tci Medicare Compliance & Reimbursement - 2023 Issue Q4

Know These 2 QPP Policies That Didn’t Get Finalized

Hint: Just because something is proposed, doesn’t mean CMS follows through on it. There were a couple of Quality Payment Program (QPP) proposals that Medicare decided not to go through with in the (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule. Both have to do with QPP threshold amounts, but they’re for different performance years. First: The Centers for Medicare & Medicaid Services (CMS) didn’t use the data from the mean final score from the 2017 through 2019 performance periods to determine the performance threshold for 2024, as originally proposed last July. “We are...

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