Claims resources
Learn the latest news, information, and eligibility requirements for the CMS' incentive programs that help improve the quality and efficiency of beneficiary care through provider participation.
- Quality payment program (QPP) - Visit this website, hosted by CMS, to learn about the QPP, find educational information, and more.
- The Merit-based incentive payment system (MIPS) - overview
- Check if you will need to submit data to MIPS
- CMS quality measure development plan: Supporting the transition to the MIPS and alternative payment models (APMs)
- CMS’ Center for Clinical Standards and Quality has engaged the QIN-QIOs to have them perform education, outreach, and technical assistance (TA) in support of QPP-eligible clinicians.
Learn about the promoting interoperability program (formerly electronic health records (EHR)) and how to adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology.
Learn how to participate in CMS’ shared savings program, which was created to facilitate coordination and cooperation among providers to improve the quality of care for Medicare fee-for-service (FFS) beneficiaries and reduce unnecessary costs.
Learn about the required criteria for participation in the Health Professional Shortage Area (HPSA) incentive program as well as helpful information about the program itself.
Credit balance status tool
View details and instructions on this tool which allows you to check credit balance status using just your PTAN and a calendar date.
Already familiar with the tool? View status now.
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