Medicare Compliance & Reimbursement

Logistics: The Centers for Medicare & Medicaid Services (CMS) is accepting proposals for new measures and activities for the 2025 performance year for all MIPS categories: Quality, Cost, Promoting Interoperability (PI) and Improvement Activities (IA). The submission period for Quality and Cost proposals runs through May 19 while the PI and IA window is through July 1.

Under the Quality category, “CMS is looking for fully developed measures that align with the CMS health care priority areas of and focus on the Meaningful Measure 2.0 Framework Domains,” the agency notes in an alert. On the Cost side, CMS requests measures’ proposals that focus on specialities, “high priority clinical topics,” and future MIPS Value Pathways (MVPs) Cost ideologies.

For the PY 2025, CMS offers a more detailed list of its PI measures’ demands. Those include measures that do the following, according to a Quality Payment Program (QPP) alert:

• Build on the 2015 Edition Certified EHR Technology outlined in the Cures Act update;
• Promote beneficiary outcomes and access to care;
• Cut administrative burdens while boosting IT components;
• Enhance IA and Quality measures;
• Coordinate with the PI Programs for hospitals; and
• Ensure the submissions are new, realistic, and endorsed by CMS.

Under the IA measures umbrella, CMS has the following activities’ proposal requirements:

• Bolster existing options;
• Improve health outcomes of beneficiaries;
• Reduce paperwork but be easy to implement;
• Offer support to rural and small practices;
• Connect with PI, Quality, and Cost category measures; and
• Ensure proposed offerings aren’t duplicates, feasible, and CMS approved.

Find the various “Annual Call for Measures” fact sheets and toolkits in the QPP resource library at https://qpp.cms.gov/ resources/resource-library.