tci Medicare Compliance & Reimbursement - 2021 Issue Q3

Medicare Shared Savings Program: ACOs Get More Time on eCQM Reporting Requirement

Plus: Register the MSSP proposal on repayment of losses. CMS offers Accountable Care Organizations (ACOs) an electronic clinical quality measures (eCQMs) reporting olive branch in recent rulemaking, but other proposals aren’t as rosy. Read on for the details. Backtrack: In the CY 2021 Medicare Physician Fee Schedule (MPFS) final rule, CMS admitted that ACOs had been impacted by the pandemic and suggested that extreme and uncontrollable circumstances policies would apply to the Medicare Shared Savings Program (MSSP). However, in tandem with the COVID-19 updates, CMS also solidified a new program, the Alternative Payment Model Performance Pathway (APP) in...

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