MIPS Tips (June)

July 8, 2019

The Merit-based Incentive Payment System (MIPS) 2019 reporting year is now past the half-way point in the reporting year. Be sure you are staying on track with all the changes for 2019.

Category Corner (MIPS performance categories) 
Eligible clinicians must report active engagement in the Improvement Activity(s) selected for a minimum of a 90-day reporting period and be able to support their active engagement in the activity(s) for the full 90-days. In the event of an audit, remember these important tips:

  • Select your Improvement Activity(s) early – A full list of activities can be found in CQR and on the QPP website in the Resource Library.
  • Select your 90-day reporting period – This can be any 90-days within the reporting year as this no longer needs to align with the PI component of MIPS. PI bonus points are no longer being given for selecting Improvement Activities that require CEHRT.
  • Create and save supporting documentation – While supporting documentation is not required at the time of attestation, in the event of an audit they will ask for proof of the eligible clinician (group) being actively engaged in the activity that was reported.
  • The best way to prove active engagement for a full 90-day reporting period is to have at least one example for each month of the 90-day reporting period.

Program Perks (new and important updates from CMS on the Quality Payment Program) 
On June 20th via the QPP Listserv, The Centers for Medicare & Medicaid Services (CMS) announced the following:

  • Merit-based Incentive Payment System (MIPS) Data Validation and Audit to begin June 2019 for Performance Years 2017 and 2018 
    • CMS has contracted with Guidehouse to conduct data validation and audits of a select number of Merit-based Incentive Payment System (MIPS) eligible clinicians. Data validation and audits are processes that will help ensure MIPS is operating with accurate and useful data. MIPS eligible clinicians, groups and virtual groups are required by regulation to comply with data sharing requests, providing all data as requested by CMS.
    • If you are selected for data validation and/or audit, you will receive a request for information from Guidehouse via email or certified mail. You have forty-five calendar days from the date of the notice to provide the requested information.
      • If you do not provide the requested information, CMS may take further action, to include the possibility that you will be selected for future audits. To avoid this, CMS is in the process of developing resources to support clinicians selected to participate.

Measurement Metrics (how to improve your scores)
The 2015 CEHRT Requirements for the PI category can be found on the Quatris Healthco Knowledgebase. View the step-by-step instructions to be fully 2015 CEHRT compliant before starting a 90-day reporting period. If you are a Quatris Healthco customer and do not have access to the Quatris Healthco Knowledgebase, click here to register.

Athenahealth recently hosted a webinar and reviewed the setup and workflow for the Receiving and Incorporating Health Information measure. Click here to view the webinar and click here to view the slides.

  • The key to understanding this measure is how the denominator is calculated. It requires two indicators for a patient to be included in the denominator count.
    • Indicator 1: The patient must be a new patient to the provider or if the patient is established the checkbox for “Encounter is Transition of Care” must be checked on the office visit document.
    • Indicator 2: The patient must have an imported CCDA on their chart.
      • If either of these is not present on the chart, then the patient will not be included in the measure.

Toolbox Tactics (how to use the Quality Reporting tool to manage and monitor your progress)

  • CQR Version 1.6.10 Release
    • Click here to view the recorded webinar outlining the upgrade features.
    • Click here to download the new Quality Reporting Guide. 
  • CPC+ 2019 Patient Roster Report
    • Quatris Healthco has proactively uploaded this report for customers that participate in CPC+. If you have any questions regarding this report, log a case at support@qhco.com.

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 programs.

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