The AANA continues to develop informational sources to aid certified registered nurse anesthetists (CRNAs) in understanding the complex relationship between quality and value outlined in many of the Center for Medicare and Medicaid Services (CMS) quality initiatives. As these quality initiatives will affect reimbursement, it is important for CRNAs to build their knowledge base and become more familiar with some of these programs. This website is intended to be an educational guide to the programs the AANA believes will impact CRNAs the most.
Contact AANA Research and Quality Division
Quality Payment Program Year 2: 2018 MIPS Overview
The AANA Research and Quality Division has prepared a short video as a guide for CRNAs newly participating or transitioning to Year 2 of the Quality Payment Program and MIPS. The video will discuss issues of import for CRNAs as they navigate new MIPS participation requirements in 2018.
2018 MIPS Performance Category Fact Sheets
11/28/2017 | 3 Days Left to Submit an Informal Review Request - Review Your 2016 PQRS Feedback Reports and Annual QRURs Now
2016 PQRS Feedback Reports and Annual QRURs: Informal Review Period Ends December 1, 2017 at 8pm ET.The 2016 Physician Quality Reporting System (PQRS) Feedback Reports and 2016 Annual Quality and Resource Use Reports (QRURs) are available. If you believe that your payment adjustment status was made in error, you may request an informal review by December 1 at 8pm ET.
10/13/2017 | Physician Compare 30-day Preview Period Begins October 18, 2017
For additional assistance with accessing PQIP, or obtaining your EIDM user role, contact the QualityNet Help Desk at 866-288-8912 or firstname.lastname@example.org. If you have any questions about public reporting or preview period, please contact PhysicianCompare@Westat.com.
10/13/2017 | Field Testing of MACRA Episode-Based Cost Measures Begins October 16, 2017
10/5/2017 | New Qualifying APM Participant Look-Up Tool
New Qualifying APM Participant Look-Up Tool
CMS has announced the results of the first Qualifying APM Participant (QP) determinations based on eligible clinician participation in the 2017 Advanced Alternative Payment Models (APMs). We have unveiled an interactive look-up tool where many 2017 Advanced APM participants can look up their QP status based on calculations from claims with dates of service between 1/1/17 and 3/31/17 for the first QP snapshot. Under the Quality Payment Program, eligible clinicians who meet certain criteria are considered QPs in Advanced APMs, and are therefore excluded from the MIPS quality reporting program. QPs identified based on the 2017 performance year will receive a 5 percent lump sum Medicare incentive payment in 2019. The tool will be updated soon with calculations from claims with dates of services between 1/1/17 and 6/30/17. The Methodology Fact Sheet is an excellent resource to understand how we determine QP Status. In addition, the supplemental service payments fact sheet, which reflects the supplemental service payments included in our APM Incentive Payment calculations, is now available.
9/29/2017 | 2016 Annual QRUR Now Available for Review
The 2016 QRURs show solo-practitioners and EPs in group practices their performance on the quality and cost measures used to calculate the 2018 Value Modifier. An Enterprise Identity Management (EIDM) account with an appropriate role is required for EPs to obtain their 2016 PQRS Feedback Report and 2016 QRUR.
- How to Obtain and QRUR
- Guide to the Value-Based Payment Modifier (VM)
- Creating an EIDM Account
- CMS Enterprise Portal
There is a new feature on the CMS Enterprise Portal website that will allow a representative of a group or solo practitioner, as identified by its TIN to:
- Look up the TIN’s current and prior years’ Value Modifier and PQRS payment adjustments, and
- Find out which feedback reports are available for the TIN (i.e., the Annual QRUR, PQRS Feedback Report, Mid-year QRUR, and Supplemental QRUR).
9/28/2017 | 2016 PQRS Feedback Reports Now Available
Notification of MIPS Participation Status
2015 PQRS Performance Scores Posted on Physician Compare
10/16/2017 | Upcoming Webinar: CAPG Educational Series 2017, How to Control Costs for the MIPS Resource Use Component
Title: How to Control Costs for the MIPS Resource Use Component
Date: December 1, 2017
Time: 8am - 9:30am PT / 11am - 12:30pm ET
Registration: CAPG Webinar: How to Control Costs for the MIPS Resource Use Component
10/13/2017 | Upcoming National Provider Calls - Field Testing
In conjunction with the field testing of eight episode-based cost measures under consideration for potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS), two National Provider Calls will be held on the dates below. The same content will be covered for both calls. Please click on the links below to register:
- Elective Outpatient Percutaneous Coronary Intervention (PCI)
- Knee Arthroplasty
- Revascularization for Lower Extremity Chronic Critical Limb Ischemia
- Routine Cataract Removal with Intraocular Lens (IOL) Implantation
- Screening/Surveillance Colonoscopy
- Intracranial Hemorrhage or Cerebral Infarction
- Simple Pneumonia with Hospitalization
- ST-Elevation Myocardial Infarction (STEMI) with (PCI)
10/6/2017 | 2016 Annual QRUR Webcast on October 19, 2017
This upcoming webcast provides an overview of the report and explains how to interpret and use the information.This event will be more meaningful if you have your report in front of you to follow along. Visit How to Obtain a QRUR to access your report prior to the event. Register for this Medicare webcast today!