September 29, 2017

CMS Conducts Field Tests to Assess MACRA Episode-Based Cost Measures

The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, will field test eight episode-based cost measures from Oct. 16 to Nov. 15, 2017, before considering their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP).

Field testing presents an opportunity for affected clinicians and other stakeholders to provide feedback, which CMS will use to consider potential measure refinements.

The measures were developed with input from the American College of Radiology (ACR) and other medical specialty societies. Measures for the Revascularization for Lower Extremity Chronic Critical Limb Ischemia and Intracranial Hemorrhage or Cerebral Infarction may be particularly relevant to ACR members.

Clinicians (TIN-NPIs) and clinician groups (TINs) who are attributed to at least 10 episodes for one or more measures will have an opportunity to view a confidential report with information about their cost measure performance. The ACR expects these reports will be available to some ACR members. Others can view a mock report and supplemental documentation on the measures on the CMS website. Acumen is seeking feedback from all stakeholders on the measures, confidential or mock report and supplemental documentation.

Confidential field test reports will be released on Oct. 16 to clinicians and group practices with 10 or more episodes.

Acumen will distribute confidential field test reports to group practices and solo practitioners through the CMS Enterprise Portal, which CMS has used for distributing Quality and Resource Use Reports (QRURs). Please note that field testing of new cost measures is separate from measures reported QRURs, which you may also receive at about the same time. The QRUR guide may also be used to set up an Enterprise Identity Management (EIDM) account.

Assessing your field test reports requires that you have an EIDM account and that you have access to a “Physician Quality and Value Programs” role within that application on the portal

If you do not have an EIDM account, you can set one up and get access to a “Physician Quality and Value Programs” role in preparation for accessing your field test report by using this guide.

If you apply for a Security Official or an Individual Practitioner Role and the TIN/NPI combinations entered match with the Provider Enrollment, Chain and Ownership System (PECOS) information, then the role is automatically approved within a few minutes of the role request submission

If an invalid TIN/NPI combination is entered more than three times, the request is forwarded to the QualityNet help desk and the process must be manually verified. This takes 24-48 hours

If you are applying for a Group Representative or an Individual Practitioner Representative Role, the request is forwarded to your Security Official or Individual Practitioner, and the time frame is based on how long it takes the Security Official or Individual Practitioner to approve your request

If you think you may already have an existing EIDM account but are not sure if it is still active, you can check whether your account is still active in preparation for accessing your field test report by attempting to log in.

If it is unlocked or active and you’ve forgotten your password, you can use the “Forgot Password” function and reset your password by answering the challenge security questions you set up when you registered for EIDM account registration

If it is locked or inactive, you should contact the QualityNet Helpdesk at 1-866-288-8912/TTY: 1-877-715-6222 to unlock it

If you already have an active EIDM account but need access to a “Physician Quality and Value Programs” role, use this guide.

If you already have an active EIDM account and have access to a “Physician Quality and Value Programs” role, you should be able to access your field test report by logging into the EIDM portal

If applicable, you may consider checking with your practice manager or other administrator to see if they plan to download reports for their clinicians that bill under their Tax Identification Number (TIN)

For questions regarding report access/logging onto the CMS Enterprise Portal, contact

Supplemental documentation about the measures will be posted publicly on the CMS website:

  • Draft measure methodology for each measure
  • Draft measure code lists with specifications for each measure
  • Mock field test report
  • Fact sheet with an overview of field testing
  • Frequently Asked Questions (FAQ) document

Survey for collecting your feedback on the measures will open on Oct. 16 and close at midnight on Nov. 15, 2017. Survey will appear at

All feedback questions in the survey will be optional so you may answer as many or as few questions as you like.

The survey will also have an option for attaching a PDF or Word document in addition to or instead of completing the questions.

The link to the survey, which does not require a login, will also be included in the field test reports and supplemental documentation so that you will be able to easily navigate to it from the documents you review.

In conjunction with field testing activities, national provider calls will be held on the dates below. The same content will be covered for both calls. Click on the links below to register:

▪ Monday, October 30 at 12-1:30 PM ET
▪ Thursday, November 2 at 3:30-5 PM ET

For questions about the measure development process, contact