QPP.AZ: Tips and Tricks for Improving Your Performance in Quality Payment Program
QPP.AZ: What is it and how does it work?
If you are a healthcare provider in Arizona, you might have heard of QPP.AZ, a website that helps you participate in the Quality Payment Program (QPP) and earn a payment adjustment based on your performance. But what exactly is QPP.AZ and how does it work? In this article, we will explain everything you need to know about QPP.AZ, including its benefits, eligibility criteria, reporting options, performance categories, data submission methods, feedback, improvement activities, COVID-19 response measures, and resources. By the end of this article, you will have a clear understanding of how to use QPP.AZ to improve your quality of care and maximize your reimbursement.
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Introduction
The Quality Payment Program (QPP) is a program created by the Centers for Medicare & Medicaid Services (CMS) to reward clinicians for providing high-quality and cost-effective care to Medicare patients. The QPP has two tracks: the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Models (APMs). Depending on your participation status, you can choose to participate in either track or both.
QPP.AZ is a website that helps you participate in the MIPS track of the QPP. It allows you to check your eligibility status, report your data, review your feedback, and access resources and support. QPP.AZ is designed to make your participation in the QPP easier and more convenient.
What is QPP.AZ?
QPP.AZ is a website that was created by the Arizona Health Care Cost Containment System (AHCCCS), the state's Medicaid agency, in collaboration with CMS and other stakeholders. The purpose of QPP.AZ is to provide a one-stop shop for Arizona clinicians who want to participate in the MIPS track of the QPP.
QPP.AZ is not a separate program from the QPP. It is simply a tool that helps you access the QPP through a user-friendly interface. You can use QPP.AZ to:
Check your participation status using the QPP Participation Status Tool
Report your data using various methods
Review your performance feedback and payment adjustment
Learn about quality improvement activities and COVID-19 response measures
Find resources and support from AHCCCS and CMS
What are the benefits of QPP.AZ?
QPP.AZ offers several benefits for Arizona clinicians who want to participate in the MIPS track of the QPP. Some of these benefits are:
Simplified data submission process: You can use QPP.AZ to submit your data using various methods, such as direct upload, manual attestation, or third-party intermediaries. You can also use QPP.AZ to submit data for multiple clinicians or groups at once.
Real-time feedback: You can use QPP.AZ to review your performance feedback and payment adjustment as soon as they are available. You can also use QPP.AZ to compare your performance with other clinicians or groups in Arizona or nationwide.
Tailored improvement activities: You can use QPP.AZ to learn about quality improvement activities that are relevant for your practice and patient population. You can also use QPP.AZ to report your participation in COVID-19 clinical trials or data reporting.
Local support: You can use QPP.AZ to find resources and support from AHCCCS and CMS, such as webinars, newsletters, FAQs, help desk, technical assistance, and peer learning.
How to participate in How to participate in QPP.AZ
To participate in QPP.AZ, you need to meet the eligibility criteria, choose a reporting option, and report your data for four performance categories. Here are the steps you need to follow:
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Eligibility criteria
To be eligible for QPP.AZ, you need to be a clinician who bills Medicare Part B for more than $90,000 in allowed charges, provides care for more than 200 Medicare patients, and provides more than 200 covered professional services per year. You also need to be one of the following clinician types:
Physicians
Physician assistants
Nurse practitioners
Clinical nurse specialists
Certified registered nurse anesthetists
Physical therapists
Occupational therapists
Clinical psychologists
Qualified speech-language pathologists
Qualified audiologists
Registered dietitians or nutrition professionals
You can use the QPP Participation Status Tool on QPP.AZ to check your eligibility status. You can also use the tool to check if you are eligible for any exemptions or special considerations, such as low-volume threshold, small practice, rural practice, health professional shortage area, or non-patient facing.
Reporting options
Once you have confirmed your eligibility status, you need to choose a reporting option. You can choose to report as an individual or as a group. An individual is a single clinician who reports data under a single National Provider Identifier (NPI) and Taxpayer Identification Number (TIN). A group is two or more clinicians who report data under a single TIN. You can use the QPP Participation Status Tool on QPP.AZ to check your reporting option.
You can also choose to join a virtual group, which is a combination of two or more solo practitioners or groups who voluntarily form a virtual group for a performance year. To join a virtual group, you need to submit an election to CMS by December 31 of the year prior to the performance year. You can use the Virtual Group Election Process Overview on QPP.AZ to learn more about how to join a virtual group.
Performance categories
After choosing your reporting option, you need to report your data for four performance categories: quality, cost, improvement activities, and promoting interoperability. Each category has a different weight in your final score, which determines your payment adjustment. The weights for the 2021 performance year are as follows:
Performance category Weight --- --- Quality 40% Cost 20% Improvement activities 15% Promoting interoperability 25% You can use the MIPS Measures and Activities on QPP.AZ to find out what measures and activities you need to report for each category. You can also use the MIPS Scoring Methodology on QPP.AZ to learn how your data will be scored for each category.
How to report data for QPP.AZ
To report your data for QPP.AZ, you need to choose a data submission method, submit your data by the deadline, and review your feedback and payment adjustment. Here are the steps you need to follow:
Data submission methods
You can use QPP.AZ to submit your data using various methods, depending on your reporting option and performance category. The available methods are:
Direct upload: You can upload your data files directly on QPP.AZ using the Data Submission System. This method is available for individual and group reporting for all performance categories.
Manual attestation: You can manually enter your data on QPP.AZ using the Data Submission System. This method is available for individual and group reporting for improvement activities and promoting interoperability categories.
Third-party intermediaries: You can use third-party intermediaries, such as qualified registries, qualified clinical data registries, health IT vendors, or CMS Web Interface, to submit your data on your behalf. This method is available for individual and group reporting for all performance categories.
You can use the Data Submission Methods on QPP.AZ to learn more about each method and how to use it.
Data submission deadline
You need to submit your data by March 31 of the year following the performance year. For example, if you are reporting data for the 2021 performance year, you need to submit your data by March 31, 2022. You can use QPP.AZ to You need to submit your data by March 31 of the year following the performance year. For example, if you are reporting data for the 2021 perform