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Medical Billing
June 26, 2020

New COVID-19 relief for QPP participants in 2020

Medicare announced new flexibilities for clinicians participating in the QPP MIPS in 2020 in response to the COVID-19 public health emergency.
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Summary of the flexibilities available

Clinicians significantly impacted by the public health emergency (PHE) may submit an Extreme & Uncontrollable Circumstances Application to reweight any or all of the Merit-based Incentive Payment System (MIPS) performance categories.

  • Those requesting relief via the application will need to provide a justification of how their practice has been significantly impacted by the public health emergency.

There are two ways MIPS eligible clinicians or groups can receive credit for this new COVID-19 Clinical Trials improvement activity added in April:

  • A clinician may participate in a COVID-19 clinical trial and have those data entered into a data platform for that study.
  • A clinician participating in the care of COVID-19 patients may submit clinical COVID-19 patient data to a clinical data registry for purposes of future study.

For more information

Visit the Quality Payment Program (QPP) COVID-19 Response webpage or review the COVID-19 Fact Sheet to learn more about changes to the Quality Payment Program in response to the COVID-19 pandemic.

Review the 2020 Exception Applications Fact Sheet and QPP Exception Applications webpage for more information about submitting an Extreme & Uncontrollable Circumstances Application.

Read more about the COVID-19 clinical trials improvement activity in the 2020 Improvement Activities Inventory.

Contact the Quality Payment Program at 1-866-288-8292 or by e-mail at:

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