Quality Payment Program 2020: Changes and Requirements (Part IV)

AHIMA May 13, 2020
Michael Stearns

This article is the fourth part of a five-part series on the Centers for Medicare and Medicaid Services Quality Payment Program (QPP) in 2020. This installment will detail the requirements for the cost and improvement activity performance categories of MIPS and MIPS audit considerations.

The Centers for Medicare and Medicaid Services (CMS) made significant changes to the Quality Payment Program’s (QPP’s) Cost and Improvement Activity performance categories for the 2020 performance year. CMS added additional cost measures and modified the attribution rules for two of the most commonly scored cost measures. For groups reporting improvement activities, 50 percent or more of the clinicians in the group will be required to participate, a major change from the 2019 requirements.

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