Compliance Update: Alternative Reporting Models

Here’s an update on some MIPS reporting rules for providers under certain Alternative Payment Models: 

Do I have to submit the measure data for Advancing Care Information Category measures if I am part of the Medicare Shared Savings Program (Tracks 1, 2 and 3)?

If you are part of the Medicare Shared Savings Program (Tracks 1, 2, and 3), you must submit ACI at the TIN level through group reporting.

What if my ACO does not successfully report quality measures through the CMS Web Interface?

While unlikely, since most ACOs successfully report quality measures through the CMS Web Interface, if you believe your ACO won’t report what it needs to under the Shared Savings Program, your group can submit quality data under your group’s TIN for the performance year under any of the MIPS standard reporting options.

If the ACO doesn’t meet its reporting requirements, CMS will look for and use any other quality data that may have been submitted. This means you can submit your quality data via gGastro eCQMs or via another route as a backup.

Questions?
For further questions regarding APMs, group reporting, or ACOs, please visit qpp.cms.gov or email qpp@cms.hhs.gov.

Here are some other CMS resources: