Quality Payment Program

CMS Opens Quality Payment Program Hardship Exception for Reweighting ACI Category

The Centers for Medicare & Medicaid (CMS) released the Quality Payment Program (QPP) hardship exception application for the 2017 transition year for eligible clinicians (ECs). This exception may qualify an EC for reweighting their Advancing Care Information (ACI) category to 0% and reallocating the 25% to the Quality category.

IMPORTANT: Simply lacking a Certified Electronic Health Record Technology (CEHRT) does not qualify for this reweighting. For more information about reweighting ACI, contact the Quality Payment Program (QPP) Service Center at 866.288.8292.

QPP Hardship Exception Resources

Reweighting ACI Qualifications

  • Insufficient Internet connectivity
  • Extreme and uncontrollable circumstances: Disaster (e.g., a natural disaster in which the CEHRT was damaged or destroyed), practice or hospital closure, severe financial distress (bankruptcy or debt restructuring), and EHR certification/vendor issues (CEHRT issues)
  • Lack of control over the availability of CEHRT

MIPS Special Status Clinicians

Some Merit-Based Incentive Payment System (MIPS) ECs who are considered Special Status will automatically be reweighted (or exempted) in the case of MIPS Alternative Payment Models (APM). These ECs will not have to submit a hardship exception application. For more information about Special Status Clinicians, visit the Quality Payment Program website.

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