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.
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
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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:
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:
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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 performance year, you need to submit your data by March 31, 2022. You can use QPP.AZ to track your data submission status and make any corrections or updates before the deadline.
Data submission feedback
After you submit your data, you can use QPP.AZ to review your performance feedback and payment adjustment. Your performance feedback shows your final score, performance category scores, measure scores, and improvement scoring. Your payment adjustment shows the percentage increase or decrease in your Medicare Part B payments for the payment year. The payment year is two years after the performance year. For example, if you are reporting data for the 2021 performance year, your payment adjustment will apply to your payments for the 2023 payment year.
You can use QPP.AZ to access 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. If you disagree with your performance feedback or payment adjustment, you can use QPP.AZ to request a targeted review from CMS.
How to improve your performance in QPP.AZ
To improve your performance in QPP.AZ, you need to engage in quality improvement activities, report your COVID-19 response measures, and access resources and support. Here are some tips on how to do that:
Quality improvement activities
Quality improvement activities are actions that you take to improve the quality of care and outcomes for your patients. You can use QPP.AZ to learn about various quality improvement activities that are relevant for your practice and patient population. Some examples of quality improvement activities are:
Participating in a learning collaborative or a quality improvement network
Implementing a patient-centered medical home model or a patient safety practice
Using a clinical decision support tool or a patient-reported outcome tool
Providing care coordination or care transition services
Engaging in shared decision making or patient self-management
Addressing health disparities or social determinants of health
Integrating behavioral health or telehealth services
You can use QPP.AZ to report your participation in quality improvement activities for the improvement activities performance category. You can also use QPP.AZ to find out how your quality improvement activities can affect your scores in other performance categories, such as quality and cost.
COVID-19 response measures
COVID-19 response measures are actions that you take to respond to the COVID-19 public health emergency. You can use QPP.AZ to learn about various COVID-19 response measures that are relevant for your practice and patient population. Some examples of COVID-19 response measures are:
Participating in a COVID-19 clinical trial or data reporting
Providing COVID-19 testing or vaccination services
Implementing COVID-19 infection control or prevention practices
Using telehealth or remote monitoring technologies for COVID-19 patients
Providing mental health or substance use disorder services for COVID-19 patients
Supporting COVID-19 patients with chronic conditions or social needs
Educating COVID-19 patients or the public about COVID-19 prevention or treatment
You can use QPP.AZ to report your participation in COVID-19 response measures for the improvement activities performance category. You can also use QPP.AZ to find out how your COVID-19 response measures can affect your scores in other performance categories, such as quality and promoting interoperability.
Resources and support
Resources and support are tools and services that help you participate in QPP.AZ and improve your performance. You can use QPP.AZ to find various resources and support from AHCCCS and CMS, such as:
Webinars and newsletters that provide updates and guidance on QPP.AZ
FAQs and help desk that answer your questions and troubleshoot your issues on QPP.AZ
Technical assistance and peer learning that offer customized support and best practices on QPP.AZ
MIPS Measures and Activities, MIPS Scoring Methodology, Data Submission Methods, Virtual Group Election Process Overview, Data Submission System, Performance Feedback, Targeted Review Request, and other documents that explain how to participate in QPP.AZ
The Quality Payment Program Resource Library that provides additional information and resources on the QPP
<h Conclusion
QPP.AZ is a website that helps you participate in the MIPS track of the QPP and earn a payment adjustment based on your performance. QPP.AZ offers several benefits, such as simplified data submission, real-time feedback, tailored improvement activities, and local support. To participate in QPP.AZ, you need to meet the eligibility criteria, choose a reporting option, report your data for four performance categories, and review your feedback and payment adjustment. To improve your performance in QPP.AZ, you need to engage in quality improvement activities, report your COVID-19 response measures, and access resources and support. QPP.AZ is designed to make your participation in the QPP easier and more convenient.
We hope this article has helped you understand what QPP.AZ is and how it works. If you have any questions or comments, please feel free to contact us. We are here to help you succeed in QPP.AZ.
FAQs
Here are some frequently asked questions about QPP.AZ:
What is the difference between QPP.AZ and QPP.CMS.GOV?
QPP.AZ and QPP.CMS.GOV are both websites that help you participate in the QPP. However, QPP.AZ is specific for Arizona clinicians who want to participate in the MIPS track of the QPP. QPP.AZ provides a user-friendly interface, local support, and tailored improvement activities for Arizona clinicians. QPP.CMS.GOV is the official website of the QPP that provides information and resources for all clinicians who want to participate in either track of the QPP.
How can I change my reporting option or data submission method?
You can change your reporting option or data submission method at any time before the data submission deadline. You can use the QPP Participation Status Tool on QPP.AZ to check your current reporting option and data submission method. You can also use the Data Submission System on QPP.AZ to switch your reporting option or data submission method.
How can I check my performance feedback and payment adjustment?
You can use QPP.AZ to check your performance feedback and payment adjustment as soon as they are available. You can use the Data Submission System on QPP.AZ to access your performance feedback and payment adjustment. You can also use the Performance Feedback on QPP.AZ to learn how to interpret your performance feedback and payment adjustment.
How can I request a targeted review if I disagree with my performance feedback or payment adjustment?
You can use QPP.AZ to request a targeted review if you disagree with your performance feedback or payment adjustment. You can use the Targeted Review Request on QPP.AZ to learn how to request a targeted review, what documents you need to submit, and what timelines you need to follow.
How can I find more resources and support for QPP.AZ?
You can use QPP.AZ to find more resources and support for QPP.AZ. You can use the Resources and Support on QPP.AZ to access webinars, newsletters, FAQs, help desk, technical assistance, peer learning, and other documents that explain how to participate in QPP.AZ. You can also use the Quality Payment Program Resource Library on QPP.CMS.GOV to access additional information and resources on the QPP. 44f88ac181
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