CMS Releases QPP Proposed Rule for 2019

July 13, 2018

Proposed changes for QPP Year 3 aim to decrease clinician burden, prioritize outcomes, and increase EHR interoperability.

CMS released the first look at the proposed Quality Payment Program Year 3 rule yesterday. The 1,473 page proposed rule includes “historic changes” to the Medicare program aimed at restoring the doctor-patient relationship.

Highlights of the proposed changes include:

  • Streamlining documentation requirements for “evaluation & management” visits
  • Reimbursing clinicians for virtual care provided via technology
  • Adding a third component to the low-volume threshold (200 covered professional services or less)
  • Allowing ECs who meet 1 or 2 elements of the low-volume threshold to participate in MIPS by choice
  • Continuing the small practice bonus, but incorporating it as part of the Quality score (versus a standalone bonus)

Submit Your Comments:

Stakeholders have until September 10, 2018 to comment on the changes.

For More Information:

CMS-provided references for the Year 3 Proposed Rule:

Image 01 Image 02