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Quality Payment Program Experience

Source: R/quality_payment.R
quality_payment.Rd

Allows the user access to information on participation and performance in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) tracks.

Usage

quality_payment(
  year,
  npi = NULL,
  state = NULL,
  specialty = NULL,
  type = NULL,
  tidy = FALSE,
  nest = FALSE,
  eligibility = FALSE,
  ...
)

quality_payment_(year = qpp_years(), ...)

Arguments

year

< integer > // required Year data was reported, in YYYY format. Run qpp_years() to return a vector of the years currently available.

npi

<int> 10-digit Individual National Provider Identifier assigned to the clinician when they enrolled in Medicare. Multiple rows for the same NPI indicate multiple TIN/NPI combinations.

state

<chr> State or US territory code location of the TIN associated with the clinician.

specialty

<chr> Specialty corresponding to the type of service that the clinician submitted most on their Medicare Part B claims for this TIN/NPI combination.

  • Nurse Practitioner

  • Internal Medicine

  • Physician Assistant

  • Family Practice

  • Emergency Medicine

  • Diagnostic Radiology

  • Anesthesiology

  • Neurology

  • Cardiology

type

<chr> Participation type; level at which the performance data was collected, submitted or reported for the final score attributed to the clinician; drives most of the data returned.

  • "Group"

  • "Individual"

  • "MIPS APM"

tidy

<lgl> // default: TRUE Tidy output

nest

<lgl> // default: TRUE Nest status & measures

eligibility

<lgl> // default: TRUE Append results from quality_eligibility()

...

Pass arguments to quality_payment().

Value

A tibble containing the search results.

Quality Payment Program (QPP) Experience

The QPP dataset provides participation and performance information in the Merit-based Incentive Payment System (MIPS) during each performance year. They cover eligibility and participation, performance categories, final score and payment adjustments. The dataset provides additional details at the TIN/NPI level on what was published in the previous performance year.

Update Frequency

Annually

Examples

if (FALSE) { # interactive()
quality_payment(year = 2020, npi = 1144544834)

quality_payment(year = 2022, npi = 1043477615)
}