MIPS Tips (April)

May 8, 2019

The 2019 reporting year is in full swing, and Quatris Healthco is pleased to provide MIPS updates to help your practice.

Category Corner (MIPS performance categories)

Key changes to the MIPS PI category include:

  • 2015 CHERT Requirements – Eligible clinicians/groups are REQUIRED to upgrade to all components of 2015 CEHRT.
    • CPS 12.3/CEMR 9.12
      • Azure AD
      • API
      • CCDA 2.1
    • Patient Portal Versions
      • ezAccess Patient Portal – 4.0.291
      • Medfusion Patient Portal – 17.4.1
      • Centricity Clinical Messaging & Patient Portal (Surescripts, SMPP) – 8.0.x
    • Centricity Advanced e-Prescribing (eSM console) – Version 4.2.2
  • Scoring Changes
    • Measures are no longer broken down into base and performance measures. All measures are now performance driven and scored on a static decile based on the performance rate and measure weight. (see table below from the QPP Year 3 (2019) Final Rule, page 1148).
      • Click here for additional information on how the measures will be scored and how exclusions may apply.

Program Perks ( MIPS performance categories

  • 2019 QPP Participation Look Up – check your provider eligibility on the QPP website using the Check Participation Status tool.
  • New Eligible Clinician Provider Types for 2019 – check participation status if your practice employs these provider types:
    • Physical therapists
    • Occupational therapists
    • Qualified speech-language pathologists 
    • Qualified audiologists
    • Clinical psychologists
    • Registered dietitian or nutrition professional
  • New “Opt-In” eligible option – If a provider has met at least one (1) of the eligibility criteria for MIPS, they are not required to report but are eligible to “opt-in”. If they do report successfully they are eligible to receive a positive payment adjustment.

Measurement Metrics (how to improve your scores)

  • Topped out measures for 2019 – there are two measures in CQR that have historically done well, and CMS has identified these as being topped out in 2019. The highest score these measures will receive is seven (7) points (not the full 10 points).
  • Eligible groups may want to consider other measures that are eligible to earn the full 10 points in 2019.
    • CMS68 – Documentation of Current Medications in the Medical Record
    • CMS156 – Use of High-Risk Medications in the Elderly
  • Immunization Registry Reporting – for 2019 the measure specification states that the Registry must be bi-directional. Per CMS: Bi-directionality provides that certified health IT must be able to receive and display a consolidated immunization history and forecast in addition to sending the immunization record.  

Toolbox Tactics (using CQR the Quality Reporting tool to manage and monitor progress) 

On April 24, CQR received a series of upgrades to the 2019 scoring methodology. If you have not logged in recently, we would encourage you to clear your browsing history and log-in to familiarize yourself with the updates. Key updates include:

  • PI Category
    • Measures and scoring have been reset to reflect the new scoring methodology referenced in the “Category Corner” above. Note: until you upgrade to CPS 12.3/CEMR 9.12 the score will remain at 0. 
    • Bonus measures for e-Prescribing are slated in a future upgrade.
  • Quality Category
    • Scoring has been updated to the accurate Quality Category weight of 45. 
    • Small practice bonus of 6 points has been added to the scoring methodology.
    • Several measures were upgraded to the 2019 version.
  • IA Category
    • Improvement Activities for 2019 are now available.

MIPS Consulting

Quatris Healthco offers quality consulting services to our Centricity customers. For information contact mkeller@qhco.com.

*Note: The content of this email may not apply to your practice. Contact your EMR vendor on processes for support and quality reporting programs.

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