MIPS Tips – January 30, 2018

January 30, 2018

Welcome to the latest installment of MIPS Tips. 2017 MIPS attestation is open through March 31, 2018 so this communication will focus on 2017 attestation tools and resources.

Determine Eligibility

Enter the National Provider Identifier (NPI) in the MIPS Participation Status Tool to confirm whether a provider is required to submit data under MIPS for 2017.

CQR and MIPS Webinar

Quatris conducted a CQR and MIPS webinar in early January that provided a MIPS overview, CQR functionality related to setting up measurements and the MIPS tab, how to avoid the negative payment adjustment for 2017, and links to other useful resources. The Slides from the webinar are attached to this email, and the link to the recording can be found on the first slide.

Manual Attestation

You have until March 31st, 2018 to manually attest for 2017 MIPS. As data is entered, you will see real-time scoring within the MIPS performance categories. Data is automatically saved and clinician records are updated in real time. Payment adjustments will be calculated based on the last submission or submission update that occurs before the submission period closes on March 31, 2018.

 If your practice plans to manually attest for MIPS, you will need an EIDM account to sign into the Quality Payment Program portal.

  • If you need to update information or if you do not yet have an EIDM account, you can create one on the CMS Enterprise Portal.
  • Quatris does not support the EIDM accounts, so if you have any questions or issues on EIDM accounts, visit this User Guide or reach out to CMS directly.

Group and/or Individual data submission for MIPS YouTube video (38 minutes) walks through a sample attestation and is a truly great resource (I recommend everyone manually attesting spend the time and watch this).

GE Quality Submission Services

Quality Submission Services is a Service where GE will submit quality data to CMS for enrolled customers on their behalf using the EHR Reporting method. The GE Quality Submission Service enrollment period closed on January 12th but the authorization period for those customers who enrolled is now open.

  • Authorization closes on March 2nd, at which point GE will submit all authorized data to CMS
  • The slides for those customers who are participating in QSS and who have not yet authorized can be found on Podio HERE.

Avoiding the Negative Payment Adjustment

If you are required to participate in MIPS based on your NPI number but have not been diligent about keeping up with requirements, it may not be too late to avoid the negative payment adjustment.

  • Select 1 Improvement Activity and report to this activity for each eligible clinician for 90 consecutive days
  • During attestation, select the improvement activity and attest to this activity
  • Providers will not be required to enter supporting documentation, but supporting documentation should be gathered and retained for audit purposes

If this is all overwhelming or more than you want to take on, remember we do offer MIPS consulting services where we assist you with the Attestation process. For more information, please reach out to Mike Keller, our Director of Clinical Services, at mkeller@quatris.com.

You are receiving this email because we have identified you as someone at your practice who has an interest in Quality Payment Program information for 2017/2018. If your needs have changed and you no longer wish to receive these emails, or if you wish to add someone to the list, please respond to this email directly. If you have questions about MIPS or Quality Payment Programs, please don’t hesitate to contact our EMR support department via our support portal, at support@quatris.com, or via phone at 817-282-0300, option 2, option 2.

*Note: If you are a GE Direct support customer, the content of this email may not apply to you and you should work with GE on your processes for support and quality reporting programs.

Quality Submission Services – Enrollment Closes January 12, 2018

January 4, 2018
January 3, 2018

Dear Quatris Customers,

If you are planning on participating in the GE Quality Submission Services (QSS) program for 2017 submission or group reporting, the enrollment period will close on January 12, 2018.

QSS is a Service where GE will submit quality data to CMS for enrolled customers on their behalf using the EHR Reporting method.

QSS enrollment is also the only way to get Group reporting out of CQR (note group reporting requires Service Pack 13 or higher).

GE presented a QSS Enrollment webinar and the slides for that webinar are attached to this email. The link to the recording can be found on the Quatris Podio site here: https://podio.com/quatriscom/product-readiness/apps/quality-reporting/items/244.

Pricing for 2017 QSS is as follows and includes both Group reporting and/or submission to CMS.

  • ACI Only (Improvement Activity optional) – $300 / provider
  • Quality Only (Improvement Activity optional) – $300 / provider
  • ACI & Quality (Improvement Activity optional) – $500 / provider

In order to participate in the QSS program, your organization must take all the following actions, explained in more detail on the MIPS 2017 Checklist under the QSS headings:

  • Join MQIC (if not already a member)
  • Enter and validate provider and group information in CQR
  • Enroll in QSS and sign Provider Consents (in CQR under the MQIC tab, status must = Enrolled)
  • Sign and return work order for QSS enrollment to Quatris
  • Monitor Measures in CQR
  • Assign Source of Payment (SOP) codes for all insurance carriers (if applicable)
  • Select measures for submission (if applicable)
  • Authorize and complete submission (if applicable)
  • GE Submits data to CMS (if applicable)
  • Receive invoice from Quatris on data submitted to CMS (if applicable)

Quatris MIPS Consulting Services is a valuable resource available if you need additional assistance in meeting the above requirements. Reach out to quality@quatris.com for more information on how Quatris Consulting can still assistance with 2017 Quality Reporting.

If you have any questions about the QSS enrollment process, please contact Quatris EMR support via our support portal, by emailing support@quatris.com, or by phone at 817-282-0300 option 2, option 2.

Documents attached: MIPS Enrollment 2017

Regards,

Quatris Health

 

2018 Holiday Schedule

January 2, 2018

Happy Holidays from Quatris Health!

Quatris knows the importance of spending quality time with family and friends during the holiday season. As we look forward to the holidays, please keep this note as a reminder of the holiday support we have scheduled for the remainder of this year and the beginning of 2018.

New Year’s – Day Monday, January 1

Memorial Day – Monday, May 28

Independence Day – Wednesday, July 4

Labor Day – Monday, September 3

Thanksgiving Day – Thursday, November 22

Day After Thanksgiving – Friday, November 23

Christmas Eve – Monday, December 24

Christmas Day – Tuesday, December 25

Half-day New Year’s Eve – Monday, December 31

Please know that After Hours Support is available. Our standard “After Hours Support” fees will apply for any support services requested during the holiday. If you need assistance or have questions, please call Quatris Support Services at (817) 282-0300.

From our family to yours; thank you and enjoy a safe, healthy and happy holiday season!

Quatris Health

MIPS Tips – December 22, 2017

December 22, 2017

Welcome to the latest installment of MIPS Tips. With the final 90-day reporting period for 2017 coming to a close, this installment of MIPS Tips offers a final webinar to ensure you are on track, talks about attestation options for 2017 data, and provides an overview of the CMS Final Rule to help prepare you for 2018.

CQR and MIPS Webinar

We will be holding a CQR and MIPS webinar which will cover how to monitor CQR for MIPS, accessing helpful resources, and provide tips on using CQR. Time will be allotted for questions.

Manual Attestation and EIDM accounts

If your practice plans to manually attest for MIPS, you will need an EIDM account to sign into the Quality Payment Program portal. Although the attestation portal will not open for attestation until January 2nd, 2018, you can get a jump on signing in an verifying your account information (or requesting an account if you do not have one).

  • To Sign in to QPP you need your EIDM credentials and you must have an appropriate user role associated with your organization.
  • If you need to update information or if you do not yet have an EIDM account, you can create one on the CMS Enterprise Portal.
  • Quatris does not support the EIDM accounts, so if you have any questions or issues, please reach out to CMS directly.

 

GE Quality Submission Services

Quality Submission Services is a Service where GE will submit quality data to CMS for enrolled customers on their behalf using the EHR Reporting method. The GE Quality Submission Service enrollment period is open now through January 12th, 2018.

  • QSS enrollment is also the only way to get Group reporting out of CQR (Group configuration requires CPS 12.0 or CEMR 9.8 Service Pack 13 or higher).
  • The slides from the GE QSS Enrollment webinar with step-by-step instructions for enrolling in QSS are attached to this email as GE QSS Enrollment Slides.PDF

 

Preparing for 2018 Reporting Period

Per the CMS QPP Final Rule, CMS is allowing the use of 2014 or 2015 CEHRT in 2018, and giving a 10% ACI bonus for using only 2015 CEHRT. To be eligible for the bonus, your practice will need to be on 2015 CEHRT prior to the start of your 90-day ACI reporting period. H

Highlights from the Final Rule:

  • Quality – Full year performance period; worth 50% of final score
  • Cost – New in 2018; based on claim data; worth 10% of final score
  • Improvement Activities – 90-day performance period; worth 15% of final score
  • Advancing Care Information (ACI) – 90-day performance period; 25% of final score, 10% bonus possible if using only 2015 CEHRT
  • Increase in the low-volume threshold to exclude MIPS Eligible Clinicians with <$90,000 in Part B allowed charges or <200 Part B beneficiaries

The Quality Payment Program Year 2 Fact Sheet has additional information on other changes, and Quatris will host MIPS 2018 webinars after the start of the new year.

You are receiving this email because we have identified you as someone at your practice who has an interest in Quality Payment Program information for 2017/2018. If your needs have changed and you no longer wish to receive these emails, or if you wish to add someone to the list, please respond to this email directly. If you have questions about MIPS or Quality Payment Programs, please don’t hesitate to contact our EMR support department via our support portal, at support@quatris.com, or via phone at 817-282-0300, option 2, option 2.

*Note: If you are a GE Direct support customer, the content of this email may not apply to you and you should work with GE on your processes for support and quality reporting programs.

 

GE State of the Union Webinar-December 13

December 6, 2017

Dear Centricity™ Practice Solution and Centricity EMR Customers:

I would like to invite you to attend a special State of the Union webinar on Wednesday, December 13, 2017 where you can experience, first-hand, what Project Northstar means for you in 2018.

Highlights include:
  • Live demonstrations of innovations coming from Project Northstar
  • Tips on how you can prepare for solutions available 2018
  • Insights on how to integrate our new Population Health, Analytics and Care Delivery capabilities
Date: Wednesday, December 13, 2017
Time: 2:30-3:30 ET

Please note: This webinar content was also shared with our customers this fall at CHUG 2017 in New Orleans, Louisiana. If you joined us for CHUG, please invite your friends, physicians and colleagues to experience this sneak peek at what’s coming in 2018.

Registration is required to join the event. The audio will be broadcast over the internet. We will record the meeting and post it to the View Past Webinars section of the Service Portal for those who cannot attend live. We hope you will join us.

Sincerely,
Chad Dodd
General Manager, Ambulatory Practice Solutions
GE Healthcare

FREE WEBINAR: ezAccess Patient Portal Bells and Whistles

November 30, 2017

We invite you to join us on Dec 20, 2017 at 11:00 AM CST as review the ezAccess Patient Portal Bells and Whistles. We will explore portal features beyond MIPS and Meaningful Use as well as other enhancements that can take your portal use to the next level.

Click here to register

After registering, you will receive a confirmation email containing information about joining the webinar.

FREE WEBINAR: Overview of Quatris Add-on Products

November 30, 2017

We invite you to join us on Dec 14, 2017 at 11:00 AM CST as we recap the recent Fall CHUG (Centricity Healthcare User Group), and present an overview of the Quatris complementary add-on products (Mobility, Fee Schedule Loader, ePay, Ideal Image, ezAccess Patient Portal and Patient Flow Tracker).

*Don’t forget to take advantage of our Q4 CHUG discount promotion. It’s a great time of year to acquire our add-ons at a significantly reduced cost. 

Presenters: Janine Job and Maurice Rosenbaum, Quatris Health

Click here to register

After registering, you will receive a confirmation email containing information about joining the webinar.

MIPS Tips – November 22

November 27, 2017

Welcome to the latest installment of MIPS Tips. In this communication we introduce the CQR 1.5.18 update, spotlight the Patient Education Objective, discuss the addition of Improvement Activities to CQR, and remind you about open enrollment for QSS.

CQR 1.5.18

  • Due out in early December
  • MIPS ACI Score will reflect 2 measure exclusions from the Final Rule with Comment Period for 2017
    • Exclusions made for ePrescribing measure for any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the reporting period
    • Exclusions made for Health Information Exchange measures for any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period
    • Register for the GE CQR 1.5.18 Webinar on Wednesday November 29th at 3:30 pm CST

Patient Education MIPS ACI 2017 Transition Objective

MEASURE: The MIPS Eligible Clinician (EC) provides patients with timely electronic access to their health information and patient-specific education

  • DEMONINATOR: Count 1 for every unique patient with one or more office visits seen by the MIPS EC during the performance period
  • NUMERATOR: Of the patients in the denominator, count 1 for every patient who was provided access to patient-specific education resources using clinically relevant information identified from CEHRT during the performance period
    • If patient education is provided by an EC directly, only the EC will get credit
    • If patient education is provided by a non-EC, all EC’s with an office visit in the performance period for the patient will get credit
    • An “EC” is defined for patient education as an active provider in CQR that has measures selected. Conversely, a non-EC is anyone that has no stage or measures selected in CQR
  • RECOMMENDED WORKFLOW: From the patient’s chart click on either Problems or Medications > select a Problem or Medication > click the blue “I” button > select the desired handout > select the language > make sure the box for “Record handout printing in chart” is checked > Print.

Improvement Activities

In this new performance category for 2017, clinicians are rewarded for care focused on care coordination, beneficiary engagement, and patient safety. The Improvement Activities (IA) component makes up 15% of the MIPS Performance Score. There are 93 improvement activities to choose from, and each IA is worth either 10 or 20 points. To achieve the maximum score, you must attest that you completed 40 points (or 20 points, if you are in a group with less than 15 providers, are nonpatient-facing, or are in an underserved area) for a minimum of 90 days. For more information, visit the QPP website on Improvement Activities or our Podio document List of Improvement Activities with Suggested Documentation.

  • Improvement Activities have been added to CQR and can be configured as the third component to achieve an Estimated MIPS Final Score. See attached CQR User Manual_Improvement Activities.pdf
    • From the Improvement Activities tab on the MIPS dashboard, enter a 90-day effective date for the Improvement Activities you wish to attest to.
    • Place a check next to the Improvement Activities
    • Click the blue Save Selection icon
    • Click the gear box at the top right of the blue shaded area for Additional Program Details
      • Select any Reweighting Categories that may apply
    • At the top of the screen, your Improvement Activities score will update to reflect your entries, as will your Estimated MIPS Final Score

GE Quality Submission Services (QSS)

The GE Quality Submission Service enrollment period is open now through mid-January. QSS is a Service where GE will submit quality data to CMS for enrolled customers on their behalf using the EHR Reporting method.

QSS enrollment is also the only way to get Group reporting out of CQR (Group configuration requires CPS 12.0 or CEMR 9.8 Service Pack 13 or higher).

The slides from the GE QSS Enrollment webinar are attached to this email as GE QSS Enrollment Slides.PDF

Pricing for 2017 QSS is as follows and includes both Group reporting and/or submission to CMS.

  • ACI Only (Improvement Activity optional) – $300 / provider
  • Quality Only (Improvement Activity optional) – $300 / provider
  • ACI & Quality (Improvement Activity optional) – $500 / provider

You are receiving this email because we have identified you as someone at your practice who has an interest in Quality Payment Program information for 2017. If your needs have changed and you no longer wish to receive these emails, or if you wish to add someone to the list, please respond to this email directly. If you have questions about MIPS or Quality Payment Programs, please don’t hesitate to contact our EMR support department via our support portal, at support@quatris.com, or via phone at 817-282-0300, option 2, option 2.

*Note: If you are a GE Direct support customer, the content of this email may not apply to you and you should work with GE on your processes for support and quality reporting programs.

http://www.quatris.com/wp-content/uploads/2017/11/GE-QSS-Enrollment-Slides.pdf

http://www.quatris.com/wp-content/uploads/2017/11/Nov-2017-CQR-User-Manual_Improvement-Activities.pdf

MIPS Tips – November 3

November 27, 2017

Welcome to the latest installment of MIPS Tips.

Yesterday CMS issued the final rule with comment period for the Quality Payment Program Rule for Year 2.

Important MIPS information for the 2017 Reporting Period from the Final Rule

  • Exclusions made for ePrescribing measure for any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the reporting period
  • Exclusions made for Health Information Exchanges measures for any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period
    • NOTE: With the final rule just coming out, CQR is obviously not reflecting these exclusions on your MIPS calculations yet. We will keep you informed when you can expect to see these measures updated on your MIPS dashboard to reflect these exclusions.
  • Those impacted by extreme and uncontrollable circumstances (Hurricanes Harvey, Irma, or Maria) should view the Quality Payment Program Year 2 Final Rule Overview pages 3 and 4 for specifics regarding hardships and measure reweighting for 2017 and 2018.

Important MIPS information for 2018 Reporting Period from the Final Rule

  • Eligible clinicians can use 2014 CEHRT and/or 2015 CEHRT for attestation with clinicians using only the 2015 version earning bonus points.
    • 2014 CEHRT is CPS 12.0.11 or higher or CEMR 9.8.11 or higher
    • 2015 CEHRT is CPS 12.3 or higher or CEMR 9.12 or higher (expected release in mid-November)
  • MIPS Cost performance category will account for 10% of the total MIPS score, up from 0% in 2017. Quality = 50%, Improvement Activities = 15%, ACI = 25%.
  • Quality Payment Program participation thresholds will exclude more clinicians by excluding eligible clinicians or groups with less than $90,000 in Part B allowed charge or fewer than 200 Medicare Part B beneficiaries.
  • In 2018, the reporting period for Quality and Cost will be a full calendar year. For Advancing Care Information and Improvement Activities it will remain a 90-day reporting period.
  • MIPS performance threshold will increase from 3 points during 2017 to 15 points in 2018.
  • In 2018, eligible clinicians treating medically complex patients will earn up to 5 bonus points.
  • In 2018, small practices will receive 5 bonus points to their total MIPS score.
  • Virtual group implementation will launch during 2018.

Register to join CMS at noon CT on November 14 for a webinar on the Quality Payment Program Year 2 Final Rule.

For More Information:

You are receiving this email because we have identified you as someone at your practice who has an interest in Quality Payment Program information for 2017. If your needs have changed and you no longer wish to receive these emails, or if you wish to add someone to the list, please respond to this email directly.

If you have questions about MIPS or Quality Payment Programs, please don’t hesitate to contact our EMR support department via our support portal, at support@quatris.com, or via phone at 817-282-0300, option 2, option 2.

*Note: If you are a GE Direct support customer, the content of this email may not apply to you and you should work with GE on your processes for support and quality reporting programs.

MIPS Tips – October 16

November 27, 2017

Welcome to our latest installment of MIPS Tips. In this communication, we overview the Quality Payment Program Year 2 Proposed Rule, visit some handy resources for your Quality Measure workflows, and provide links to information for exceptions to those customers impacted by this year’s devastating hurricanes.

Proposed Rule for Quality Payment Program Year 2 (2018)

While many of you are in the thick of preparing for 2017, CMS is evaluating a proposed rule for how we will proceed with MIPS in 2018.

We expect a final decision on the proposed rule in October or November, but if history is any indication, the rule will pass with limited changes to what is proposed. You can visit the Fact Sheet on the Proposed Rule, or you can review the Proposed Rule in its entirety. We will communicate about the Final Rule as soon as it is passed.

Below are some key items in the proposed rule:

  • Allowing for the continuing use of 2014 CEHRT while encouraging the use of 2015 CEHRT
    • CPS 12.0.11 and higher is 2014 CEHRT, CPS 12.3 and higher is 2015 CEHRT
    • CEMR 9.10.11 and higher is 2014 CEHRT, CEMR 9.12 and higher is 2015 CEHRT
  • Adding bonus points to the scoring methodology for using 2015 CEHRT exclusively
  • Performance Period Changes
    • Quality = Full Year
    • Advancing Care Information (ACI) = 90 days
    • Improvement Activities (IA) = 90 days
  • Providing additional flexibilities for small and rural practices

Quality Measure Workflows

Earlier this year, Quatris held a Quality Quickie webinar series designed to provide further insight into specific CQMs and workflows that can be used to meet these measures. These webinars are great tools if assistance is needing to tweak a measure or improve overall percentages. Click the hyperlink below to be taken to the Podio page where the slides and the link to the brief recording link reside.

Customers in areas impacted by Hurricanes Harvey and Irma

Our hearts go out to our many Texas and Florida customers impacted by the devastation caused by the recent hurricanes. CMS is reviewing reporting requirements for the Quality Payment Program for impacted practices. Additional information can be found on the CMS Emergency page or by contacting CMS directly.

You are receiving this email because we have identified you as someone at your practice who has an interest in Quality Payment Program information for 2017. If your needs have changed and you no longer wish to receive these emails, or if you wish to add someone to the list, please respond to this email directly. If you have questions about MIPS or Quality Payment Programs, please don’t hesitate to contact our EMR support department via our support portal, at support@quatris.com, or via phone at 817-282-0300, option 2, option 2.

*Note: If you are a GE Direct support customer, the content of this email may not apply to you and you should work with GE on your processes for support and quality reporting programs.