September Edition of the MMS Newsletter

Posted:
Tuesday, September 19, 2023

The Centers for Medicare & Medicaid Services’ (CMS) Measures Management System (MMS) publishes a monthly bulletin about quality measurement resources and opportunities. Subscribe to receive more MMS news in your inbox. Have questions or suggestions? Contact MMS Support!

Announcements: Stay Up to Date

CMS Releases 2023 Change Review Process (CRP) for Electronic Clinical Quality Measures (eCQMs)
The CRP provides eCQM users the opportunity to review and comment on draft changes to the eCQM specifications and supporting resources under consideration by the measure steward. The goal of the CRP is for eCQM implementers to comment on the potential impact of draft changes to eCQMs so CMS and measure stewards can make improvements to meet CMS’ intent of minimizing provider and vendor burden in the collection, capture, calculation, and reporting of eCQMs. This latest installment of the CRP for eligible clinician and eligible hospital/critical access hospital issues is being conducted using eCQM Issue Tracker. An account is required to post a question or comment. Create an account.

Submit Measure Data to Hospital Inpatient Quality Reporting (IQR) by October 2
The deadline for hospitals to voluntarily submit data to Hospital IQR Program for the Hybrid Hospital-Wide All-Cause Readmission measure and/or the Hybrid Hospital-Wide All-Cause Risk Standardized Mortality measure is October 2. There is no impact to the fiscal year 2025 payment determination for hospitals that do not submit data on these measures during the voluntary period. These measure results will not be publicly reported. Visit the Electronic Clinical Quality Improvement (eCQI) Resource Center to learn more.

Now Available: Merit-based Incentive Payment System (MIPS) Performance Feedback
Performance feedback is available, including final scores and 2024 MIPS payment adjustment information, based on data submitted and calculated for the 2022 performance year. Targeted reviews can be requested until 8 p.m. (ET) October 9. Review the 2022 MIPS Performance Feedback FAQs and 2022 Targeted Review User Guide for more information.

MIPS Value Pathways (MVPs) Registration Window Now Open
MVPs are a new, voluntary way to meet MIPS reporting requirements. Anyone interested in reporting an MVP for the 2023 performance year must register by November 30. 

Now Available: Updated Partnership for Quality Measurement (PQM) Guidebook
PQM’s Guidebook of Policies and Procedures for Pre-Rulemaking Measure Review and Measure Set Review (MSR) is now available. This version of the Guidebook incorporates changes as suggested by interested parties through a public comment period held in July.

Upcoming Events

Fiscal Year 2024 Inpatient Prospective​ Payment System/ Long-Term Care Hospital Prospective Payment System​ Final Rule Overview for Hospital Quality Programs

Expert to Expert Series: 2024 Annual Update Webinar for PC-02 and PC-07 eCQMs

Stakeholder Engagement Opportunities

Public Comment, Technical Expert Panels, and Federal Register Rule Comment
 

Public Comment Opportunity: Hospitalizations for Ambulatory Care Sensitive Conditions among Home and Community-Based Services Participants—Home and Community Based Services Measures Development and Maintenance Contract

  • This opportunity closes on September 21.

Public Comment Opportunity: PQM MSR Draft Report

  • This opportunity closes on September 25.
  • Learn more on the PQM website.

Technical Expert Panel: Expanded Home Health Value-Based Purchasing Model Implementation & Monitoring

Technical Expert Panel: Development, Evaluation, and Maintenance of Post-Acute Care and Hospice Quality Reporting Program Measurement Sets

Federal Register Rule Comment Opportunity: Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting

  • This opportunity closes for comment on November 6.
  • Learn more on the Federal Register.