February 9, *Merit-based Incentive Payment System
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1 Countdown to MIPS Data Submission Webinar Series Let the 50-Day Countdown Begin! Ken Hoang, MSIS Denise Hudson, NR-CMA Health Informatics Specialists Health Services Advisory Group (HSAG) *Merit-based Incentive Payment System February 9, 2018
2 To Submit Questions Via Chat Box: 1. Click the [Chat] option at the top right of the presentation. 2. The Chat panel will open. 3. Indicate that you want to send a question to All Panelists. 4. Type your question in the box at the bottom of the panel. 5. Click [Send]. 2
3 Objective At the completion of this training, attendees will be able to recognize how to submit MIPS data through the attestation portal. 3
4 Acronyms Used In Today s Presentation Acronym Definition ACI APM CEHRT CMS CE EDIM EHR EOB HPSA IA JSON Advancing Care Information Alternative Payment Model Certified Electronic Health Record Technology Centers for Medicare & Medicaid Services Continuing Education Enterprise Identity Management System Electronic Health Record Explanation of Benefits Health Professional Shortage Area Improvement Activity JavaScript Object Notation Acronym Definition MFA MIPS MU NPI PCMH PQRS QCDR QPP QRDA TIN VBPM XML Multi-Factorial Authentication Merit-based Incentive Payment System Meaningful Use National Provider Identifier Patient Centered Medical Home Physician Quality Reporting System Qualified Clinical Data Registry Quality Payment Program Quality Reporting Document Architecture Tax Identification Number Value-based Payment Modifier Extensible Markup Language 4
5 Today s Presenters Ken Hoang, MSIS Health Informatics Specialist HSAG Denise Hudson, NR-CMA Health Informatics Specialist HSAG 5
6 Quality Payment Program (QPP) Submission Preparation Ken Hoang 6
7 Preparing For Submission
8 Enterprise Identity Management (EIDM) System Account Register or access your EIDM account at 8
9 Select a Role Choose this EIDM Role Group Practice If you are a Solo Practice Provider Approver Security Officer Individual provider Physician Value (PV) Provider Group Representative Individual Provider Representative 9 Source: The Centers for Medicare & Medicaid Services
10 Request a Role 1. Select the appropriate role you want to request from the [Select a Role] drop-down menu. 2. Click the [Next] button to continue to Remote Identity proofing. 10 Source: The Centers for Medicare & Medicaid Services
11 Identity Verification: Terms and Conditions 3. Accept the terms and conditions. 4. Provide requested information. 11 Source: The Centers for Medicare & Medicaid Services
12 Identity Verification ID Verification 5. Provide requested information for ID verification from Experian. This is NOT a credit check. 12 Source: The Centers for Medicare & Medicaid Services
13 Register your Multi-Factor Authentication (MFA) Device 6. Select method of MFA. 7. Enter ID/cell phone number and a description. 8. Click the [Next] button to process the request. 13 Source: The Centers for Medicare & Medicaid Services
14 Enter Business Information 9. Upon completion of MFA, enter business contact information. 14 Source: The Centers for Medicare & Medicaid Services
15 Associate with an Organization 10. Select [Associate to an Existing Organization] and enter the requested information. 15 Source: The Centers for Medicare & Medicaid Services
16 Create an Organization 11. If the previous step does not return your organization information, create a new organization. 16 Source: The Centers for Medicare & Medicaid Services
17 Create an Organization (cont.) 12. Enter the requested information. 17 Source: The Centers for Medicare & Medicaid Services
18 Associate/Create an Organization Upon successful completion of the request, Your EIDM request has been successfully submitted screen will be displayed. 13. Select [OK] to exit the program. 18 Source: The Centers for Medicare & Medicaid Services
19 Data Reports 19
20 Supporting Documentation Keep all your supporting documentation, including copies of: EHR reports. Claims (explanations of benefits [EOBs]). IA documentations. Data submitted to a qualified clinical data registry (QCDR). 20
21 QPP Attestation Portal Overview Denise Hudson 21
22 QPP Attestation Portal Website: 22
23 QPP Attestation Portal: Sign-In Page 23
24 QPP Attestation Portal: MFA Enter the one-time code you received. Click [Submit Code]. 24
25 QPP Attestation Portal: Account Dashboard 25
26 QPP Attestation Portal: Individual Reporting Dashboard 26
27 QPP Attestation Portal: Group Reporting Dashboard 27
28 QPP Attestation Portal Group Reporting Dashboard (cont.) 28
29 QPP Attestation Portal: Quality 29
30 QPP Attestation Portal: Quality (cont.) 30
31 QPP Attestation Portal: File Upload 31
32 QPP Attestation Portal: File Upload (cont.) 32
33 QPP Attestation Portal: File Upload Complete 33
34 QPP Attestation Portal: File Upload Quality Score 34
35 QPP Attestation Portal Uploaded File Review 35
36 QPP Attestation Portal Uploaded File Review (cont.) Actual view of this measure from the benchmark file: 36
37 QPP Attestation Portal: Additional Measures Are Not Part of Score 37
38 QPP Attestation Portal: Advancing Care Information (ACI) 38
39 QPP Attestation Portal: ACI Category Instructions 39
40 QPP Attestation Portal: ACI Participation Date Range 40
41 QPP Attestation Portal: ACI Certified Electronic Health Record Technology (CEHRT) Options 1 and 2 41
42 QPP Attestation Portal: ACI CEHRT Options 1 and 2 (cont.) Select your ACI Measure Set based on CEHRT Technology version: Using the search feature will gray out the options not available to you. 42
43 QPP Attestation Portal: ACI Attestation Statements 43
44 QPP Attestation Portal: ACI Attestation Statements (cont.) 44
45 QPP Attestation Portal ACI Base Measure e-prescribing 45
46 QPP Attestation Portal: ACI Base Measure 46
47 QPP Attestation Portal: ACI Base Measure Scoring 47
48 QPP Attestation Portal: ACI Performance Measures 48
49 QPP Attestation Portal ACI Additional Registry Measures 49
50 QPP Attestation Portal: ACI Improvement Activities (IAs) Bonus *Important Tip Alert* If you completed an Improvement Activity that requires the use of Certified EHR Technology, you will need to check [Yes] to CEHRT Used measure, in the Advancing Care Information category. You will also select the actual Improvement Activity in the Improvement Activities category completed by your practice. 50
51 QPP Attestation Portal: ACI Category Score 51
52 QPP Attestation Portal: IAs 52
53 QPP Attestation Portal: IAs (cont.) 53
54 QPP Attestation Portal: IAs Patient-Centered Medical Home (PCMH) 54
55 QPP Attestation Portal: IA Measure Filter (Search) 55
56 QPP Attestation Portal: IA Keyword Filter 56
57 QPP Attestation Portal: IA Measure Selection 57
58 QPP Attestation Portal: Known Issues Known issues with the QPP Portal and their status include: Clinicians listed in the portal that are no longer with the practice, missing clinicians, or duplication of clinicians CMS is aware of some of the issues and working to resolve them. Call the CMS QPP Service Center at to report. Be sure your practice s PECOS file is up to date Go ahead and enter your data. IAs score not doubling for small practices CMS is aware and working to resolve the issue as soon as possible. Go ahead and enter your data. Quality Reporting Data Architecture (QRDA) 3 File Upload Issues CMS is working with EHR Vendors to resolve issues on the vendor side. Be sure you ve upgraded to the latest version offered by your vendor and stay in touch with your vendor until such time as file upload success is achieved. 58
59 Key Takeaways Data Submission closes March 31, Don t wait until 11:59 p.m. on March 31, 2018 to submit. Visit the data submission portal as many times as you want. There is NO Save button. Your data is autosaved up to the character. Take your time. If manually keying in your data take your time there is no rush. Once your data is entered, take a second look. Be sure you ve entered data for all categories. Score will be artificially lower if you reported Quality via claims. Look at your category scores Are they where you thought they would be? Call HSAG s QPP Service Center at if you need assistance submitting your data. 59
60 HSAG QPP Service Center Available 60
61 QPP Technical Assistance Resource Guide 61 Source: CMS
62 Next Learning Forum Friday Event: March 9, Days til MIPS Data Submission! Get Ready! For additional event topics and registration information please visit: Topics and dates are subject to change, so please check the webpage for up-to-date information. 62
63 Resources CMS Quality Payment Program Website Subscribe to the QPP ListServe Medicare Learning Network Learning Management System Booklet (LMS) FAQs Learning-Network-MLN/MLNProducts/Downloads/LMPOS-FAQs- Booklet-ICN pdf Associations Offering Credit for MLN Events and Training Learning-Network-MLN/MLNGenInfo/CE-Associations.html 63
64 CMS Announcements New Medicare Cards Coming Soon! New cards will be mailed to Medicare beneficiaries between April 2018 and April For provider information regarding new Medicare cards, visit Subscribed to your MAC* Mailing List? To locate the MAC in your state visit 64 *Medicare Administrative Contractor
65 HSAG Quality Initiatives Spotlight The QPP Quest HSAG Digest Seeking quality improvement best practices Behavioral Health Initiative Alcohol and Depression screenings among Medicare beneficiaries Reimbursable screenings MIPS IA 65
66 HSAG Quality Initiatives Spotlight (cont.) Sustaining the Gains in Quality Improvement Identify when to move from the improvement phase to sustainability, while gaining access to tools, resources, and examples of identifying possible failure points in your process. Register now for this no-cost webinar: Friday, February 23, p.m. ET 11 a.m. MT 10 a.m. PT 66
67 Join HSAG QPP Community Mailing List! In the body of the , please include: Organization Name First and Last name address City State 67
68 CE Approval This program has been pre-approved for 1.0 CE unit for the following professional boards: National o Board of Registered Nursing (Provider #16578) Florida o Board of Clinical Social Work, Marriage & Family Therapy and Mental Health Counseling o Board of Nursing Home Administrators o Board of Dietetics and Nutrition Practice Council o Board of Pharmacy Please Note: To verify CE approval for any other state, license, or certification, please check with your licensing or certification board. 68
69 CE Credit Process 1. Register at in HSAG s Learning Management Center (LMC). 2. Once you have registered in the LMC, you must complete the evaluation that will appear in WebEx at the conclusion of the webinar. a. Following the event, please do not close the WebEx evaluation window. You will not be able to access the evaluation and request CE if you close the window. b. CEs are only available to attendees that participate in the live event. c. If for some reason you completed the evaluation and do not have the link to the new user registration, please refer to Step #1 or contact Debra Price at dprice@hsag.com for CE certificate questions. 69
70 CE Credit Process: Existing User To login to your existing LMC account visit 70
71 CE Credit Process (cont.) Following the conclusion of the webinar, you will also receive a Thank You for Attending using the address provided during registration. You will be requested to register in the HSAG Learning Management Center (LMC). This is a separate registration from WebEx. Please use your personal so you can receive your certificate. Your organization may have firewalls up that block our certificates. 71
72 CE Certificate Problems If you do not immediately receive a response to the that you signed up with in the Learning Management Center, you have a firewall up that is blocking the link that was sent. Please go back to the New User link and register your personal account. Personal s do not have firewalls. 72
73 QPP Participation Poll Thanks for Attending HSAG QPP Technical Assistance Line Toll free: Monday Friday 8 a.m. to 8 p.m. ET HSAG QPP Support: HSAGQPPSupport@hsag.com 74
74 This material was prepared by Health Services Advisory Group, the Medicare Quality Improvement Organization for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. QN-11SOW-D
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