MIPS Tips (August)

The Merit-based Incentive Payment System (MIPS) 2019 reporting year is approaching the last 90-days. If you are required to or are planning to report to the PI Category of MIPS, pay special attention to the Category Corner for the Upgrade and 2015 CEHRT resources that are available.

Category Corner – In this section, we will review the 2015 CEHRT Requirements as they relate to reporting the PI category of MIPS.

  • The deadline to have all the 2015 CEHRT requirements in place is October 1, 2019, to be able to report for the last 90-day reporting period in 2019.
  • 12.3.3 has been released!
    • Quatris Healthco is currently in the process of planning and scheduling for upgrades. If you do not have an upgrade request logged, contact us to start this process.
      • You will be asked to complete an upgrade survey. The upgrade will not be scheduled until the survey is completed and returned.
      • If you are a cloud-hosted customer our upgrade team will contact you with your scheduled upgrade date. You do not need to request or complete the upgrade survey).
  • The information regarding the 2015 CEHRT Requirements is CRITICAL to your success if reporting to the PI category. Refer to the Quatris Healthco Knowledgebase site frequently for updated information. 
    • ONC 2015 CEHRT Requirements
      • This resource provides step-by-step instructions that practices/Local IT must take to be fully 2015 CEHRT compliant prior to starting a 90-day reporting period for the PI category of MIPS.
      • New Interface section, updated API Access Guide, and new API Access recording were recently added.
      • If you do not have access to the Quatris Healthco Knowledgebase REGISTER HERE.

Program Perks – If you are uncertain about meeting the October 1, 2019 deadline, there may be other reporting options available (if you qualify).

  • CMS released the PI Hardship Exception Application on August 15, 2019, via a QPP Listserv announcement. To see if you qualify to apply, learn how to apply, and what this could mean in terms of reporting options for your practice, visit the QPP Exception Application website.
  • If you qualify, you have until December 31, 2019, to submit your PI Hardship Exception Application.
  • This application does not prevent you from reporting to Quality and Improvement Activities using athenaPractice and CQR, however; if you are reporting the Quality category using CQR, you will still need to be upgraded to a version of 12.3 no later than December 31, 2019, to be compliant.

Measurement Metrics – In this section, we will focus on specific measures and how to improve your scores.

  • Provide Patients Electronic Access to Their Health Information – While this measure has been in existence for some time (Meaningful Use), there is an added component that must be met in 2019. For the patient to be on the numerator met list, two criteria must be met:
    • (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information. (This is what we have been doing for years and requires that the patient be given access or opted out of the patient portal service either before or within four business days of their first visit during the reporting period).
    • (2) The MIPS eligible clinician ensures the patient’s health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programming Interface (API) in the MIPS eligible clinician’s certified electronic health record technology (CEHRT). Checkbox in Registration:
      • This is what is NEW in 2019.
        • Once upgraded to a version of 12.3 (preferably 12.3.3) there will be a new checkbox in Registration for “Patient Data Access Authorized”. 
        • While checking the box for “Patient Data Access Authorized” is what will provide credit in CQR, in the event of an audit the provider/group must be able to prove that their system has the capability of providing this level of access. 
        • Athenahealth has provided sample wording that can be provided to patients to meet this requirement.
          • “We support our patients having access to their health information through the Patient Portal. Beyond the Patient Portal, we can enable certain mobile apps that meet requisite technical specification and security requirements to provide you access to your health information in a safe and secure way. Currently, no mobile apps have been configured to connect to our system. Our website, orgname.com, will be updated if any additional apps become available for you to use to access your health information. Please contact our office if you have questions.”
  • Patient Data Access Checkbox Patch now available.
    • If you notice your numbers are lower than expected for the Provide Patients Electronic Access to Their Health Information measure contact Support and have us review and determine if applying this patch will help. (You must be on CPS 12.3.x for this patch to be applicable).

Toolbox Tactics – In this section, we will focus on tips for how to use athenaPractice and CQR the Quality Reporting tool to manage and monitor your progress.

  • CMS68 and CMS156
    • Did you notice the difference with the latest update to CQR?
      • Both measures have been designated by CMS as capped topped-out measures. This means that the highest point value that anyone will receive for these measures is a point value of seven even if the score is 100%.
      • What does this mean for you?
        • Providers/Groups need to review their latest dashboard reports and determine if this significantly impacts their overall Quality category score. If so, now is the time to consider if additional or other measures need to be reported.
        • Quatris MIPS 2019: Ready or Not Webinar – Quatris Healthco will host a webinar to review MIPS readiness for 2019 on Wednesday, September 11, 2019. REGISTER HERE

MIPS Consulting – Quatris Healthco offers quality consulting services to all of our 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 program.