Medicare QPP

Physicians Advocacy Institute

These resources have not been updated since 2023 but the general details remain relevant. For a summary of the key changes for CY 2024, please click here.

Frequently Asked Questions Updated for 2023


3. When is the last day I can start participating to avoid a negative payment adjustment?

  1. The 2023 performance period for the quality and cost categories is 12 months (January 1 – December 31, 2022) and the performance period for the PI and improvement activities categories is a minimum of a continuous 90-day period within the 2023 calendar year.

    If you have not begun participating in the QPP, October 3, 2023 is the final day to begin a 90-day reporting of MIPS data to satisfy the 90-day reporting period for the improvement activities and PI categories. To learn more, see PAI’s Improvement Activities Category Overview and PAI’s PI Category Overview.

    You can also report data for the quality category, but you will need to ensure that you satisfy the 70% data completeness criteria which require that you report the measure for at least 70% of all patients to whom that measure applies. To learn more about the quality category requirements, see PAI’s Quality Category Overview.

    No data is reported for the cost category, CMS will use claims data to assess performance.

Comments are closed.