KENTUCKY REGIONAL EXTENSION CENTER

Kentucky REC News

NEW CMS QUALITY PAYMENT PROGRAM ELIGIBILITY LOOK-UP FEATURE

On May 9, 2018, the Centers for Medicare and Medicaid Services (CMS) released a new feature on the CMS Quality Payment Program Website based on feedback from users like you. CMS received requests for streamlining access when checking individual clinician eligibility for participation. This new feature allows those with an EIDM account to view 2018 Merit-based Incentive Payment System (MIPS) Eligible Clinicians for the associated Tax Identification Number (TIN). This allows you to see the eligibility status of each clinician associated to the affiliated TIN(s) within your group, enabling you to find out if they need to participate in the 2018 performance year for MIPS.

So how does this work? If you have an EIDM account, you can now log in to the QPP Portal and look under the TIN associated with your group to see the eligibility status for all providers tied to that TIN instead of searching by the individual NPI of every provider. For TINs with multiple providers tied to those accounts, this could be a significant time saver!

Need an EIDM account? Take a look at this Enterprise Identity Management (EIDM) User Guide to get you started.

Contact the experts at Kentucky REC for all your QPP and MIPS questions. We’re here to help. Call us at 859-323-3090

Webinar May 29 – Quality Improvement: A Closer Look at How to do More than Just Report Quality Measures

The Quality Payment Program is comprised of four performance categories: Quality, Cost, Promoting Interoperability (previously Advancing Care Information) and Improvement Activities. The Quality performance category requires providers to not only report on clinical quality measures but to be evaluated on their performance. This takes us beyond the ability to just track and report.

Join us for our upcoming webinar where we will take a deep dive into the Quality category, which is tracked for the full year of Year 2 in the Quality Payment Program. Performance on these measures has the potential to impact at least 50% of an eligible clinicians MIPS final score. We will see how the MIPS program encourages providers to move beyond just reporting measures and into using measures to drive change in their practice. Unlike in previous quality programs that also used clinical quality measures, it is imperative to select measures based on more than just availability due to your submission method. We will look at clinical quality measures in depth and discuss how they can help you go beyond your MIPS final score to impact and improve patient outcomes.

QPP Year 2 Webinar – Quality Improvement: A Closer Look at How to do More Than Just Report Quality Measures

Tuesday May 29th 12-1 p.m. ET

Contact us at Kentucky REC with your questions about the Quality Payment Program. Our team of experts is here to help: 859-323-3090

Updates on Meaningful Use (Promoting Interoperability) for Eligible Professionals

FY2019 IPPS/LTCH PPS Proposed Rule Released
CMS released the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and Long Term Care Hospital Prospective Payment System proposed rule on April 24, 2018. CMS is proposing to overhaul the program to: make the program more flexible and less burdensome, emphasize measures that require the exchange of health information between providers and patients, and incentivize providers to make it easier for patients to obtain their medical records electronically. CMS is currently seeking public comments. The deadline for submitting comments on the proposed rule and the RFI is no later than June 25 2018, at 11:59 PM ET.

CMS Re-naming the Meaningful Use Program
With the goal of focusing attention on data sharing and greater flexibility, CMS is renaming the Meaningful Use Program (formerly known as Medicare and Medicaid Electronic Health Record Incentive Programs) to Medicare and Medicaid Promoting Interoperability Program. (This includes renaming ACI under MIPS.)

A fact sheet on the proposed rule (CMS-1694-P), is available here.
To view the proposed rule (CMS-1694-P), please visit here.

Now is the Time to Schedule a Meeting with Your Health IT Advisor
Contact your Health IT advisor and provide Meaningful Use reports run using a 90-day reporting period in 2018. A Meaningful Use gap analysis and action plan will then be completed and discussed in detail with you. It is essential to begin reviewing your 2018 MU reports and monitor your progress on a regular basis. This will allow time to reassess workflows within the practice.

2018 Meaningful Use Facts

The EHR Meaningful Use Objective reporting period for all participants is a minimum of any continuous 90 days from January 1 through December 31, 2018.

The Clinical Quality Measures are expected to be reported electronically under the following reporting periods:

  • First-time Meaningful Users – Any continuous 90 days in 2018
  • Returning Meaningful Users – 2018 Full Calendar Year

Health care providers are required to electronically report clinical quality measures (eCQMs), which use data from EHRs and/or health information technology systems to measure health care quality. This is required beginning in January 2018. To report eCQMs successfully, health care providers must adhere to the requirements identified by the CMS quality program in which they intend to participate.

You will have the choice in attesting to either:

A: Modified Stage 2 – Providers may attest to objectives and measures using EHR technology certified to the 2014 Edition, 2015 Edition, or a combination of the two

OR

B: Stage 3 – Providers may attest to objectives and measures using EHR technology using a combination of 2014 and 2015 Edition or 2015 Edition

2018 Resources
  • Find Specification Sheets for Modified Stage 2 here
  • Find Specification Sheets for Stage 3 here
  • Find eCQM table here
  • Find CMS Frequently Asked Questions here
  • Find KY Medicaid website here
  • Find Kentucky Health Information Exchange website here
  • Find CMS EHR Incentive website here

For answers to your questions about Promoting Interoperability (Meaningful Use), contact our experts at 859-323-3090 or Kentucky REC

Webinar May 17: Building a Strong Foundation for Today’s Value-Based Payments

Is your practice prepared for today’s Value-Based Payment Model?

PCMH and PCSP are excellent practice transformation models for organizations committed to improving access, communication, and care coordination. NCQA recognized practices succeed in cutting costs, increasing quality outcomes and patient satisfaction. Now is the perfect time to pursue recognition since your organization can also receive full points in the Improvement Activities category of the Merit-Based Incentive Payment System under the Medicare Access and CHIP Reauthorization Act (MACRA).

Designed to accelerate your journey to NCQA PCMH/PCSP Recognition, our cohort framework provides expert training, coaching, and resources. Your staff will be well prepared to carry out the practice transformation process within a 12-month period.

Kentucky REC’s newest PCMH/PCSP cohorts will begin later this summer.

To learn about the possible financial benefits and other incentives of the PCMH/PCSP programs and our cohort services, join us for a FREE informational webinar on May 17, 2018 at 12 PM ET.

Don’t miss the opportunity to be a part of something special as we work to transform healthcare in Kentucky!

Building a Strong Foundation for Today’s Value-Based Payments
Thursday May 17th 12-1 p.m. ET

For more information about joining the Kentucky REC PCMH/PCSP Cohort, contact our experts at 859-323-3090 or Kentucky REC

 

Webinar May 15th: IA Deep Dive for QPP Year 2

The Quality Payment Program is comprised of four performance categories: Cost, Quality, Advancing Care Information (ACI) and Improvement Activities (IA). The first three categories (Cost, Quality and ACI) are based on historical quality programs. However, Improvement Activities is a new category introduced by CMS at the beginning of the Quality Payment Program in 2017.

Improvement Activities (IA) includes an inventory of activities that assess how you improve your care processes, enhance patient engagement in care, and increase access to care. The inventory allows you to choose the activities appropriate to your practice from categories such as: enhancing care coordination, patient and clinician shared decision-making, and expansion of practice access.

Join us on our upcoming webinar where we will provide an overview of the Improvement Activities category. In addition to reviewing the Year 2 changes, we will discuss how this category and associated clinical and/or process interventions can be a catalyst for continuous improvement.

QPP Year 2: IA Deep Dive
Tuesday May 15th 12-1 p.m. ET