I am sure many of you have heard talk about Virtual Groups, and may have even looked into joining one. If you have only heard in passing about the third level of submission available for participation in the Quality Payment Program, we will shed some light for you on Virtual Groups. We’ll explain what they are, and how to decide if a Virtual Group would be a good fit for your practice. If you have considered or are planning to join a Virtual Group, we will also outline the necessary steps to establish one and participate at this level.
CMS defines a Virtual Group as “a combination of two or more TINs consisting of the following: Solo practitioners who are MIPS eligible (a solo practitioner is defined as the only clinician in a practice); and/or groups that have 10 or fewer clinicians (at least one clinician within the group must be MIPS eligible). A group is considered to be an entire single TIN”. This allows smaller practices (10 or less EC’s) to join together with other like practices to form one reporting entity for QPP. Doing so allows for the potential to maximize overall performance and positive payment adjustments under this program.
Webinar September 6 – Whats the Big Deal About Virtual Groups?
Thursday September 6th 12-1 p.m. ET
Kentucky Regional Extension Center would like to recognize our partners at the Kentucky Primary Care Association and the Kentucky Health Center Network, along with all of the outstanding Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) across the state of Kentucky who exceed the call of duty to provide quality health care to patients in their communities. In addition to their long history as health care homes to millions, Federally Qualified Health Centers and Rural Health Clinics produce innovative solutions to the most pressing health care issues in their communities. They reach beyond the walls of conventional medicine to address the social determinants of health affecting special patient populations.
You can check the website for special events around the state here.
Do you find yourself confusing the EHR incentive program/meaningful use objectives and measures (now Promoting Interoperability) with the Quality Payment Program Promoting Interoperability (formerly ACI) category (PI) requirements? If so, you are not alone. While these are separate and distinct programs and categories, they both build off the use of Certified EHR technology. While the Medicare Meaningful Use (MU) program transitioned into the Quality Payment Program (QPP) and is now the PI performance category, the Kentucky Medicaid EHR incentive program is a standalone program that runs through Program Year 2021. Not everyone is aware that you can actually participate in both QPP and the Kentucky Medicaid EHR Incentive Program (Promoting Interoperability Program). This allows a provider to qualify for incentive monies, up to $8,500 for a successful attestation (Kentucky Medicaid EHR Program), while also qualifying for QPP performance adjustment factors on their Medicare Part B Fee Schedule.
While the QPP PI category and the EHR Incentive Program have overlapping measures and objectives, each performance category and/or program has their own distinct requirements and eligibility. Join us August 23rd from 12-1 when we examine how the Medicaid EHR Incentive Program and the Promoting Interoperability Performance Category are similar and different in both measures and eligibility. We will also discuss how you can participate in both these programs, and how doing so can help improve your practices performance in the PI category in the Quality Payment Program.
Webinar August 23 – MIPS PI and MEDICAID PI: How are they alike and how are they different?
Thursday August 23rd 12-1 p.m. ET
Join us August 7 from 12-1 pm, where we will examine the CMS Notice Proposed Rule Making (NPRM) for Year 3 of the Quality Payment Program. We will discuss the major proposed changes, how they differ from Year 2 (2018 Program Year) requirements, and the possible effects of these changes on clinician practices.
In the proposed rule released July 12, CMS outlines numerous alterations for Year 3 (2019 Program Year) of QPP, including many changes to the Promoting Interoperability performance category and increased weighting for the Cost performance category. Along with extensive category restructuring, CMS has also proposed an increase in the performance threshold and added an additional factor for clinician eligibility.
Webinar August 7th – NPRM: Year 3 Proposed Rule Review
Tuesday August 7th 12-1 p.m. ET
Join us on July 30th for an in depth look at the new Quality Payment Program feedback report. We will explore how you can use these reports to shape your practice action plan to maximize your Year 2 QPP performance. We will also take a look at the targeted review request process and how to use this form to correct any errors. Please note: the targeted review application must be submitted no later than September 30th of 2018. However, CMS recommends submitting before the end of July.
CMS released Year 1 QPP feedback reports Friday, June 29th on the QPP.CMS.GOV Portal. Providers who participated in Year 1 of the QPP under either the Merit Based Incentive Payment System (MIPS) or the Alternative Payment Models (APMS) can log in to their QPP Portal to review their final performance score and the associated payment adjustment factor. The new feedback report replaces the Quality Resource and Utilization Report (QRUR), and provides feedback across Quality (reported measures), Cost (claims based evaluation), Advancing Care Information (now known as Promoting Interoperability), and Improvement Activities. The report provides feedback on performance across these four categories and illustrates ranking across the country and each measure(s) respectively. We suggest that you look at your feedback reports as soon as possible to initially check for accuracy, as time is short for a potential appeal. While you are in the QPP Portal, we also recommend you verify that your connected clinicians are accurate, in the event someone is tied to your TIN who is not part of your organization. If this is the case, you will also want to clean up PECOS and work with CMS to remove any errors.
You can gain access to your feedback reports by logging in to the Portal at www.qpp.cms.gov using your EIDM login and password. If you do not have a login/password, or the appropriate level of access, you can request or modify it here.
Webinar July 30th – QPP Year 2: 2017 Feedback Reports
Monday July 30th 12-1 p.m. ET
Join us in Pikeville or Louisville as we take an in depth look at the Medicare Access and CHIP Reauthorization Act (MACRA) legislation and the Quality Payment Program!
This event will explore MACRA Year 2, Care Transitions Quality Measure, the Cost Category of MIPS, Considerations for Moving to Advanced Payment Models, Practice Transformation and Quality Improvement, 2018 Meaningful Use (Promoting Interoperability) Changes and Hard to Hit Measures, and what we can learn from 2017 Security Breaches in order to protect data.
The 2018 Agenda is ALL NEW to reflect the constant changes faced by healthcare practices.
Continuing Medical Education (CME) Credit will be offered for MDs
August 3, 2018 – Pikeville, KY
Eastern Kentucky Expo Center
9:00AM – 3:10 PM EST
September 14, 2018 – Louisville, KY
Kentucky Science Center
9:00AM – 3:10 PM EST