Tag Archives: MIPS Tips

MIPS Tips (April)

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.

MIPS Tips (Updates and Reminders)

MIPS TIPS (2018 ATTESTATION)

The Merit-based Incentive Payment System (MIPS) 2018 attestation season is now in full swing and the 2019 reporting year is well under way.  It is important to ensure you are staying on track to complete attestation for 2018 and are preparing for 2019 reporting. Included below are updates and reminders for February 2019.

2018 ATTESTATION DEADLINES

  • CPC+ customers – attest by February 28
  • QSS MIPS customers – authorize by March 15
  • MIPS Manual Attestation through the QPP Attestation Website – attest by April 2

2018 MANUAL ATTESTATION RESOURCES AND TIPS

  • 2018 QPP Attestation Portal – Manual attestation
    • The attestation period runs from January 2, 2019 – April 2, 2019.
    • Allows providers to log in with a HARP (previously known as EIDM) user ID and password and report for the following components using data from CQR:
      • Promoting Interoperability Component – can be manually entered or uploaded through the QRDA-III file from CQR.
      • Quality Component – must upload the QRDA-III file from CQR.
      • Improvement Activity Component – manually entered.
    • CMS released a YouTube video on how to report manually for MIPS.
  • Obtaining a HARP Account User ID and Password
    • On December 20, CMS announced via the QPP Listserv that they were transitioning the way providers access and manage the accounts to submit and review data on the QPP website from the EIDM accounts to HARP (HCQIS Access Roles and Profile System) accounts.
    • To log in and submit data, clinicians will need to use the new HCQIS Authorization Roles and Profile (HARP) system. Previously, clinicians received their credentials through the Enterprise Identity Management (EIDM) system. Clinicians are encouraged to log in early to familiarize themselves with the system.
      • Previous EIDM Accounts: For all clinicians who previously had an EIDM account, you were automatically transitioned to HARP, and will use your existing EIDM user ID and password to sign in to the QPP website.
      • New Clinicians: For all clinicians who didn’t have an EIDM account, you’ll need to enroll with HARP. For a step-by-step guide to signing up for a HARP account, refer to the QPP Access User Guide.
    • IMPORTANT – Passwords for this account do expire. It is highly recommended that you test your user name and password prior to attesting and prior to the attestation deadline! If your password has expired, you will need to contact the QPP Service Center for assistance on getting the password reset at 1-866-288-8292.

2018 QSS ATTESTATION RESOURCES AND TIPS

  • QSS Submission for 2018
    • Enrollment for QSS is open through March 1. 2019.
    • If submitting MIPS 2018 data through QSS the attestation window is open through:
      • CPC+ – closed February 15
      • MIPS – March 15
  • For more information on QSS, please visit the Virence QSS community page.

2019 TIDBITS – Now is the time to begin monitoring your reports for 2019!

  • QPP 2019 Participation Look Up – CMS has released the 2019 Participation Look Up tool and providers can now check to see if they are required to report or if they are eligible to Opt-In for 2019 reporting. The Participation Look Up tool is HERE.
  • For those that were required to report to MIPS in 2017, you should be seeing your payment adjustments on your Medicare EOBs for claims with a date of service starting January 1, 2019.  Attached is the CMS Fact Sheet that explains how the adjustments are applied and displayed on the EOB.

MIPS CONSULTING

Quatris Healthco offers quality consulting services to our Centricity customers. For information contact mkeller@qhco.com. For non-Centricity customers contact your EMR vendor on processes for support and quality reporting programs.

MIPS Tips

Whether it is regarding 2018 attestation or preparing for 2019 reporting, it’s important to stay up to date on changes relating to the Merit-based Incentive Payment System (MIPS) program. Included below are updates and reminders for January 2019.

Category Corner – Improvement Activity Reporting Reminders:

  • Be sure you can support your Improvement Activity with supporting documentation in the event of an audit.
    • Be sure that supporting documentation can provide examples to support the activity for the full reporting period:
      • 90-day recommendation-screen shot from each month of the reporting period.
      • Full year recommendation-screen shot from at least each quarter of the reporting period.
    • Supporting documentation should not contain protected health information (i.e. patient names, date of birth, phone numbers)
    • Review the suggested documentation from CMS for the activity(s) selected and times frames indicated.

Program Perks – Updates from CMS on the Quality Payment Program (QPP): 

  • 2018 QPP Attestation Portal is accessible via https://qpp.cms.gov/login, and the attestation period runs from January 2, 2019 – April 2, 2019.
  • HCQIS Access Roles and Profile (HARP)
    • On December 20th, CMS announced via the QPP Listserv that they were transitioning the way providers access and manage the accounts to submit and review data on the QPP website from the Enterprise Identity Management (EIDM) accounts to HARP accounts.
    • To log in and submit data, clinicians need to use the new HCQIS Authorization Roles and Profile in HARP. Previously, clinicians received their credentials through the EIDM system. Clinicians are encouraged to log in early to familiarize themselves with the system.
      • Previous EIDM Accounts: For all clinicians who previously had an EIDM account, you were automatically transitioned to HARP, and will use your existing EIDM user ID and password to sign in to the QPP website.
      • New Clinicians: For all clinicians who didn’t have an EIDM account, you’ll need to enroll with HARP. Refer to register with HARP.
  • QSS Submission for 2018. Enrollment for QSS is open through March 1, 2019. If you are submitting MIPS 2018 data through QSS the attestation window is slated to be February 1 – March 15. Be sure to complete the following tasks:
    • Join MQIC (if not already a member)
    • Enter and validate provider and group information in CQR
    • Enroll in QSS and sign Provider Consents (in CQR under the MQIC tab, status must = Enrolled)
    • Monitor Measures in CQR
    • Assign Source of Payment (SOP) codes for all insurance carriers
    • Authorize Submission
    • Check with you EMR vendor on submitting your data to CMS
    • Confirm your QSS submission on the MQIC tab in CQR
  • Patient Encounter Codes changing in 2019 – if using the Patient Encounter SNOMED code to receive credit for ACI and Quality measures there is a change for 2019 reporting.
    • The current SNOMED code for the Patient Encounter is SCT-308335008.
    • In 2019 this code will be removed and will be replaced with the following two codes:
      • New Patients: SCT-37894004
      • Established Patients: SCT-30346009

Consulting

Quatris Healthco offers quality consulting services to our Centricity customers. For information contact mkeller@qhco.com. For non-Centricity customers contact your EMR vendor on processes for support and quality reporting programs.