Kentucky REC News


Year 3 of the Quality Payment Program (QPP) has seen substantial changes for the MIPS track across all four performance categories. The minimum threshold for the program increased from 15 to 30 points, making it essential to participate in more than one performance category to avoid a penalty.

The Quality performance category is very different for Year 3, including the expansion of flexibility under submission methods, restructuring of the Web Interface submission method, and the adoption of Facility-Based scoring, to name a few. This category is set to make up 45% of an Eligible Clinician’s or an Eligible Group’s MIPS final score, and requires a full 365 days of reporting. The weighting, paired with the reporting time frame, makes this category one of the most challenging. All of this makes it important to perform well on Quality for 2019.

Kentucky REC experts will interpret these changes and how they can impact your performance in 2019. We will explore the issues these changes present and what you can do to maximize your score for Year 3.

Webinar – QPP Year 3: Quality Category
Thursday February 21, 12:30 – 1:30 p.m. ET


ATTENTION PHYSICAL Therapists! QPP Webinar February 13


Kentucky REC quality experts and KPTA are hosting a webinar with guest expert Heather Smith of the American Physical Therapy Association. The information presented will help physical therapists understand the impact the Quality Payment Program will have on reporting requirements, payments, and services delivered for this year and the coming years.

Physical Therapy plays a critical role in a patient’s healing and quality of life after an injury or illness. Therefore, it should come as no surprise that CMS is extending its Quality Payment Program from previously included clinician types to physical therapists in Year 3. The QPP has already helped thousands of clinicians reduce costs, improve outcomes, and provide better care. Join us for this webinar, tailored to the specific needs and roles of physical therapists.

Webinar – Quality Payment Program 2019 – Helping Physical Therapists in the Value-Based Payment World

Wednesday February 13, 12:00 – 1:30 p.m. ET

Have questions? We’re here to help! Contact the Kentucky REC today or call us at 859-323-3090.


For all returning participants, the EHR reporting period is a minimum of any continuous 90 days between January 1 and December 31, 2019 for Meaningful Use measures. Medicaid EPs who are returning participants must report on a one year electronic Clinical Quality Measure reporting period, and first-time meaningful users must report on a 90-day electronic Clinical Quality Measure reporting period. EPs are required to report on any six eCQMs related to their scope of practice. In addition, Medicaid EPs are required to report on at least one outcome measure. If no outcome measures are relevant to that EP, they must report on at least one high-priority measure. If there are no outcome or high priority measures relevant to an EP’s scope of practice, they must report on any six relevant measures.

Good News: The list of available eCQMs for EPs in 2019 is aligned with the list of eCQMs available for Eligible Clinicians under MIPS in 2019. Those eCQMs can be found here. Electronic Clinical Quality Measures are expected to be reported by using a QRDAIII file for 2019.

All providers must attest to Stage 3 objectives and measures using 2015 EHR technology certified.

Have more questions? We are here to help! Contact the Kentucky REC today or call us at 859-323-3090 to learn more about the support we provide.

The Pill Podcast – Bonus Episode: QPP Year 3

In this special bonus episode of The PILL Podcast, Trudi Matthews interviews two of Kentucky Regional Extension Center’s subject matter experts, Robin Huffman and Kelly Fountain. These two quality experts break down the major changes to Year 3 in the Quality Payment Program. This overview will help our listeners understand the challenges they face under MACRA in 2019.

Bonus Episode: QPP Year 3

If you need assistance with quality improvement and/or QPP, contact the Kentucky REC at 859-323-3090 or by email. For specific Quality Payment Program assistance for small practices, visit the online resource center.

Webinar Feb 12 – Patient Centered Medical Home and Specialty Practice: A Clear Roadmap for Practice Transformation

PCMH and PCSP are excellent practice transformation models for organizations committed to improving access, communication, and care coordination. PCMH and PCSP practices succeed in increasing quality outcomes, patient satisfaction, and cutting costs. 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 (MIPS) under the Medicare Access and CHIP Reauthorization Act (MACRA).

Designed to accelerate your journey to PCMH/PCSP Recognition, our 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. Our webinar will discuss the possible financial benefits and other incentives of the PCMH/PCSP programs and our services.

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

Webinar – PCMH & PCSP: A Clear Roadmap for Practice Transformation
Tuesday February 12th 12-1 p.m. ET


Webinar February 7 – QPP Year 3: Promoting Interoperability

This time of year in the Quality Payment Program is stressful. Practice representatives have to juggle attestation prep along with all the changes for the new program year that started January 1st. There are major overall changes to Year 3, including the expansion of eligible clinician types, and a third criteria for exclusion (200 covered physician fee services). Along with those changes, each performance category was updated, with Promoting Interoperability (PI) standing out as the most altered category.

While PI Performance Category is still weighted at 25% of your MIPS final score, the approach to receiving full credit has changed. In an effort to simplify the math for Year 3, CMS has moved to straight performance based scoring. The result of this is that an individual’s or group’s ability to earn a perfect score of 25 points has been dramatically limited. The number of raw points has gone from the previous 155 down to 110.  This scoring change, along with the streamlining of Objectives and Measures, stands to have serious impact for this performance year.

Join us on February 7th when our panel of experts will discuss the changes to the PI category and what you can do now to limit the impact it will have on your MIPS final score for Year 3. During this webinar we will review the final objectives, measures and associated weights, along with the challenges of the new scoring approach. We’ll discuss how your practice can plan out the year now to mitigate any potential risk due to these changes and be successful in Year 3 of the QPP.

Webinar – QPP Year 3: Promoting Interoperability

Thursday February 7,   12:30 – 1:30 p.m. ET


Medicare Promoting Interoperability for Eligible Hospitals and Critical Access Hospitals – 2018 Program Year Deadline Feb 28 2019

The QualityNet system opened on January 2, 2019 for Eligible Hospitals and Critical Access Hospitals attesting to the Medicare Promoting Interoperability (PI) Program (formerly known as the Medicare EHR Incentive Program). This marks the beginning of the attestation period for program year 2018. The Promoting Interoperability reporting period is a minimum of any continuous 90 days between January 1 and December 31, 2018. For Modified Stage 2 in 2018, hospitals may attest to objectives and measures using 2014 Edition Certified EHR Technology (CERHT), 2015 Edition CEHRT, or a combination of both.

As a reminder, hospitals must use the QualityNet Secure Portal, also referred to as QNet, to report both PI and quality attestations. For specific instructions on how to enroll in and use QNet, see the Enrollment and Login User Guide, the Role Management User Guide, the Registration and Attestation User Guide, and the Objectives and CQMs User Guide. Participants must attest successfully to program requirements in order to avoid the Medicare payment adjustment. The attestation submission period ends on February 28, 2019. Hospitals are reminded to keep detailed documentation to support their attestation for up to six years after reporting is complete.

For more information on the Medicare Promoting Interoperability Program, please either email our team of expert advisors at the Kentucky REC or call us at 859-323-3090.

Successfully navigating the complex and evolving Promoting Interoperability landscape can be a challenging task. We work closely with our clients to guide them through the multifaceted environment unique to health information technology. We are here to help! Contact the Kentucky REC today to learn more about the support we provide.


Webinar Jan 24 – QPP Identifying Your Eligible Clinicians Year 3

As expected, CMS expanded the eligible clinician types for Year 3 of QPP. This fulfills their goal to include more providers who bill Medicare Part B. This change more than doubles the total number of EC’s required to participate in Program Year 3.

Newly eligible clinician types for 2019:

  • Physical therapists
  • Occupational therapists
  • Qualified speech-language pathologists
  • Qualified audiologists
  • Clinical psychologists
  • Registered dietitian or nutritional professionals

We’ll discuss the new expanded clinician types and what flexibilities are available for 2019. In addition, we’ll highlight how the expanded clinician types, along with other changes such as the opt-in option, will impact Year 3.

Webinar – QPP Year 3: Identifying Your Eligible Clinicians
Thursday January 24, 12:30 – 1:30 p.m. ET



Kentucky medicaid EHR incentive program deadline

The deadline to submit program year 2018 attestations is March 31, 2019 for The KY Medicaid EHR Incentive Program (Promoting Interoperability). The reporting period is any consecutive 90 day period for MU Objectives. The eCQM reporting period is 90 days for first-time MU participants and a full year for returning MU participants in calendar year 2018.

If you haven’t already, contact your Health IT Advisor at the KY REC to schedule a meeting to submit your attestation.

Contact our expert advisors at Kentucky REC with your questions. We’re here to help. 859-323-3090

QPP EIDM replaced by HARP

CMS just announced an updated and streamlined system for creating and verifying user accounts for the Quality Payment Program (QPP).

For 2017 and 2018 an organization representative was required to have access to their organization data through the Enterprise Identity Data Management (EIDM) System. This was in order to gain access to the submission area of, to submit QPP data and verify eligibility. This system is no longer used for the QPP and is now replaced by the HCQIS Access Roles and Profile (HARP) System.

Good News! If you already had an EIDM account, your login information and accesses should have migrated to the new HARP System.

Any new users will need to request and manage their access to organizations by using the HARP System and Access to this identity verification system is REQUIRED to be able to submit data for the QPP program. It is also used to request any targeted reviews, view progress on claims measure performance, view eligibility, and many other tasks, depending on your access and the type of organization you represent. For a step-by-step guide to signing up for a HARP account, refer to the QPP Access User Guide.

Contact our Quality Payment Program expert advisors at Kentucky REC with your questions. We’re here to help. 859-323-3090