An Introduction to the Proposed Rule for MACRA and MIPS. Brett M. Paepke, OD Director, ECP Services
|
|
- Beatrix Davidson
- 7 years ago
- Views:
Transcription
1
2 An Introduction to the Proposed Rule for MACRA and MIPS Brett M. Paepke, OD Director, ECP Services
3 What is Quality Reporting? Health care providers report quality measures to 3rd parties about health care services provided. Quality measures are tools that help 3rd parties assess various aspects of care such as health outcomes, patient perceptions, and organizational structure. Allows a statistical assessment of the quality of care you provide to patients
4 How does quality reporting impact you? Directly impacts your reimbursements Successful and optimal quality reporting allows avoidance of negative/downward payment adjustments under: Medicare EHR Incentive Program (MU) Physician Quality Reporting System (PQRS) Value-Based Payment Modifier (VBM) Quality reporting data is publicly available
5 Physician Compare
6 UnitedHealthcare Illinois
7 PQRS Overview The Physician Quality Reporting System (PQRS) is a quality reporting program that encourages individual eligible professionals (EPs) and group practices to report information on the quality of care to Medicare. Methods of reporting for PQRS Claims-Based Reporting Electronic Reporting Using CEHRT Registry Reporting Qualified Clinical Data Registry Reporting Group Practice Reporting Option Web Interface
8 Methods of reporting for PQRS Claims-Based Reporting PQRS Overview 2016 Requirement: report on at least 9 measures spanning 3 domains in more than 50% of eligible cases RevolutionEHR users can add PQRS codes to encounters via the PQRS Alert link on the Coding screen:
9 PQRS Overview Methods of reporting for PQRS Claims-Based Reporting Challenges Reporting on at least 9 measures in more than 50% of eligible cases is not easy Highly administrative task that providers shouldn t have to worry about as they re concluding an encounter Not as accurate as electronic reporting as it shows what a provider said they did vs. what the record shows they did Subject to human error
10 Methods of reporting for PQRS Electronic Reporting Using Certified EHR Technology (EHR Direct) 2016 Requirement: report on 9 measures from 3 domains with at least one measure having at least 1 Medicare patient in the denominator Benefits lower bar for penalty avoidance easier as clinical quality measure (CQM) scores are tracked automatically via the EHR more efficient PQRS Overview one submission of scores can be used to satisfy multiple quality reporting programs (MU, PQRS, VBM)
11 PQRS Overview Conclusions PQRS must be satisfied to avoid penalties in 2018 Claims-based reporting is the most challenging method and likely to be retired by CMS in the near future RevolutionEHR customers can consider electronic reporting easier to satisfy minimum requirements more efficient
12 Value-Based Payment Modifier Overview The Value-Based Payment Modifier is a program that provides for differential payment (down or up) to a physician or group of physicians based upon the quality of care furnished compared to the cost of care during a performance period. How does the Value-Based Payment Modifier program determine quality? PQRS performance/scoring higher PQRS scores = higher quality lack of PQRS participation = automatic 2% downward adjustment under Value-Based Payment Modifier (total of 4%) All ODs who participate in Fee-For-Service Medicare will be affected by the Value-Based Payment Modifier in 2018 based on 2016 PQRS performance.
13 Value-Based Payment Modifier Overview Quality of Care High Cost Low Quality High Cost Average Quality High Cost High Quality Cost of Care Average Cost Low Quality Average Cost Average Quality Average Cost High Quality Low Cost Low Quality Low Cost Average Quality Low Cost High Quality
14 2018 Penalties Based on 2016 Performance Provider s Normal Medicare Payments 2018 Penalty for no MU in 2016 (3%) 2018 Penalty for no PQRS in 2016 (2% + 2%) Total 2018 Penalty for no MU and PQRS in 2016 (7%) $10,000 $300 $400 $700 $20,000 $600 $800 $1,400 $30,000 $900 $1,200 $2,100 $40,000 $1,200 $1,600 $2,800 $50,000 $1,500 $2,000 $3,500
15 Medicare Access and CHIP Reauthorization Act of 2015 Repeals the Sustainable Growth Rate formula What is MACRA? Changes the way that Medicare rewards providers for value over volume Streamlines multiple quality reporting programs under the Merit-Based Incentive Payment System (MIPS)
16 The Merit-Based Incentive Payment System (MIPS) Starts in 2019 based on 2017 performance Eliminates the separate penalties of each quality reporting program (MU, PQRS, VM) and, instead, assigns the provider a composite score of based on performance in four key areas: Advancing Care Information (MU) Quality (PQRS) Resource Use (Value-Based Payment Modifier) Clinical Practice Improvement Activities 2019
17 The Merit-Based Incentive Payment System (MIPS) Starts in 2019 based on 2017 performance Eliminates the separate penalties of each quality reporting program (MU, PQRS, VM) and, instead, assigns the provider a composite score of based on performance in four key areas: Advancing Care Information (MU) Quality (PQRS) Resource Use (Value-Based Payment Modifier) Clinical Practice Improvement Activities 2020
18 The Merit-Based Incentive Payment System (MIPS) Starts in 2019 based on 2017 performance Eliminates the separate penalties of each quality reporting program (MU, PQRS, VM) and, instead, assigns the provider a composite score of based on performance in four key areas: Advancing Care Information (MU) Quality (PQRS) Resource Use (Value-Based Payment Modifier) Clinical Practice Improvement Activities 2021+
19 The Merit-Based Incentive Payment System (MIPS) Composite scores of all providers calculated and compared Mean or Median (decision of which not official) becomes the performance threshold Providers with composite scores below threshold will experience downward adjustment of their Medicare Part B Fee Schedule Providers with composite scores above threshold will experience upward adjustment of their Medicare Part B Fee Schedule Size of payment adjustment depends on how far away from threshold the provider s composite score is the farther above threshold score, the greater the upward adjustment the farther below threshold score, the greater the downward adjustment potential for +/- 9% by 2022
20 The Merit-Based Incentive Payment System (MIPS)
21 25% Advancing Care Information 15% 10% 50% formerly known as Meaningful Use counts for 25% of your MIPS score no thresholds & no longer all-or-nothing
22 What about the objectives? 2017: clinicians have option of modified Stage 2 objectives or Stage 3 objectives Clinical Decision Support and CPOE optional in proposal Stage 3 requires 2015 certified EHR technology 2018 and beyond: Stage 3 objectives Advancing Care Information
23 Base score clinicians must report data for each objective a numerator >0 and denominator for %-based measures a Yes for Yes/No measures report data for each objective = 50 points Advancing Care Information don t report data for each objective = 0 points
24 Advancing Care Information Performance score built based on actual score across 8 measures each measure counts for a max of 10 points example: 80% for V/D/T Access = 8 points no more targets/thresholds to meet (beyond 1 in the numerator needed to achieve base score) no exclusions
25 Performance score 6 total objectives in Stage 3, but scoring within only 3 will be used to determine Performance score Patient Electronic Access to Health Information V/D/T Access Patient-Specific Education Coordination of Care Through Patient Engagement V/D/T Actual Use Secure Messaging Patient-Generated Health Data Health Information Exchange Patient Care Record Exchange (outbound referrals) Advancing Care Information Request/Accept Patient Care Record (inbound referrals & new patients) Clinical Information Reconciliation (meds, med allergies & problem list)
26 Advancing Care Information What about Public Health Reporting? It s still one of the 6 included objectives in the Base score Immunization registry reporting is required proposal recognizes that not all clinicians administer immunizations. In turn, there s an allowance to leave this blank during attestation if the previous exclusions apply Syndromic Surveillance & Specialized Registries optional Active engagement with a registry beyond Immunizations would result in a bonus point AOA MORE
27 Advancing Care Information Composite score Base score + Performance score + Bonus Point if score 100, you receive the full 25 points ability to score >100 gives you flexibility if score is <100, you receive a corresponding % of 25 points i.e., Base score of 50 + Performance score of 30 = % of 25 points = 20 total points for Advancing Care Information
28 Advancing Care Information Example Scorecard Protect Patient Health Information Yes E-Prescribing 100% Patient Electronic Access to Health Information V/D/T Access 80% Patient-Specific Education 90% Coordination of Care Through Patient Engagement V/D/T Actual Use 5% Secure Messaging 50% Patient-Generated Health Data 1% Health Information Exchange Patient Care Record Exchange 50% Request/Accept Patient Care Record 50% Clinical Information Reconciliation 50% Public Health Reporting Yes Performance 8 points 9 points 0.5 points 5 points 0.1 points 5 points 5 points 5 points Base score: 50 points + Performance score: 37.6 Advancing Care Information score: 87.6% of 25 max points = 21.9 points
29 Advancing Care Information Example 2 Scorecard Protect Patient Health Information No E-Prescribing 100% Patient Electronic Access to Health Information V/D/T Access 80% Patient-Specific Education 90% Coordination of Care Through Patient Engagement V/D/T Actual Use 5% Secure Messaging 50% Patient-Generated Health Data 1% Health Information Exchange Patient Care Record Exchange 50% Request/Accept Patient Care Record 50% Clinical Information Reconciliation 50% Public Health Reporting Yes Performance 8 points 9 points 0.5 points 5 points 0.1 points 5 points 5 points 5 points Base score: 0 points Advancing Care Information category score: 0% of 25 points = 0 points
30 25% Quality (PQRS) 15% 10% 50% Clinicians will report on six measures (instead of 9 like 2016) 1 cross-cutting measure 1 outcome measure Clinicians reporting via electronic methods (EHR, registry, etc.) need to report on at least 90% of patients (Medicare + non-medicare) Clinicians reporting via claims need to report on 80% of Medicare Part B patients Individuals and small groups (2-9 providers) would have two additional population measures determined automatically via claims data. Larger groups (10+) would have three population measures. active participation on part of clinician not required for this. i.e., no need to add specific codes pertaining to population measure
31 Each measure worth 10 points for total possible score of 80 or 90 (depending on size of practice) Example Diabetes: Eye Exam Closing the Referral Loop Documentation of Current Meds in the Medical Record POAG: Optic Nerve Evaluation Diabetic Retinopathy: +/- DME and Level of Ret Diabetic Retinopathy: Communication with PCP Population Measure 1 Population Measure 2 Scores 90% 95% 90% 95% 90% 80% 75% 85% Quality (PQRS) Scores are compared to benchmarks for final performance scoring Not a 1:1 translation like ACI Performance post-benchmark comparison 9 points 10 points 7 points 9.5 points 9 points 7.5 points 9 points 9 points Performance score: 70 points. 70 of 80 possible points = 87.5% Quality category score: 87.5% of 50 points = points
32 Resource Use (Value- 25% Based Payment Modifier) 15% 10% 50% Clinicians do not need to report anything for this category :) All data for measures within Resource Use calculated from claims information Total per-capita costs for attributed beneficiaries Medicare spending per attributed beneficiaries (hospitalizations) Other episode-based measures Provide the care you deem necessary for your patients each and every visit, no more and no less, and your resource use is what it is
33 Clinical Practice 25% Improvement Activities 15% 10% 50% defined by MACRA as an activity that is likely to result in improved outcomes more than 90 proposed activities spanning 9 categories Expanded Practice Access Beneficiary Engagement Achieving Health Equity Population Management Patient Safety & Practice Assessment Emergency Preparedness & Response Care Coordination APM participation Integrated Behavioral and Mental Health
34 Clinical Practice Improvement Activities 60 points needed for maximum performance Each activity is weighted: High activity is worth 20 points Medium activity is worth 10 points i.e., a clinician could achieve maximum performance via: 3 high activities 2 high and 2 medium activities 6 medium activities Activities in practices with <15 providers worth 30 points each whether high or medium Must perform activity for at least 90 days during the performance period
35 Clinical Practice Improvement Activities Examples of Activities Expanded Practice Access activity Expanded office hours in evenings and weekends with access to the patient medical record and/or provision of same/next day care for urgent care cases (HIGH) Population Management activity Use of a qualified clinical data registry (i.e. AOA MORE) to generate regular feedback reports that summarize treatment outcomes (HIGH) Beneficiary Engagement Regularly assess the patient experience of care through surveys, advisory councils, and/or other mechanisms (MEDIUM)
36 The Merit-Based Incentive Payment System (MIPS) ACI: 21.9 points Quality: points Resource Use: 8 points CPIA: 15 points MIPS Composite Score: Advancing Care Information (MU) Quality (PQRS) Resource Use (Value-Based Payment Modifier) Clinical Practice Improvement Activities
37 The Merit-Based Incentive Payment System (MIPS) ACI: 21.9 points Quality: points Resource Use: 8 points CPIA: 15 points MIPS Composite Score: 88.65
38 Quality Reporting Take Home Satisfactory participation is required to avoid penalties, maximize reimbursements and ensure access to patients The better your performance, the better your chances for increased reimbursements in the future Providers who proactively work toward not only satisfying reporting requirements, but also excelling, will be wellpositioned for future success But How?
39 What is RevAspire? RevAspire is a technology-enabled service that supports, equips and assists customers through the entire process of CMS quality reporting RevAspire frees you and your staff from the administrative burden of submitting quality reporting data and equips customers with one-on-one support to not just meet CMS quality reporting requirements, but to exceed them Three primary services: 1. Quality Reporting Data Submission 2. Personal Quality Reporting Advisor 3. Quality Reporting Audit Response Assistance
40 Questions? Brett M. Paepke, OD Director, ECP Services
41
MIPS Performance Scoring: Understanding How CMS Proposes to Calculate Performance Is Key to Preparing for MIPS Participation
MIPS Performance Scoring: Understanding How CMS Proposes to Calculate Performance Is Key to Preparing for MIPS Participation By Robert F. Atlas, Lesley R. Yeung, and M. Brian Hall IV June 2016 On May 9,
More information5/19/2016 MIPS AND MACRA: MAKING SENSE OF THE NEW REGULATIONS AND PAYMENT SYSTEMS. No Disclosures AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS
MIPS AND MACRA: MAKING SENSE OF THE NEW REGULATIONS AND PAYMENT SYSTEMS 1 No Disclosures 2 1 To Better Understand the Future.. We must remember the past regarding physician payment. 3 THE SGR SGR=Sustainable
More informationMIPS. ACR Issues Analysis of Proposed MACRA MIPS Rule
ACR Issues Analysis of Proposed MACRA MIPS Rule The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (CMS-5517-P) on April 27, 2016, to establish many of the provisions of Medicare
More informationMACRA Overview and RFI
MACRA Overview and RFI HIT Joint Committee October 6, 2015 Kate Goodrich, MD MHS Director, Quality Measurement and Valuebased Incentives Group CMS Medicare Access and CHIP Reauthorization Act (MACRA) The
More informationMeaningful Use: Stage 3 and Beyond
Meaningful Use: Stage 3 and Beyond NJHIMSS/NJHFMA Winter Event January 28, 2016 2016 Oscislawski LLC MU Hardship Relief Act of 2015 Due to the tardiness of the final CMS rule, it is virtually impossible
More informationA MACRA Overview. A web discussion with guests Ivy Baer, Gayle Lee, and Tanvi Mehta of AAMC
A MACRA Overview A web discussion with guests Ivy Baer, Gayle Lee, and Tanvi Mehta of AAMC An Affinity Group Brought to you by HFMA and Vizient Sponsored by Kaufman Hall June 6, 2016 Meeting Notes Plan
More informationQuest to Attest 2014 Stage 1 Meaningful Use. Brett M. Paepke, OD Advisor, Stage 1 Meaningful Use
Quest to Attest 2014 Stage 1 Meaningful Use Brett M. Paepke, OD Advisor, Stage 1 Meaningful Use Goals Discussion of MU and the Incentive Program Analysis of Stage 1 Objectives Summary of RevolutionEHR
More informationProtect Patient Health Information
Protect Patient Health Information Protect electronic protected health information (ephi) created or maintained by the certified EHR technology through the implementation of appropriate technical, administrative
More informationMeaningful Use - Stage 2 scorecard (in RevolutionEHR: Reports > Administration > Providers > Meaningful Use - Stage 2)!
Process of Attestation The CMS EHR Incentive program continues to require a manual attestation process through the Registration and Attestation system: https://ehrincentives.cms.gov/hitech/login.action.
More informationThe Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions
ACOG Government Affairs May 2015 The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Summary of SGR Repeal and Replacement Provisions This landmark bipartisan legislation, signed into law
More informationCMS Listening Session: Merit-Based Incentive Payment System (MIPS)
CMS Listening Session: Merit-Based Incentive Payment System (MIPS) Kate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality Pierre Yong, MD, MPH, MS, Acting Director, Quality Measurement
More informationMeaningful Use 2014: Stage 2 MU Overview. Scott A. Jens, OD, FAAO October 16, 2013
Meaningful Use 2014: Stage 2 MU Overview Scott A. Jens, OD, FAAO October 16, 2013 Overview General Overview of Stage 2 MU in 2014 Core Objectives for Stage 2 Menu Objectives for Stage 2 Complete summary
More informationMACRA: Looking Ahead - Implications Across the Care Continuum. May 16, 2016/ 12:00-1:00 PM EST
MACRA: Looking Ahead - Implications Across the Care Continuum May 16, 2016/ 12:00-1:00 PM EST 1 Today s Presenter Melinda Hancock Partner, DHG Healthcare Leads a team in developing DHG Healthcare s next
More informationChanges for Calendar Year 2015 Physician Quality Programs and Other Programs in the Medicare Physician Fee Schedule
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE October 31, 2014 Contact: CMS
More informationEHR Incentive Programs in 2010 & Beyond
CMS Listening Session: EHR Incentive Programs in 2018 & Beyond Kate Goodrich, MD, MHS, Director, Center for Clinical Standards and Quality Robert Anthony, Deputy Director, Quality Measurement & Value-Based
More informationMACRA: Medicare's Shift to Value-based Delivery & Payment Models. Presented by Amy Mullins, MD, CPE, FAAFP
MACRA: Medicare's Shift to Value-based Delivery & Payment Models Presented by Amy Mullins, MD, CPE, FAAFP Current State Over Utilization Volume over Value Fee for Service Silos of Care 2 Push Toward Value
More informationDEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2014
DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2014 The chart below lists the measures (and specialty exclusions) that eligible providers must
More informationJune 27, 2016. Dear Mr. Slavitt:
Mr. Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-5517-P Submitted electronically to: http://www.regulations.gov
More informationDEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2015
DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2015 The chart below lists the measures (and specialty exclusions) that eligible providers must
More informationOverview of the EHR Incentive Programs and Merit-Based Incentive Payment System
Overview of the EHR Incentive Programs and Merit-Based Incentive Payment System Patrick M. Hamilton, MPA Health Insurance Specialist/Rural Health Coordinator Centers for Medicare & Medicaid Services Philadelphia
More informationMinnesota EHR Incentive Program
Minnesota EHR Incentive Program Meaningful Use in Minnesota: Changes in the Medicaid EHR Incentive Program Landscape June 2016 Today s Speaker Dean Ewald MN EHR incentive program (MEIP) Team Lead Government
More informationCMS is requesting information to aid in the planning and implementation of the MIPS in the following areas:
Summary of Medicare s Request for Information on the Provisions in MACRA which Allow for Implementation of Alternative Payment Models and a Merit-Based Incentive Payment System On September 28, 2015, the
More informationMEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.
More informationAdopting an EHR & Meaningful Use
Adopting an EHR & Meaningful Use Learn how to qualify for the EHR Incentive Program The materials in this presentation, or prepared as part of this presentation, are provided for informational purposes
More informationRe: Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 3 (CMS-3310-P)
May 29, 2015 Mr. Andrew Slavitt Acting Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445 G 200 Independence Avenue,
More informationEHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures
EHR Incentive Program Stage 3 Objectives & Measures Crosswalk of Stage 3 Proposed Objectives, Measures & Corresponding Stage 2 Measures Objective 1: Protect Patient Health Information Measures: 1 (Complete
More informationThree Proposed Rules on EHRs:
Three Proposed Rules on EHRs: CMS 2015-2017 Modifications CMS Meaningful Use Stage 3 ONC s 2015 Edition Health IT (CEHRT) Lori Mihalich-Levin lmlevin@aamc.org Mary Wheatley mwheatley@aamc.org Ivy Baer
More informationUnderstanding Meaningful Use. Review of Part 1 and Part 2
Understanding Meaningful Use Review of Part 1 and Part 2 Understanding Meaningful Use Pat Wise RN, MA, MS, FHIMSS COL (USA ret'd) Vice President, Healthcare Information Systems Meaningful Use Financial
More informationMassachusetts Medicaid EHR Incentive Payment Program
Massachusetts Medicaid EHR Incentive Payment Program Agenda Vision & Goals High-level overview where we are going Medicare vs. Medicaid EHR Incentive Programs Performance and Progress Eligibility Overview
More informationThe Future of Meaningful Use
The Future of Meaningful Use Stage 3 Erin Dormaier, CHTS-IM, PCMH CCE Transformation Support Services Manager 2015 CORHIO All Rights Reserved CORHIO Proprietary Not For Redistribution 1 Agenda Stage 3
More information10/19/2015. Meaningful Use: Current and Future Environment. Agenda. MGMA Annual Conference Nashville, TN October 13, 2015
Meaningful Use: Current and Future Environment MGMA Annual Conference Nashville, TN October 13, 2015 Agenda Current Environment Stage 2 Flexibility Final Rule Key challenge for practices A look Ahead at
More informationMEANINGFUL USE STAGE 2 Summary of Proposed Rule (EP)
MEANINGFUL USE STAGE 2 Summary of Proposed Rule (EP) The Meaningful Use Stage 2 Notice of Proposed Rule Making (NPRM) has been released and entered a 60-day comment period (March 7-May 6, 2012). HealthInsight
More informationEHR Incentive Program Updates. Jason Felts, MS HIT Practice Advisor
EHR Incentive Program Updates Jason Felts, MS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter code 2071585#. Step 3: Mute your
More information2015 Meaningful Use CMS EHR Incentive Program. DeeAnne McCallin, REC Program Director 11/12/2015 update
2015 Meaningful Use CMS EHR Incentive Program DeeAnne McCallin, REC Program Director 11/12/2015 update 1 Disclaimer The information included in this presentation is for informational purposes only The
More informationModified Stage 2 Final Rule 2015-2017
Modified Stage 2 Final Rule 2015-2017 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois Health Information Technology Regional Extension
More informationEHRs and the Meaningful Use Electronic Health Record Incentive Program. Marlene Hodges Senior Health IT Advisor
EHRs and the Meaningful Use Electronic Health Record Incentive Program Marlene Hodges Senior Health IT Advisor Objectives Basics of Electronic Health Records (EHRs) Process of implementing an EHR and key
More informationMichigan Medicaid EHR Incentive Program Update Jason Werner - MDCH
Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH Program Timeline Meaningful Use Timeline Meaningful Use Stages st year 0 0 03 04 05 06 07 08 09 00 0 0 AIU $,50 3 TBD TBD TBD TBD 0 AIU
More informationClinical Quality Measures (CQMs) What are CQMs?
Clinical Quality Measures (CQMs) What are CQMs? What are CQMs? Clinical quality measures, or CQMs, are tools that help eligible providers (EPs) measure and track the quality of health care services provided
More informationMEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) ADVANCING CARE INFORMATION PERFORMANCE CATEGORY
MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) ADVANCING CARE INFORMATION PERFORMANCE CATEGORY SUMMARY OF PROVISIONS Brief Synopsis MACRA sunsets the Electronic
More informationQuest to Attest: The Tough Objectives. Scott A. Jens, OD, FAAO
Quest to Attest: The Tough Objectives Scott A. Jens, OD, FAAO Overview Explain important office preparedness steps Discuss the available resources to assist in the Quest to Attest MU Review of the Tough
More informationMeaningful Use and Lab Related Requirements
Meaningful Use and Lab Related Requirements ONC State HIE / NILA Workgroup August 20, 2013 What is an EHR? Electronic Health Record Information system used by healthcare providers to store and manage patient
More informationMedicare Access and CHIP Reauthorization Act of 2015 Merit-Based Incentive Payment System and Alternative Payment Model Provisions
Medicare Access and CHIP Reauthorization Act of 2015 Merit-Based Incentive Payment System and Alternative Payment Model Provisions Department of Health & Human Services Centers for Medicare & Medicaid
More informationMEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On August 24, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated final rule for Stage
More informationEHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet
EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet CMS recently published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals,
More informationThe ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
The ABCs of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Medicare Access and CHIP Reauthorization Act (MACRA) Repeals the Sustainable Growth Rate Moves to a payment system based on
More informationSummary of Key Provisions: CMS EHR Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Final Rule)
Summary of Key Provisions: CMS EHR Incentive Program Modifications to Meaningful Use in 2015 through 2017 (Final Rule) Structure of the Rules: CMS originally published three separate Proposed Rules: Health
More informationIncentives to Accelerate EHR Adoption
Incentives to Accelerate EHR Adoption The passage of the American Recovery and Reinvestment Act (ARRA) of 2009 provides incentives for eligible professionals (EPs) to adopt and use electronic health records
More informationRepeal the Sustainable Growth Rate (SGR), avoiding annual double digit payment cuts;
Background Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015 SGR Reform Law Enacts Payment Reforms to Improve Quality, Outcomes, and Cost On April 16, 2015, the President signed
More informationNavigating CMS Incentive Programs for Eligible Professionals Why It Matters and What You Need to Know. Dr. Paul Mulhausen, CMO
Navigating CMS Incentive Programs for Eligible Professionals Why It Matters and What You Need to Know Dr. Paul Mulhausen, CMO Objectives Better understand CMS Incentive Programs and payment adjustments
More informationMEDICAL ASSISTANCE STAGE 2 SUMMARY
MEDICAL ASSISTANCE STAGE 2 SUMMARY OVERVIEW On September 4, 2012, CMS published a final rule that specifies the Stage 2 Meaningful Use criteria that eligible professionals (EPs), eligible hospitals (EHs)
More informationOverview of MU Stage 2 Joel White, Health IT Now
Overview of MU Stage 2 Joel White, Health IT Now 1 Agenda 1. Introduction 2. Context 3. Adoption Rates of HIT 4. Overview of Stage 2 Rules 5. Overview of Issues 6. Trend in Standards: Recommendations v.
More informationMedflow, Inc. Page 1 of 6
1. Introduction. CMS finally released its' Final Rule on modifications f Meaningful Use Stage 2 (MMU2) as well as Stage 3 () on Oct. 6, 2015! The MMU2 ptions of this rule are retroactive to Jan. 1, 2015,
More informationEHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview
EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access
More informationMeaningful Use for Physician Offices
Meaningful Use for Physician Offices Eligibility, Registration and Meeting the Criteria Elizabeth M. Neuwirth 203 772 7742 eneuwirth@murthalaw.com H. Kennedy Hudner 860 240 6029 khudner@murthalaw.comemail
More informationImplications for I/T/U
Outpatient CMS Quality Measurement Programs Implications for I/T/U CAPT Michael Toedt, MD, FAAFP Acting Chief Medical Information Officer Office of Information Technology, Indian Health Service NIHB 2015
More informationWHAT JUST HAPPENED TO THE EMR PROGRAM?
WHAT JUST HAPPENED TO THE EMR PROGRAM? November 5, 2015 Michael Orr Director morr@bkd.com 254.776.8244 ext. 43928 Travis Skinner Senior Managing Consultant tskinner@bkd.com 254.776.8244 ext. 43936 1 TO
More informationReporting Once for 2014 Medicare Quality Reporting Programs
Reporting Once for 2014 Medicare Quality Reporting Programs Use this tool* to learn how to report quality measures one time in 2014 in order to: Become incentive eligible for 2014 Physician Quality Reporting
More informationCMS QCDR (Qualified Clinical Data Registry) and Other Ways PPRNet Can Help with Value-Based Payment
CMS QCDR (Qualified Clinical Data Registry) and Other Ways PPRNet Can Help with Value-Based Payment Cara Litvin MD, MS Assistant Professor MUSC Department of Medicine Agenda Provide an update of the current
More informationKey Information. QP or Partial QP Determination
HIMSS MACRA NPRM Fact Sheet Alternative Payment Models: Qualifying Alternative Payment Model Participant & Partial Qualifying Alternative Payment Model Participant Determination Key Information During
More informationCompleting Your MPIP Attestation: Supporting Documentation
Overview This tip sheet provides examples of the types of supporting documentation that may be requested during a pre-payment review in order to verify an eligible professional's (EP) or eligible hospital's
More information12/5/2014. What is PQRS? Performance Measurement Committee Practical Theater. Historical concerns with the program (continued)
What is PQRS? Navigating CMS Quality Initiatives: How to Successfully Report and Avoid Payment Adjustments Performance Measurement Committee Practical Theater A federally mandated Medicare Part B quality
More informationTABLE 1: STAGE OF MEANINGFUL USE CRITERIA BY FIRST PAYMENT YEAR
OVERVIEW The Centers for Medicare and Services (CMS) on March 20 released its proposed rule for Stage 3 of the Electronic Health Record (EHR) Incentive Program, also called Meaningful Use (MU) Stage 3
More informationS TA G E 2 M O D I F I C AT I O N S. October 2015
MEANINGFUL USE: S TA G E 2 M O D I F I C AT I O N S October 2015 M E A N I N G F U L U S E O V E R V I E W Since the program s inception in 2011, the swift rise in payouts for compliant providers continues
More informationOverview and Analysis of Proposed Changes to Meaningful Use in 2015-16
Overview and Analysis of Proposed Changes to Meaningful Use in 2015-16 A White Paper April 2015 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800- 680-7570 Impact- Advisors.com
More informationMeaningful Use Updates Stage 2 and 3. Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015
Meaningful Use Updates Stage 2 and 3 Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015 Stage 2 Requirements 2015 EPs beyond 1st year of MU must report on a full year of data EPs in 1 st year
More informationUsing Medflow EHR V8.1 AMR for 2015 MMU2 Attestation 10/15/2015. 1. Introduction
1. Introduction Please review Medflow s document " Finalized!" in order to get background information on the recent CMS Final Rule for "Modified Stage 2" which is retroactively applicable to the 2015 Meaningful
More informationStage 2 Medical Billing and reconciliation of Patients
Making Sense of Meaningful Use: Stage 2 1 Who are we? Purdue Healthcare Advisors (PHA)*, a business unit of Purdue University, specializes in affordable assistance to organizations that share our passion
More informationWhat is the Meaning of Meaningful Use? How to Decode the Opportunities and Risks in Health Information Technology
What is the Meaning of Meaningful Use? How to Decode the Opportunities and Risks in Health Information Technology Rick Rifenbark and Leeann Habte1 To achieve greater efficiencies in health care, enhanced
More informationMeaningful Use - The Basics
Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use
More informationMACRA & APMs: More than Acronyms June 2, 2016
MACRA & APMs: More than Acronyms June 2, 2016 Agenda 1. Framework 2. CMS Quality Initiatives 3. MACRA - MIPS or APM? 4. Alternative Payment Models 5. Case Study 2 Alternative Payment Models Transitioning
More informationMeaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality
Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability
More informationMeaningful Use Updates. HIT Summit September 19, 2015
Meaningful Use Updates HIT Summit September 19, 2015 Meaningful Use Updates Nadine Owen, BS,CHTS-IS, CHTS-IM Health IT Analyst Hawaii Health Information Exchange No other relevant financial disclosures.
More informationCalendar Year 2014 Medicare Physician Fee Schedule Final Rule
Calendar Year 2014 Medicare Physician Fee Schedule Final Rule Non-facility Cap after receiving many negative comments on this issue from physician groups along with the House GOP Doctors Caucus letter,
More informationMU Objectives and Measures, by Stage. Bold = Core; Non-bold = Menu Red = Change to Stage 1 Criteria
MU Objectives and Measures, by Stage Bold = Core; Non-bold = Menu Red = Change to Stage 1 Criteria Health General Program Meet or qualify for Requirements, Advancements and Changes exclusion to 15 core
More informationSTAGE 2 of the EHR Incentive Programs
EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) Eligible Professional s Guide to STAGE 2 of the EHR Incentive Programs September 2013 TABLE OF CONTENTS...
More informationPhysician Quality Reporting System (PQRS)
Physician Quality Reporting System (PQRS) Presenter: Alexandra Mugge 4 PQRS Overview CY2018 payment adjustments, based on PY2016 reporting: -2.0% MPFS Changes to PQRS Definition of eligible professional
More informationMount Sinai Care: A Medicare Shared Savings Program Primer. Brett Bernstein, MD, AGAF, FASGE Medical Director, Provider Partners of Mount Sinai IPA
Mount Sinai Care: A Medicare Shared Savings Program Primer Brett Bernstein, MD, AGAF, FASGE Medical Director, Provider Partners of Mount Sinai IPA Mount Sinai Health System Network Mount Sinai Health System
More informationHow To Improve Health Care Quality
Meaningful Use: At the Crossroads between Stage 1 and Stage 2 Presented by: Bruce Eckert, National Practice Director Date: April 19, 2013 Heading Agenda Ariel 40 Stage 2 Major Changes Payment Adjustments
More informationHow to Avoid 2016 Negative Payment Adjustments for CMS Medicare Quality Reporting Programs. September 17, 2014
How to Avoid 2016 Negative Payment Adjustments for CMS Medicare Quality Reporting Programs September 17, 2014 The Medicare Learning Network This MLN Connects National Provider Call (MLN Connects Call)
More informationNavigating Meaningful Use Stage 2
Navigating Meaningful Use Stage 2 Follow Justin Barnes @HITAdvisor Ask Questions & Follow Today s Conversation #askhit Justin T. Barnes VP, Greenway Medical Technologies Chairman Emeritus, EHR Association
More informationEligible Professionals (EPs) Purdue Research Foundation
Understanding STAGE 2 Meaningful Use and the Incentive Program Eligible Professionals (EPs) About Incentives Eligible Professionals report during a calendar year Eligible Professionals can only attest
More informationTransforming Healthcare through Data-Driven Solutions. Pay for Performance Solutions
Transforming Healthcare through Data-Driven Solutions Pay for Performance Solutions Medicare Access and CHIP Reauthorization Act of 2015 MACRA Enacted April 15, 2015 10/14/2015 Copyright Mingle Analytics
More informationThe Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015
The Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015 Today s presenters: Al Wroblewski, Client Services Relationship Manager Elisabeth Renczkowski, Content Specialist Disclaimer
More informationJune 27, 2016. Dear Mr. Slavitt:
Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: CMS-5517-P, Medicare Program;
More informationSummary of the Final Rule for Meaningful Use for 2015 and 2016. Meaningful Use Objectives for 2015 and 2016
Image Research, LLC Christopher B. Sullivan, Ph.D. 2901 Quail Rise Court, Tallahassee, FL 32309 Summary of the Final Rule for Meaningful Use for 2015 and 2016 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers
More informationMeaningful Use and PCC EHR
Meaningful Use and PCC EHR (tim@pcc.com) Users Conference 2015 Agenda MU basics and eligibility How to participate in MU Stage 1 and Stage 2 MU requirements Using PCC EHR to meet stage 1 and stage 2 MU
More informationHCCN Meaningful Use Review. October 7 th, 2015 Louisiana Public Health Institute Kelly Maggiore Jack Millaway
HCCN Meaningful Use Review October 7 th, 2015 Louisiana Public Health Institute Kelly Maggiore Jack Millaway What is Meaningful Use? Federal and State incentive payment program for Eligible Professionals
More informationNavigating Meaningful Use Stage 2
Navigating Meaningful Use Stage 2 Follow Justin Barnes @HITAdvisor Ask Questions & Follow Today s Conversation #askhit Justin T. Barnes VP, Greenway Medical Technologies Chairman Emeritus, EHR Association
More informationMEANINGFUL USE Stages 1 & 2
MEANINGFUL USE Stages 1 & 2 OVERVIEW Meaningful Use is the third step in the journey to receive funds under the CMS EHR Incentive Programs. Meaningful Use (MU) is the utilization of certified electronic
More informationCMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule Overview October 8, 2015
CMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule Overview October 8, 2015 Elizabeth S. Holland Center for Clinical Standards and Quality Centers for Medicare & Medicaid
More informationMeaningful Use in 2015 and Beyond Changes for Stage 2
Meaningful Use in 2015 and Beyond Changes for Stage 2 Jennifer Boaz Transformation Support Specialist Proprietary 1 Definitions AIU = Adopt, Implement or Upgrade EP = Eligible Professional API = Application
More informationMeaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support
Meaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support The following is a summary of the Meaningful Use Modifications for 2015-2017.
More informationMaineCare Medicaid EHR Incentive Program 2015-2017 Meaningful Use Wizard Guide
MaineCare Medicaid EHR Incentive Program 2015-2017 Meaningful Use Wizard Guide **Information for the 2015 MU submissions can be found below the installation instructions** Before You Begin: Be sure your
More informationPhysician Quality Reporting System (PQRS) Qualified Clinical Data Registry (QCDR) QCDR Reporting Overview. Program Year 2014
Physician Quality Reporting System (PQRS) Qualified Clinical Data Registry (QCDR) QCDR Reporting Overview Program Year 2014 Disclaimers This presentation was current at the time it was published or uploaded
More informationPresented by. Terri Gonzalez Director of Practice Improvement North Carolina Medical Society
Presented by Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce errors Engage
More informationOverview of Physician Payment System Reforms in the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2)
Overview of Physician Payment System Reforms in the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) June 18, 2015 Prepared for The Health Collaborative akingump.com 2015 Akin Gump Strauss
More informationCROSSWALK NCQA 2014 PCMH HRSA 19 Requirements Meaningful Use
P a g e 1 CROSSWALK NCQA 2014 PCMH HRSA 19 Requirements Meaningful Use PCMH 1 PATIENT-CENTERED ACCESS 1A Patient-Centered Appointment Access (Must Pass) No.4 Accessible Hours of Operation / Locations 1B
More informationA Guide to Understanding and Qualifying for Meaningful Use Incentives
A Guide to Understanding and Qualifying for Meaningful Use Incentives A White Paper by DrFirst Copyright 2000-2012 DrFirst All Rights Reserved. 1 Table of Contents Understanding and Qualifying for Meaningful
More informationOverview and Key Takeaways from the Proposed Rule on Meaningful Use Stage 3
Overview and Key Takeaways from the Proposed Rule on Meaningful Use Stage 3 April 2015 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800- 680-7570 Impact- Advisors.com Background
More informationAgenda. What is Meaningful Use? Stage 2 - Meaningful Use Core Set. Stage 2 - Menu Set. Clinical Quality Measures (CQM) Clinical Considerations
AQAF Health Information Technology Forum Meaningful Use Stage 2 Clinical Considerations Marla Clinkscales & Mike Bice Alabama Regional Extension Center (ALREC) August 13, 2013 0 Agenda What is Meaningful
More information