medicare Promoting Interoperability (PI) Program for eligible hospitals (EHs) and critical access hospitals (CAHs). For the full text of the rule, see the Federal Register.

CMS recently published the FY 2024 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Proposed Rule which proposed changes to the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program. All IPFs, which include psychiatric hospitals and psychiatric units of an acute care hospital or critical access hospital, paid under the IPF PPS must meet IPFQR reporting requirements. For the full text of the proposed rule, see the Federal Register.

Effective January 1, 2023, new and revised requirements to reduce health care disparities will apply to organizations in the Joint Commission’s ambulatory health care, behavioral health care and human services, critical access hospitals, and hospital accreditation programs.