On September 18, 2017, CMS released the annual Quality and Resource Use Reports (QRUR) for all group and solo practitioners across the country. We hope that you can join us for a live webinar where we will be digging into the 2016 QRUR. During this webinar we will be highlighting some key aspects of the report as well as how you can use this report to drive improvement in your practice.
In addition, we will be discussing the supplemental tables and how these tables can be used to focus in on target populations to improve outcomes and reduce overall cost. We highly encourage that you pull your 2016 QRURs so that you can follow along as we walk through a sample QRUR and discuss each section and how this feedback report can be used to improve your MIPS performance in the future.
What: MACRA 2016 Feedback Report Webinar
When: Monday, October 30, 2017 12:00 pm
The Quality Payment Program Hardship Exception application for the 2017 transition year is now available on the Quality Payment Program website.
MIPS eligible clinicians and groups may qualify for a re-weighting of their Advancing Care Information (ACI) performance category score to 0% of the final score, and can submit a hardship exception application for one of the following specified reasons:
-Insufficient internet connectivity
-Extreme and uncontrollable circumstances
-Lack of control over the availability of Certified EHR Technology (CEHRT)
There are some MIPS eligible clinicians who are considered Special Status, who will be automatically re-weighted (or, exempted in the case of MIPS eligible clinicians participating in a MIPS APM) and do not need to submit a Quality Payment Program Hardship Exception Application. In addition to submitting an application via the Quality Payment Program website, clinicians may also contact the Quality Payment Program Service Center and work with a representative to verbally submit an application.
To submit an application, you will need:
-Your Taxpayer Identification Number (TIN) for group applications or National Provider Identifier (NPI) for individual applications
-Contact information for the person working on behalf of the individual clinician or group, including first and last name, e-mail address, and telephone number
-Selection of hardship exception category (listed above) and supplemental information.
If you’re applying for a hardship exception based on the Extreme and Uncontrollable Circumstance category, you must select one of the following and provide a start and end date of when the circumstance occurred:
-Disaster (e.g., a natural disaster in which the CEHRT was damaged or destroyed)
-Practice or hospital closure
-Severe financial distress (bankruptcy or debt restructuring)
-EHR certification/vendor issues (CEHRT issues)
For More Information, please contact the Quality Payment Service Center at 1-866-288-8292 or TTY: 1-877-715-6222 or QPP@cms.hhs.gov or visit https://qpp.cms.gov/
Contact Kentucky REC at 859-323-3090. Our experts are here to help.
Obtaining a high Advancing Care Information (ACI) score is essential for small group practices seeking to achieve bonuses in the MIPS program. But, because many small practices have limited or no electronic health records and may not participate in registries, achieving a good ACI score may seem difficult.
This event will help small practices understand ACI scoring and advise them on how to maximize their limited resources to earn the best ACI score possible. Panelists will discuss the ACI measures required for reporting, how to choose quality measures, ACI measures, and improvement activities that can maximize your efficiency, eligibility for a hardship exemption, and what to do if your practice does not have an EHR or use a registry.
This event is designed for:
- MIPS-eligible clinicians from solo and small practices with 15 or fewer clinicians
- Practice managers and other staff tasked with submitting MIPS data
- Clinician stakeholders such as State and Medical Associations assisting small practices preparing to participate in MIPS
Two sessions of this presentation are being offered. Please click the date and time to register for the session you would like to attend:
See the flyer to learn more. This event is being hosted by the QPP SURS Central Support Team, you may contact them at: firstname.lastname@example.org
October 2nd has just passed, bringing the beginning of the last 90-day MIPS performance period for 2017. If plans aren’t already in place, this is the last opportunity you have to decide what to do if you are an Eligible Clinician (EC) impacted by MIPS. If there is any doubt about your participation status go here and enter your NPI number. That will let you know immediately if you need to do something in 2017 to protect your 2019 Medicare Part B reimbursement and professional reputation.
The MIPS Composite score is extremely important. There are four participation options for 2017 and at least one of them should be disregarded immediately. Option 1, doing nothing, will give you an automatic 4% Medicare Part B penalty in 2019 and a public MIPS score of 0. Option 2, test reporting, will avoid penalties in 2019 but leaves you with a MIPS score of 3. Option 4 requires submission of an entire year of data to Medicare. Probably not too many can pull that one off. That only leaves Option 3 as the only acceptable path for MIPS in 2017 for most ECs.
Option 3: CMS calls this “Partial Participation” and lays out the requirements: “If you submit 90 days of 2017 data to Medicare, you may earn a neutral or positive payment adjustment and may even earn the max adjustment.” In addition, with the right strategy (individual vs. group reporting, submission method, choice of “MIPS friendly” vs. clinical quality measures, etc.) a high MIPS score can bring numerous advantages: positive scoring on public sites when rolled out, higher reimbursements, and more.
As we have entered the beginning of the last 90-day reporting period decisions and strategies will need to be in place to assure a high MIPS score. There will not be an opportunity to back pedal or second guess. Don’t let indecision or lack of knowledge of the MACRA/MIPS program adversely affect your Medicare Part B reimbursement, practice value, and professional reputation.
Our goal is not only to avoid penalties, but deliver actionable strategic decisions that lead to the highest possible MIPS score.
Contact the Kentucky REC now for help: 859-323-3090
Source: http://www.mipsconsulting.com by Jim Tate
Join us for a webinar where we will discuss the advantages and potential challenges that come along with upgrading to a 2015 certified Electronic Health Record (EHR). During this webinar we will take a closer look into the 2015 CEHRT objectives for Advancing Care Information and how upgrading your EHR in 2018 can increase your options for maximizing your MIPS score. We will also highlight some common challenges that arise with an upgrade.
What: EHR/CEHRT Webinar
When: Monday, October 16, 2017 12:00 pm
It’s not too late to participate in the first year of the Merit-based Incentive Payment System (MIPS)—one of the two tracks in the Quality Payment Program. The transition year of MIPS has been underway since January 1, 2017 and runs until December 31, 2017.
Transition year (2017) Participation:
For 2017, you can participate in one of three ways:
- Submit data covering a full year, or
- Submit data covering at least a consecutive 90-day period, or
- Submit a minimum amount of data (<90 days)
Remember: You should begin data collection no later than October 3, 2017, to report 90 consecutive days of data for the transition year. For example: If you are planning to submit 90 days or more of your quality data via your claims, you would need to begin adding the applicable quality data codes to your claims no later than October 3rd.
If you submit data for at least 90 days, you avoid the negative payment adjustment, and may be eligible for a positive payment adjustment.
Are you planning to submit less than 90 days of data?
If so, you can begin data collection as late as Dec 31st and still avoid the negative payment adjustment. However, more data increases your likelihood of earning a positive payment adjustment.
When is data submission?
This is a reminder to begin data collection. You will begin submitting your 2017 MIPS performance data on January 2 through March 31, 2018. If you are eligible to participate but choose not to submit data, you’ll get a negative 4% payment adjustment which will go into effect on January 1, 2019.
Need Help Participating?
Contact the Kentucky REC for today for MACRA/MIPS Support