APMA News - November/December 2019 - 60

IT Consultant
By James R. Christina, DPM; Jeffrey D. Lehrman, DPM;
and Dyane E. Tower, DPM, MPH, MS

2019 Recap and Explanation of eCQM versus CQM
In this article, we recap the most pertinent information regarding the 2019 MIPS performance year (PY). We also discuss
the Quality category in more detail because there is confusion
regarding eCQMs, QRDA III files, QRs, and MIPS CQMs. (With
all those abbreviations, we understand why!)

*

2019 Recap
For the 2019 PY, eligible providers need at least 30 MIPS
points to avoid a negative adjustment to their 2021 Medicare
Part B payments. Failure to report anything at all will result in a
7-percent negative adjustment. Submitting some data (scores
between 7.51 and 29.99) can reduce the negative payment adjustment. (See "MIPS 2019: Payment Adjustment" below.)

Four Categories Make Up the MIPS Program

*

Quality
u Can report via multiple collection types (claims, registry, EHR)

Need six measures for maximum score (one must be an
Outcome or High Priority measure)
u Reporting period is 365 days
Improvement Activities (IA)
u Select high- and/or medium-weight activities (small practices of one to 15 providers will score double points for
each IA measure)
u Reporting period is at least 90 consecutive days
u You will likely want to max out this category
Promoting Interoperability (PI)
u You must use a 2015 Edition ONC-certified EHR to participate in this category
u Be sure to check out the hardship application to see if
you are qualified for an exception and, if you want to
apply, submit your application by December 31, 2019 at
https://cmsqualitysupport.service-now.com/exception_
application.do
n Note: Receiving an exception for the PI category will
reweight the 25 PI points to Quality. If you need to opt
out of more than one category, you can access hardship applications at www.apma.org/mips2019.
u Reporting period is at least 90 consecutive days
u

*

MIPS 2019: Payment Adjustment
Performance Threshold

1/4 of
Performance Threshold

60 APMA News November/December 2019

Additional
Performance Threshold


https://cmsqualitysupport.service-now.com/exception_application.do https://cmsqualitysupport.service-now.com/exception_application.do http://www.apma.org/mips2019

APMA News - November/December 2019

Table of Contents for the Digital Edition of APMA News - November/December 2019

Contents
APMA News - November/December 2019 - Cover1
APMA News - November/December 2019 - Cover2
APMA News - November/December 2019 - 3
APMA News - November/December 2019 - 4
APMA News - November/December 2019 - 5
APMA News - November/December 2019 - 6
APMA News - November/December 2019 - 7
APMA News - November/December 2019 - Contents
APMA News - November/December 2019 - 9
APMA News - November/December 2019 - 10
APMA News - November/December 2019 - 11
APMA News - November/December 2019 - 12
APMA News - November/December 2019 - 13
APMA News - November/December 2019 - 14
APMA News - November/December 2019 - 15
APMA News - November/December 2019 - 16
APMA News - November/December 2019 - 17
APMA News - November/December 2019 - 18
APMA News - November/December 2019 - 19
APMA News - November/December 2019 - 20
APMA News - November/December 2019 - 21
APMA News - November/December 2019 - 22
APMA News - November/December 2019 - 23
APMA News - November/December 2019 - 24
APMA News - November/December 2019 - 25
APMA News - November/December 2019 - 26
APMA News - November/December 2019 - 27
APMA News - November/December 2019 - 28
APMA News - November/December 2019 - 29
APMA News - November/December 2019 - 30
APMA News - November/December 2019 - 31
APMA News - November/December 2019 - 32
APMA News - November/December 2019 - 33
APMA News - November/December 2019 - 34
APMA News - November/December 2019 - 35
APMA News - November/December 2019 - 36
APMA News - November/December 2019 - 37
APMA News - November/December 2019 - 38
APMA News - November/December 2019 - 39
APMA News - November/December 2019 - 40
APMA News - November/December 2019 - 41
APMA News - November/December 2019 - 42
APMA News - November/December 2019 - 43
APMA News - November/December 2019 - 44
APMA News - November/December 2019 - 45
APMA News - November/December 2019 - 46
APMA News - November/December 2019 - 47
APMA News - November/December 2019 - 48
APMA News - November/December 2019 - 49
APMA News - November/December 2019 - 50
APMA News - November/December 2019 - 51
APMA News - November/December 2019 - 52
APMA News - November/December 2019 - 53
APMA News - November/December 2019 - 54
APMA News - November/December 2019 - 55
APMA News - November/December 2019 - 56
APMA News - November/December 2019 - 57
APMA News - November/December 2019 - 58
APMA News - November/December 2019 - 59
APMA News - November/December 2019 - 60
APMA News - November/December 2019 - 61
APMA News - November/December 2019 - 62
APMA News - November/December 2019 - 63
APMA News - November/December 2019 - 64
APMA News - November/December 2019 - 65
APMA News - November/December 2019 - 66
APMA News - November/December 2019 - 67
APMA News - November/December 2019 - 68
APMA News - November/December 2019 - 69
APMA News - November/December 2019 - 70
APMA News - November/December 2019 - 71
APMA News - November/December 2019 - 72
APMA News - November/December 2019 - 73
APMA News - November/December 2019 - 74
APMA News - November/December 2019 - 75
APMA News - November/December 2019 - 76
APMA News - November/December 2019 - 77
APMA News - November/December 2019 - 78
APMA News - November/December 2019 - 79
APMA News - November/December 2019 - 80
APMA News - November/December 2019 - 81
APMA News - November/December 2019 - 82
APMA News - November/December 2019 - 83
APMA News - November/December 2019 - 84
APMA News - November/December 2019 - 85
APMA News - November/December 2019 - 86
APMA News - November/December 2019 - 87
APMA News - November/December 2019 - 88
APMA News - November/December 2019 - 89
APMA News - November/December 2019 - 90
APMA News - November/December 2019 - Cover3
APMA News - November/December 2019 - Cover4
APMA News - November/December 2019 - A1
APMA News - November/December 2019 - A2
APMA News - November/December 2019 - A3
APMA News - November/December 2019 - A4
https://www.nxtbook.com/nxtbooks/apma/news_20210506
https://www.nxtbook.com/nxtbooks/apma/news_20210304
https://www.nxtbook.com/nxtbooks/apma/news_20210102
https://www.nxtbook.com/nxtbooks/apma/news_20201112
https://www.nxtbook.com/nxtbooks/apma/news_20200910
https://www.nxtbook.com/nxtbooks/apma/news_20200708
https://www.nxtbook.com/nxtbooks/apma/news_20200506
https://www.nxtbook.com/nxtbooks/apma/news_20200304
https://www.nxtbook.com/nxtbooks/apma/news_20200102
https://www.nxtbook.com/nxtbooks/apma/news_20191112
https://www.nxtbook.com/nxtbooks/apma/news_20190910
https://www.nxtbook.com/nxtbooks/apma/news_20190708
https://www.nxtbook.com/nxtbooks/apma/news_20190506
https://www.nxtbook.com/nxtbooks/apma/news_20190304
https://www.nxtbook.com/nxtbooks/apma/news_20190102
https://www.nxtbook.com/nxtbooks/apma/news_20181112
https://www.nxtbook.com/nxtbooks/apma/news_20180910
https://www.nxtbook.com/nxtbooks/apma/news_20180708
https://www.nxtbook.com/nxtbooks/apma/news_20180506
https://www.nxtbook.com/nxtbooks/apma/news_20180304
https://www.nxtbook.com/nxtbooks/apma/news_20180102
https://www.nxtbook.com/nxtbooks/apma/news_20171112
https://www.nxtbook.com/nxtbooks/apma/news_20170910
https://www.nxtbook.com/nxtbooks/apma/news_20170708
https://www.nxtbook.com/nxtbooks/apma/news_20170506
https://www.nxtbook.com/nxtbooks/apma/news_20170304
https://www.nxtbook.com/nxtbooks/apma/news_20170102
https://www.nxtbook.com/nxtbooks/apma/news_20161112
https://www.nxtbook.com/nxtbooks/apma/news_20160910
https://www.nxtbook.com/nxtbooks/apma/news_20160708
https://www.nxtbook.com/nxtbooks/apma/news_20160506
https://www.nxtbook.com/nxtbooks/apma/news_20160304
https://www.nxtbook.com/nxtbooks/apma/news_20160102
https://www.nxtbook.com/nxtbooks/apma/news_20151112
https://www.nxtbook.com/nxtbooks/apma/news_20150910
https://www.nxtbook.com/nxtbooks/apma/news_20150708
https://www.nxtbook.com/nxtbooks/apma/news_201506
https://www.nxtbook.com/nxtbooks/apma/news_201505
https://www.nxtbook.com/nxtbooks/apma/news_201504
https://www.nxtbook.com/nxtbooks/apma/news_201503
https://www.nxtbook.com/nxtbooks/apma/news_201502
https://www.nxtbook.com/nxtbooks/apma/news_201501
https://www.nxtbook.com/nxtbooks/apma/news_20141112
https://www.nxtbook.com/nxtbooks/apma/news_201410
https://www.nxtbook.com/nxtbooks/apma/news_201409
https://www.nxtbook.com/nxtbooks/apma/news_20140708
https://www.nxtbook.com/nxtbooks/apma/news_201406
https://www.nxtbook.com/nxtbooks/apma/news_201405
https://www.nxtbook.com/nxtbooks/apma/news_201404
https://www.nxtbook.com/nxtbooks/apma/news_201403
https://www.nxtbook.com/nxtbooks/apma/news_201402
https://www.nxtbook.com/nxtbooks/apma/news_201401
https://www.nxtbook.com/nxtbooks/apma/news_201311
https://www.nxtbook.com/nxtbooks/apma/news_201310
https://www.nxtbook.com/nxtbooks/apma/news_201309
https://www.nxtbook.com/nxtbooks/apma/news_201308
https://www.nxtbook.com/nxtbooks/apma/news_201306
https://www.nxtbook.com/nxtbooks/apma/news_201305
https://www.nxtbook.com/nxtbooks/apma/news_201304
https://www.nxtbook.com/nxtbooks/apma/news_201303
https://www.nxtbook.com/nxtbooks/apma/news_201302
https://www.nxtbook.com/nxtbooks/apma/news_201301
https://www.nxtbook.com/nxtbooks/apma/news_201211
https://www.nxtbook.com/nxtbooks/apma/news_201210
https://www.nxtbook.com/nxtbooks/apma/news_201209
https://www.nxtbook.com/nxtbooks/apma/news_20120708
https://www.nxtbook.com/nxtbooks/apma/news_201206
https://www.nxtbook.com/nxtbooks/apma/news_201205
https://www.nxtbook.com/nxtbooks/apma/news_201204
https://www.nxtbook.com/nxtbooks/apma/news_201203
https://www.nxtbook.com/nxtbooks/apma/news_201202
https://www.nxtbook.com/nxtbooks/apma/news_201201
https://www.nxtbook.com/nxtbooks/apma/news_201111
https://www.nxtbook.com/nxtbooks/apma/news_201110
https://www.nxtbook.com/nxtbooks/apma/news_201109
https://www.nxtbook.com/nxtbooks/apma/news_201107
https://www.nxtbook.com/nxtbooks/apma/news_201106
https://www.nxtbook.com/nxtbooks/apma/news_201105
https://www.nxtbook.com/nxtbooks/apma/news_201104
https://www.nxtbook.com/nxtbooks/apma/news_201103
https://www.nxtbook.com/nxtbooks/apma/news_201102
https://www.nxtbookmedia.com