KENTUCKY REGIONAL EXTENSION CENTER

Kentucky REC News

INFO CALL MARCH 3 – JOIN THE DIABETES LEARNING COLLABORATIVE!

Would you like to improve outcomes for your patients with Diabetes?

Be a part of our 14 month long collaborative hosted by the Kentucky Diabetes Prevention and Control Program. The Diabetes Learning Collaborative is for Healthcare Practices, FQHCs, RHCs, Hospitals, Health Departments looking for new ways to improve outcomes for patients with diabetes. Participants will work together to learn from leading experts in the field as well as each other.

To learn how you can become part of our 2021-2022 KY Diabetes Learning Collaborative, join our next info call March 3 at Noon ET. You can also fill out an application to apply!

Tentative Deadline to apply for the program is March 17, 2021.

Contact us Kentucky REC or call 859-323-3090 to request the link for one of the calls or fill out the APPLICATION.

QUESTIONS? Contact us at Kentucky REC or call 859-323-3090.

CMS REOPENS MIPS EXTREME AND UNCONTROLLABLE HARDSHIP APPLICATION

 

 


CMS to Apply MIPS Extreme and Uncontrollable Circumstances Policy for the 2020 Performance Period in Response to COVID-19; Reopens Application

From a listserv announcement from the Centers for Medicare and Medicaid Services:

CMS continues to offer flexibilities to provide relief to clinicians responding to the 2019 Coronavirus (COVID-19) pandemic.

CMS is applying the MIPS automatic extreme and uncontrollable circumstances (EUC) policy to all MIPS eligible clinicians for the 2020 performance period. They are also reopening the MIPS EUC application for individual MIPS eligible clinicians, groups, virtual groups, and Alternative Payment Model (APM) Entities through March 31, 2021 at 8 p.m. ET.

Please note that applications received between now and March 31, 2021 won’t override previously submitted data for individuals, groups and virtual groups.

This communication will review what these flexibilities mean for:
• Individual clinicians, groups, and virtual groups that haven’t submitted data;
• Individual clinicians, groups, and virtual groups that have submitted data; and
• APM Entities.

Individual clinicians, groups, and virtual groups that HAVEN’T submitted data:

• Individual MIPS eligible clinicians: You don’t need to take any additional action to qualify for the automatic EUC policy. You will be automatically identified and will receive a neutral payment adjustment for the 2022 MIPS payment year unless 1) you submit data as an individual in 2 or more performance categories, or 2) your practice reports as a group, by submitting data for one or more performance category.
• Groups: You don’t need to take any further action if you’re not able to submit data for the 2020 performance period. Group participation is optional, and your individual MIPS eligible clinicians qualify for the automatic EUC policy. They will have all 4 performance categories reweighted to 0% and receive a neutral payment adjustment for the 2022 MIPS payment year unless 1) they submit data in 2 or more performance categories as individuals, or 2) the practice reports as a group, by submitting data for one or more performance category.
• Virtual Groups: If you’re unable to submit data for the 2020 performance period, you must submit an EUC application for all 4 performance categories by the deadline.

Individual clinicians, groups, and virtual groups that HAVE submitted data:

• Individual MIPS eligible clinicians that have submitted data for a single performance category (such as Medicare Part B Claims measures submitted throughout the 2020 performance period):
o You don’t need to take any additional action to be eligible for the automatic EUC policy.
o You’ll be automatically identified and have all 4 performance categories reweighted to 0% and will receive a neutral payment adjustment for the 2022 MIPS payment year unless 1) you submit data for another performance category, or 2) your group submits data for one or more performance category.

• Individual MIPS eligible clinicians that have submitted data as an individual for 2 or 3 performance categories:
o You’ll receive a MIPS final score and MIPS payment adjustment for the 2022 MIPS payment year based on the data you’ve submitted.
o You’ll only be scored in the performance categories for which data are submitted.
o You can’t submit an application to override previously submitted data.

• Groups and virtual groups that have submitted data for a single performance category:
o If you’re not able to complete data submission for other performance categories, you can submit an application to request reweighting in all 4 performance categories.
o This includes small practices that were automatically scored as a group on Medicare Part B Claims measures submitted throughout the 2020 performance period.
o If you don’t submit an application, your group will be scored in all performance categories unless you are eligible for reweighting in one or more performance categories.
o If your application is approved and data isn’t submitted for another performance category, your MIPS eligible clinicians will receive a neutral payment adjustment for the 2022 MIPS payment year.

• Groups and virtual groups that have submitted data for 2 or 3 performance categories:
o Your MIPS eligible clinicians will receive a MIPS final score and MIPS payment adjustment for the 2022 MIPS payment year.
o Your group will be scored in all performance categories unless you qualify for reweighting in one or more performance categories.
o You CAN’T submit an application to override previously submitted data.

APM Entities

APM Entities participating in MIPS APMs can submit an EUC application with some differences from the MIPS EUC policy for individuals, groups, and virtual groups:
• APM Entities are required to request reweighting for all performance categories.
• More than 75% of the MIPS eligible clinicians in the APM Entity must be eligible for reweighting in the Promoting Interoperability performance category.
• Unlike applications for individuals, groups and virtual groups, an APM Entity’s approved application for performance category weighting WILL override previously submitted data.

Please note that if an APM Entity doesn’t report for the 2020 performance period (or doesn’t have an approved EUC application), their MIPS eligible clinicians will receive a negative payment adjustment in the 2022 payment year.
Additional Resources

2020 MIPS Extreme and Uncontrollable Circumstances Application Resources
Quality Payment Program COVID-19 Response Fact Sheet

For more information, please see the Quality Payment Program COVID-19 Response webpages of the QPP website. You can contact the Quality Payment program at 1-866-288-8292 (TRS: 711), Monday through Friday, 8:00 AM-8:00 PM ET or by e-mail at: QPP@cms.hhs.gov.

Contact the Kentucky Regional Extension Center Quality experts at Kentucky REC for all your QPP, MIPS, and APM questions. We’re here to help: 859-323-3090.

QPP Year 5 Webinar Feb 24: Data Validation

Data Validation: How to Drive Improvements Across Performance Categories

Cheers! The New Year has finally arrived. Most of us are very glad to reach 2021. With a new year it’s also time to work on Year 5 of the Quality Payment Program (QPP).

As you focus on Year 5, it is important to have accurate and precise data. Data you can trust and have confidence in allows you to build the fundamental pieces of your Quality Improvement foundation.

Data Validation is a systematic approach to verify data. With the data integrity that comes from validation, you will know your data is accurate, reliable, retrievable, complete and verifiable.

Join our panel of experts Wednesday, February 24 at noon to learn about building the necessary steps to validate your data. We’ll also discuss how to apply different techniques across the four different MIPS Performance Categories in order to reach your maximum potential in 2021.

Webinar – QPP Year 5: DATA VALIDATION
Wednesday, February 24, 2020 12:00 PM ET

*This webinar is for Kentucky REC contracted QPP clients only. If you are interested in this topic and would like to learn more about becoming a client, please contact us at (859) 323-3090 or Kentucky REC. We aim to be your trusted healthcare advisor!

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

KHIE WEBINAR FEB 5: REPEAT – CMS COP HOSPITAL ELECTRONIC NOTIFICATION

In case you missed it! Join the Kentucky Health Information Exchange (KHIE) for a repeat of their Jan 7 presentation as they discuss the new Electronic Notifications requirement under the 2020 Interoperability and Patient Access Final Rule, Conditions of Participation (CoP).

KHIE will discuss how their free services can alleviate hospital burden!

The KHIE solution meets the CMS criteria and sends electronic notifications to all applicable post-acute care services providers and suppliers, as well as to any of the practitioners and entities, which need to receive notifications of the patient’s status for treatment, care coordination or quality improvement purposes.

CMS CoP Hospital Electronic Notification Webinar
Date: Friday, February 5, 2021
Time: 12:00 – 1:00 PM (EST)

For any questions regarding this webinar, please contact Brandi Genoe, KHIE Program Manager at Brandi.Genoe@ky.gov.

JOIN THE 2021-22 DIABETES LEARNING COLLABORATIVE!

Would you like to improve outcomes for your patients with Diabetes?

Be a part of our 14 month long collaborative hosted by the Kentucky Diabetes Prevention and Control Program. The Diabetes Learning Collaborative is for Healthcare Practices, FQHCs, RHCs, Hospitals, Health Departments looking for new ways to improve outcomes for patients with diabetes. Participants will work together to learn from leading experts in the field as well as each other.

To learn how you can become part of our 2021-2022 KY Diabetes Learning Collaborative, join one of our two info calls Feb. 24 & March 3 at Noon ET. You can also fill out an application to apply!

Tentative Deadline to apply for the program is March 17, 2021.

Contact us Kentucky REC or call 859-323-3090 to request the link for one of the calls or fill out the APPLICATION.

QUESTIONS? Contact us at Kentucky REC or call 859-323-3090.

KHIE WEBINAR JAN 7: CMS COP HOSPITAL ELECTRONIC NOTIFICATION

Join the Kentucky Health Information Exchange (KHIE) as they discuss the new Electronic Notifications requirement under the 2020 Interoperability and Patient Access Final Rule, Conditions of Participation (CoP).

KHIE will discuss how their free services  can alleviate hospital burden!

The KHIE solution meets the CMS criteria and sends electronic notifications to all applicable post-acute care services providers and suppliers, as well as to any of the practitioners and entities, which need to receive notifications of the patient’s status for treatment, care coordination or quality improvement purposes.

CMS CoP Hospital Electronic Notification Webinar
Date: Thursday, January 7, 2021
Time: 12:00 – 1:00 PM (EST)

For any questions regarding this webinar, please contact Brandi Genoe, KHIE Program Manager at Brandi.Genoe@ky.gov.

QPP YEAR 5 FINAL RULE WEBINARS: DEC 18 & JAN 27

On December 1st CMS released the Quality Payment Program Year 5 Final Rule. In this Final Rule, CMS made programmatic changes impacting the 2020 and 2021 program years across both the Merit Based Incentive Payment Program (MIPS) and the Advanced Alternative Payment Models (APM).

We are hosting two webinars to discuss the Year 5 Final Rule. December 18 is our Client Only Webinar, and January 27th is our Open to the Public Webinar.

QPP Year 5 Webinar: Final Rule 2021*
Friday Dec 18 12:30 – 1:30 PM ET

*This webinar is for Kentucky REC contracted QPP clients only. If you are interested in this topic and would like to learn more about becoming a client, please contact us at (859) 323-3090 or Kentucky REC. We aim to be your trusted healthcare advisor!

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QPP Year 5 Webinar: Final Rule 2021
Wednesday Jan 27 12:00 – 1:00 PM ET

We would like to answer your specific questions during the webinar. Therefore, please submit any questions or contact us in advance here.

Download the 2021 PFS/MACRA/Quality Payment Program Final Rule from CMS here.

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

JOIN US DEC. 15: KENTUCKY DIABETES LEARNING COLLABORATIVE CONGRESS

HOST: Kentucky Diabetes Learning Collaborative
WHAT: Learning Congress
WHY: Celebrate Success in Diabetes Treatment and Management & Learn How You Can be Successful
WHEN: Dec. 15, 2020 12 noon – 2:30 pm
WHERE: ZOOM (see link in attachment)
WHO: Healthcare Practices, FQHCs, RHCs, Hospitals, Health Departments

Do you want to improve outcomes for your patients with Diabetes?

Join us to learn how practices participating in the 2019-2020 KY DLC made it happen!

We will also share information on how you can become part of our 2021-2022 KY Diabetes Learning Collaborative.

QUESTIONS? Contact us at Kentucky REC or call 859-323-3090.

CHOOSE YOUR OWN PATHWAY TOWARDS PRACTICE TRANSFORMATION

These past few months have been very busy for many of our Patient-Centered Medical Home (PCMH) and Patient-Centered Medical Specialty Practice (PCSP) clients, as they have been in the process of working toward their National Committee of Quality Assurance (NCQA) PCMH and PCSP Annual Renewal.

These practices achieved their initial recognition a few years ago by going through a practice transformation process in their organizations that builds a foundation for a patient-centered model of care that focuses on health care comprised of what patients want, along with the patients’ needs. These organizations work as a team, from clinicians to front desk staff, to coordinate care with other providers and outside community partners.

As a well-coordinated team, this model of care maximizes efficiency, and aids in managing more chronic patient populations within their practices, while it helps in lowering costs. The medical home model helps integrate a strong infrastructure toward the Quadruple Aim in healthcare, and also prepares practices for Value-Based healthcare today. We are so proud of the hard work all of our practices do for this wonderful accomplishment, and witness the value and benefits this brings to their communities’ lives.

On November 4th we hosted a webinar: “Choose Your Own Pathway Towards Practice Transformation” that discussed our exciting new advising options on how we can assist your practice integrate individual care models in your practice that are based-on the PMCH/PCSP model. Our individual modules include: Care Management, Care Coordination and Quality Improvement. These are the basis of necessary pieces to the Value-Based model of care puzzle, and are perfect for beginning the transformation process in your practice. They can be chosen individually and built upon to suit your practice. They will work well together or separately, even if you aren’t ready for full PCMH/PCSP recognition.

Contact us at Kentucky REC with your questions about practice transformation. Our team of experts is here to help: 859-323-3090.