MIPS Checkpoint. Beth Hickerson Quality Improvement Advisor. PHA Lunch and Learn May 19, Value Driven. Health Care. Solutions.
|
|
- Jodie Hicks
- 5 years ago
- Views:
Transcription
1 MIPS Checkpoint Beth Hickerson Quality Improvement Advisor PHA Lunch and Learn May 19, 2017
2 Check Your MIPS Eligibility QPP.CMS.GOV 2
3 MIPS Category Weights Over Time : Quality Advancing Care Information Improvement Activities Cost Replaces PQRS Replaces MU New (PCMH) Replaces VBM % 25% 15% 0% % 25% 15% 10% % 25% 15% 30% 3
4 MIPS Final Score for 2017 Performance Year Final Score Payment Adjustment 70 points Positive adjustment Eligible for exceptional performance bonus minimum of additional 0.5% 4-69 points Positive adjustment Not eligible for exceptional performance bonus 3 points Neutral payment adjustment 0 points Negative payment adjustment of -4% 0 points = does not participate 4
5 Pick Your Pace Options Three options to participate in MIPS in 2017: Don t submit 5
6 Three Ways to Avoid the Penalty in Quality Measure OR 1 Improvement Activity OR 5 Required Advancing Care Information Measures 6
7 REPORTING OPTIONS AND METHODS Understanding How to Report
8 Reporting Options Individual defined as a single NPI tied to a single TIN May protect incentive potential for high-performing providers May be easier if you have NPIs not required to report Group multiple NPIs that share a common TIN May ease administrative burden Beneficial if you have some providers with reporting obstacles Register only if using CMS web interface or CAHPS for MIPS Note: Reporting option applies for all four categories; NPIs must report for each TIN separately 8
9 Reporting Methods Claims EHR Registry Qualified Clinical Data Registry CMS Web Interface CAHPS for MIPS Survey Note: You may only report via one method per category 9
10 Reporting Methods (cont.) Claims Add modifier codes to your Medicare claims Can be added manually by billers or automatically by EHR or billing software EHR Directly submit a QRDA III file through the CMS portal Register with your EHR to submit on your behalf as/through a Data Submission Vendor (DSV) This category does not include EHRs who submit via registry 10
11 Reporting Methods (cont.) Registry Entity that collects data and submits to CMS Clinical data can be extracted from EHR or manually entered via registry web form Claims data can be submitted via registry Qualified Clinical Data Registry (QCDR) CMS-approved entity that collects medical and/or clinical data for the purpose of patient disease tracking to foster improvement in quality of care Usually includes specialty measures not on the general MIPS measures list Clinical data can be extracted from EHR or manually entered 11
12 Reporting Methods (cont.) CMS Web Interface (GPRO) Groups of 25 or more Populate data (manually or electronically) and report all GPRO measures on 248 identified attributed patients Must register by June 30, 2017 CAHPS for MIPS Survey of patients administered and submitted by approved vendor Counts as one of six required measures Must submit remaining five measures via other method Earn extra bonus points 12
13 Data Completeness Rule Claims 50% of all Medicare Part B patients EHR, Registry, QCDR 50% of all patients GPRO all patients assigned, up to
14 Reporting Methods 14
15 QUALITY CATEGORY Requirements and Scoring
16 Quality Reporting Requirements 60 Points Report six measures, including at least one outcome or high priority measure Select from full list of 291 MIPS measures Or select from a set of specialty specific measures 3-10 points per measure based on performance against a benchmark 60 possible points Bonus points for high-priority and EHR reporting 16
17 Measure Choices 17
18 Selecting Measures 1. Decide on your reporting method Claims, EHR, Registry, QCDR Reporting via EHR is easiest but may limit choice of measures 2. Compile list of all available measures for your chosen method 3. Narrow your list to include only applicable measures Specialty/scope of practice Patient population Data collection limitations 18
19 Selecting Measures (cont.) 4. Print a 2016 (or 2017 year-to-date) Quality report from your EHR to see your past performance on applicable measures 5. Use your Quality report to calculate your estimated MIPS points per measure by downloading the 2017 Quality Benchmarks file from Measure_Name Submission Method Decile 3 Decile 4 Decile 5 Decile 6 Decile 7 Decile 8 Decile 9 Decile 10 Pneumonia Vaccination Status for Older Adults Claims >= Pneumonia Vaccination Status for Older Adults EHR >= Pneumonia Vaccination Status for Older Adults Registry/QCDR >=
20 Quality Scoring Basics Each measure earns between 3 to 10 points Minimum 20 cases for a measure to earn performance points above the minimum Some measures may have a maximum < 10 Reporting additional outcome and high priority measures yields bonus points Measures reported via electronic end-to-end method earn 1 bonus point 20
21 Quality Category Score 21
22 Quality Scoring Tips If you submit > six measures, CMS will use the highest scoring six for your base score Measures submitted but not scored are still eligible for bonus points Groups with 16 or more providers and 200+ eligible cases will have All-Cause Hospital Readmission 22
23 ADVANCING CARE INFORMATION CATEGORY Requirements and Scoring
24 ACI Basics Required base score (50) Performance score (up to 90) Bonus score (up to 15) Security risk analysis e-prescribing Provide patient access Send summary of care Request/accept summary of care Submit nine measures for 90 days for performance credit 5 percent per measure for public health/clinical data registry reporting 10 percent for improvement activity alignment 24
25 Choosing Your Objectives/Measures List 25
26 2017 Transition Objectives and Measures Core 1. Security Risk Analysis 2. e-prescribing 3. Provide Patient Access 4. Health Information Exchange Performance 1. Provide Patient Access 2. Health Information Exchange 3. View, Download, or Transmit (VDT) 4. Patient-Specific Education 5. Secure Messaging 6. Medication Reconciliation 7. Immunization Registry Reporting 26
27 Performance Measure Scoring Performance Rates for Each Measure 1-10% = % = % = % = % = % = % = % = % = % = 10 27
28 ACI Category Score 28
29 ACI Scoring Tips Start improving your performance measure scores above previous MU thresholds Provide Patient Access Health Information Exchange Patient Specific Education Medication Reconciliation Consider implementing an Improvement Activity using your EHR to get 10 bonus points Consider reporting to a specialized registry or public health department for 5% bonus 29
30 IMPROVEMENT ACTIVITIES CATEGORY Requirements and Scoring
31 Improvement Activities Basics Attest to completing up to four activities at least 90 days during the year 1. Expanded Practice Access 2. Population Management 3. Care Coordination Rural, health professional shortage area (HPSA), or group practices with 15 or fewer clinicians attest to only two activities 4. Beneficiary Engagement 5. Patient Safety and Practice Assessment 6. Participation in an APM Eligible clinicians choose from 92 activities in nine categories 7. Achieving Health Equity 8. Integrating Behavioral and Mental Health 9. Emergency Preparedness and Response 31
32 Examples of Improvement Activities Same day appointments Extended office hours After hours access to care Test tracking system 32
33 Improvement Activities Scoring 40 points needed to maximize this category Medium-weighted activities worth 10 points High-weighted activities worth 20 points Points doubled for rural, HPSA, or small group practices (15 or fewer providers) Full credit for clinicians in CPC+, in a PCMH, or in similar specialist practice PCMH certifications for MIPS include: a national program, a regional or state program, a private payer, or other body that certifies at least 500 practices Participation in Transforming Clinical Practice Initiative is a high-weighted activity 33
34 Selecting Improvement Activities 34
35 COST CATEGORY Requirements and Scoring
36 Cost Basics In 2017, cost does not impact MIPS score Clinicians are not required to submit cost data to CMS CMS assesses clinicians based on Medicare claims data CMS compares resources used to treat similar care episodes and clinical condition groups across practices Cost measures adjusted for geographic payment rates and beneficiary risk factors Find previous cost information for your practice in your 2015 Annual Quality Resource and Use Report (QRUR) 36
37 Questions? 24
38 Beth Hickerson Angela Hale advantagm Kelley Montague
MACRA Implementation: A Review of the Quality Payment Program
MACRA Implementation: A Review of the Quality Payment Program Neal Logue, Kirk Sadur Centers for Medicare and Medicaid Services, Region IX, September 15, 2017 Disclaimer This presentation was prepared
More informationHere is what we know. Here is what you can do. Here is what we are doing.
With the repeal of the sustainable growth rate (SGR) behind us, we are moving into a new era of Medicare physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA). Introducing the
More informationHere is what we know. Here is what you can do. Here is what we are doing.
With the repeal of the sustainable growth rate (SGR) behind us, we are moving into a new era of Medicare physician payment under the Medicare Access and CHIP Reauthorization Act (MACRA). Introducing the
More information2017/2018. KPN Health, Inc. Quality Payment Program Solutions Guide. KPN Health, Inc. A CMS Qualified Clinical Data Registry (QCDR) KPN Health, Inc.
2017/2018 KPN Health, Inc. Quality Payment Program Solutions Guide KPN Health, Inc. A CMS Qualified Clinical Data Registry (QCDR) KPN Health, Inc. 214-591-6990 info@kpnhealth.com www.kpnhealth.com 2017/2018
More informationMACRA Quality Payment Program
The American College of Surgeons Resources for the New Medicare Physician System Table of Contents Understanding the... 3 Navigating MIPS in 2017... 4 MIPS Reporting: Individuals or Groups... 6 2017: The
More informationDecoding the QPP Year 2 Quality Measure Benchmarks and Deciles to Maximize Performance
Decoding the QPP Year 2 Quality Measure Benchmarks and s to Maximize Performance Leila Volinsky, MHA, MSN, RN, PCMH CCE, CPHQ Senior Program Administrator New England Regional Lead Quality Payment Program
More informationQuality Payment Program: The future of reimbursement
Quality Payment Program: The future of reimbursement Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA CMQP Executive Vice President 1 Dr. Evan Gwilliam Education Bachelor
More informationQUALITY PAYMENT PROGRAM YEAR 2 CY 2018 PROPOSED RULE Improvement Activities Component Reporting Requirements. No change.
QUALITY PAYMENT PROGRAM YEAR 2 CY 2018 PROPOSED RULE Improvement Activities Component Reporting Requirements Brief Synopsis: The Improvement Activities (IA) performance category will continue to comprise
More informationMaximizing Your Potential Under MIPS Oregon MACRA Playbook Conference
Maximizing Your Potential Under MIPS Oregon MACRA Playbook Conference June 22, 2017 Michael J. Sexton, MD Catherine I. Hanson, JD COI Disclosure To assure the highest quality of CME programming, the OMA
More information2017 Transition Year Flexibility Improvement Activities Category Options
The Physicians Advocacy Institute s Medicare Quality Payment Program (QPP) Physician Education Initiative 2017 Transition Year Flexibility Improvement Activities Category Options 1 P a g e Ad MEDICARE
More informationFrom Surviving to Thriving in the QPP World
From Surviving to Thriving in the QPP World Today s Objectives Brief MACRA Overview Where are we going?: Advanced Alternative Payment Models (APMs) Where are we now? Merit Incentive-Based Payment System
More informationCMS Transforming Clinical Practices Initiative and. The Southern New England Practice Transformation Network (SNE PTN)
CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Selecting Performance Category Measures and Reporting Requirements 1/31/2017
More informationOverview of Quality Payment Program
Overview of Quality Payment Program Policies for 2017 & 2018 Performance Years The Medicare program has transformed how it reimburses psychiatrists and other clinicians for providing services, under the
More informationMIPS Deep Dive: 9 steps to Reporting. Sharon Phelps QPP Webinar Series Webinar 4 June 20, 2017
MIPS Deep Dive: 9 steps to Reporting Sharon Phelps QPP Webinar Series Webinar 4 June 20, 2017 HealthInsight Our business is redesigning health care systems for the better HealthInsight is a private, non-profit,
More informationStrategic Implications & Conclusion
Kelly Court Chief Quality Officer Wisconsin Hospital Association Brian Vamstad Government Relations Consultant Gundersen Health System Overview and Key Takeaways of the Medicare Quality Payment Program
More informationCMS Quality Payment Program: Performance and Reporting Requirements
CMS Quality Payment Program: Performance and Reporting Requirements Session #QU1, February 19, 2017 Kristine Martin Anderson, Executive Vice President, Booz Allen Hamilton Colleen Bruce, Lead Associate,
More informationMichelle Brunsen & Sandy Swallow May 25, , Telligen, Inc.
MIPS Survive and Thrive: Advancing Care Information Michelle Brunsen & Sandy Swallow May 25, 2017 2016, Telligen, Inc. Objectives Quality Payment Program Updates Advancing Care Information (ACI) Category
More informationThe MIPS Survival Guide
The MIPS Survival Guide The Definitive Guide for Surviving the Merit-Based Incentive Payment System TABLE OF CONTENTS 1 An Introduction to the Merit-Based Incentive Payment System (MIPS) 2 Survival Tip
More informationQuality Payment Program MIPS. Advanced APMs. Quality Payment Program
Proposed Rule: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models The Department
More informationMACRA Frequently Asked Questions
Following the release of the Quality Payment Program Interim Final Rule, the American Medical Association (AMA) conducted numerous informational and training sessions for physicians and medical societies.
More informationThe Quality Payment Program Overview Fact Sheet
Quality Payment Program The Quality Payment Program Overview Background On October 14, 2016, the Department of Health and Human Services (HHS) issued its final rule with comment period implementing the
More informationQuality Payment Program
Quality Payment Program MIPS: Quality Category for 2017 Wednesday, April 19, 2017 Lisa Sagwitz, Rabecca Dase, Joe Pinto and Lisa Sherman with Quality Insights Learning Objectives/Agenda Quick review of
More informationMACRA The shift to Value Based Care and Payment. Michael Munger, M.D., FAAFP
MACRA The shift to Value Based Care and Payment Michael Munger, M.D., FAAFP Current State Silos of Care Over Utilization Volume over Value Push Towards Value and Quality 85% Medicare Payments tied to quality
More informationUnderstanding Medicare s New Quality Payment Program
Understanding Medicare s New Quality Payment Program Your introduction to MACRA and getting started with MIPS 1 Understanding Medicare s New Quality Payment Program 2016 Mingle Analytics. All Rights Reserved.
More informationMACRA and MIPS. How Medicare Meaningful Use and PQRS are Changing
MACRA and MIPS How Medicare Meaningful Use and PQRS are Changing Link to recorded session: https://attendee.gotowebinar.com/recording/1305549490878052097 Presenting Today: Molly Goodhart Joined Quatris
More informationDenise Hudson, NR-CMA Health Informatics Specialist Health Services Advisory Group (HSAG) April 13, 2018
Learning Forum Fridays Countdown to MIPS* Data Submission Webinar Series Spring Into Action Using Your First Quarter Data Denise Hudson, NR-CMA Health Informatics Specialist Health Services Advisory Group
More informationMIPS (Merit-based Incentive Payment System) Clinical Practice Improvement Activities
MIPS (Merit-based Incentive Payment System) Clinical Practice Improvement Activities Today we will cover: 2 General review of the Quality Payment Programs as per the final rule. Who is Eligible/Exceptions
More informationMACRA Quality Payment Program
The American College of Surgeons Resources for the New Medicare Physician System Table of Contents Simple Steps to Determine If MIPS Applies to Your Practice Situation... 3 5 Understanding the... 6 7 Big
More information2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options
The Physicians Advocacy Institute s Medicare Quality Payment Program (QPP) Physician Education Initiative 2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options Ad 1 P a g e
More informationMACRA Fall into Place. By Stephanie Cecchini, CPC, CEMC, CHISP, AAPC Fellow, AAPC MACRA Prof
MACRA Fall into Place By Stephanie Cecchini, CPC, CEMC, CHISP, AAPC Fellow, AAPC MACRA Prof About the Presenter https://www.linkedin.com/in/stephaniececchini 2 Introduction Love it Hate it Don t know a
More informationSVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation
SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation 2017-2018 SVS QPMC Quality and Performance Measures Committee Policy and Advocacy Council (Chair Sean Roddy) Chair: Brad Johnson,
More informationQUALITY PAYMENT PROGRAM
NOTICE OF PROPOSED RULE MAKING Medicare Access and CHIP Reauthorization Act of 2015 QUALITY PAYMENT PROGRAM Executive Summary On April 27, 2016, the Department of Health and Human Services issued a Notice
More informationKate Goodrich, MD MHS. Director, Center for Clinical Standards & Quality. Center for Medicare and Medicaid Services (CMS) May 6, 2016
Kate Goodrich, MD MHS Director, Center for Clinical Standards & Quality Center for Medicare and Medicaid Services (CMS) May 6, 2016 THE MEDICARE ACCESS & CHIP REAUTHORIZATION ACT OF 2015 Quality Payment
More informationMACRA & Implications for Telemedicine. June 20, 2016
MACRA & Implications for Telemedicine June 20, 2016 Presentation Overview Introductions Deep Dive Into MACRA Implications for Telemedicine Questions Growth in Value-Based Care Over Next Two Years Growth
More informationMIPS Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017
CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017 2 Review Determine
More informationMACRA, MIPS, QPP, and APMs.
MACRA, MIPS, QPP, and APMs. The acronym soup of moving from volume to value. Dale W. Bratzler, DO, MPH, MACOI, FIDSA Edith Kinney Gaylord Presidential Professor Professor, Colleges of Medicine and Public
More informationStage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program
Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program September 19 & 20, 2017 Today s presenters: Brendan Gallagher Thomas Bennett Agenda Stage 3 Meaningful Use (MU)
More informationMACRA FLEXIBILITY & THE MACRA FINAL RULE. Compliance & Opportunity for Your Practice
MACRA FLEXIBILITY & THE MACRA FINAL RULE Compliance & Opportunity for Your Practice CONTENTS Overview... 5 What s new... 5 Advancing Care Information... 8 Major changes... 9 Proposed rule vs. final rule
More informationMACRA WHAT DOES IT MEAN FOR YOUR PRACTICE?
MACRA WHAT DOES IT MEAN FOR YOUR PRACTICE? A Presentation for ASMA and MIEC Members & Guests Copyrighted 2017, The Sage Associates, Pismo Beach, California All rights reserved. All material contained in
More informationAgenda. Surviving the New Program Requirements and the Financial Penalties Under MIPS 9/9/2016. Steps to take to prepare for MIPS
Surviving the New Program Requirements and the Financial Penalties Under MIPS September 2016 Selena Hood Agenda Steps to take to prepare for MIPS Introduction and Evaluation of the Merit-Based Incentive
More information2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs. September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto
2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto Agenda Meaningful Use (MU) in 2016 MACRA and MIPS (high level
More informationMIPS Improvement Activities:
MIPS Improvement Activities: Quality Insights Tips, Tools & Support March 14, 2017 Maureen Kelsey, MA, Quality Insights, Practice Integration Task Lead MIPS in 2017 A MIPS score is calculated by adding
More informationMarch Data Jam: Using Data to Prepare for the MACRA Quality Payment Program
March Data Jam: Using Data to Prepare for the MACRA Quality Payment Program Elizabeth Arend, MPH Quality Improvement Advisor National Council for Behavioral Health CMS Change Package: Primary and Secondary
More informationMACRA and the Quality Payment Program. Frequently Asked Questions Edition
MACRA and the Quality Payment Program Frequently Asked Questions 2018 Edition What is MACRA?...3 What is the Quality Payment Program?...3 How do payments work under the QPP?...3 What is at risk under
More informationWELCOME. Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association
WHAT IS MACRA? WELCOME Kate Gainer, PharmD Executive Vice President and CEO Iowa Pharmacy Association WELCOME Anthony Pudlo, PharmD, MBA, BCACP Vice President of Professional Affairs Iowa Pharmacy Association
More information22 Days til MIPS Data Submission! Get Ready!
Countdown to MIPS* Data Submission Webinar Series 22 Days til MIPS Data Submission! Get Ready! Christine Lalios Kuykendall, BS, RHIA, CPHQ, IM Health Informatics Specialist Health Services Advisory Group
More informationAdvancing Care Information- The New Meaningful Use September 2017
Advancing Care Information- The New Meaningful Use September 2017 ACO Announcements Reminders: ACO Notifications PECOS-Maintain active enrollment 2017 Patient Prospective Lists Upcoming provider/office
More informationMerit-Based Incentive Payment System: 2018 Performance Year
Knowledge Brief Merit-Based Incentive Payment System: Performance Year The Merit-based Incentive Payment System (MIPS) impacts the 2020 Medicare Part B payment for billed visits in calendar year. MIPS
More informationPhysician Quality Reporting System & VBPM, 2015
Physician Quality Reporting System & VBPM, 2015 Andrew Bienstock Transformation Support Services Manager 1 Agenda 1. PQRS Penalty 2. PQRS Eligibility 3. PQRS Reporting Options 4. Value Based Payment Modifier
More informationMIPS Program: 2018 Advancing Care Information Category
MIPS Program: 2018 Advancing Care Category The 2018 Quality Payment Program (QPP) Year Two final rule continues to implement the programs authorized under the Medicare and CHIP Reauthorization Act of 2015
More informationQuality Payment Program Year 2: 2018 MIPS Participation. An Introductory Guide for CRNAs in 2018
Quality Payment Program Year 2: 2018 MIPS Participation An Introductory Guide for CRNAs in 2018 Quality Payment Program (QPP) The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established
More informationTable 1: MIPS Exemptions. Exemption Individual Determination Group Determination Treatment under MIPS Already Finalized EXEMPTIONS Low-Volume
Exemptions and Special Status Determinations under the Merit-Based Incentive Payment System (MIPS): A Resource Guide for Existing and Proposed Policies The following tables provide information on exemptions
More informationMIPS Advancing Care Information: Tips, Tools and Support Q&A from Live Webinar March 29, 2017
MIPS Advancing Care Information: Tips, Tools and Support Q&A from Live Webinar March 29, 2017 Below are questions that were submitted during the Quality Insights Advancing Care Information webinar on March
More informationTips in Selecting Quality Measures
Learning Forum Fridays Countdown to Merit-based Incentive Payment System (MIPS) Data Submission Webinar Series Tips in Selecting Quality Measures Ohio Physician Office Team Health Services Advisory Group
More informationVirtual Group Participation Overview Fact Sheet
Virtual Group Participation Overview Fact Sheet Starting on January 1, 2017, eligible clinicians began participation in the Quality Payment Program in one of two ways: Merit-based Incentive Payment System
More informationLegislative Update Wipfli CAH/RHC Conference
Legislative Update Wipfli CAH/RHC Conference Nathan Baugh Director, Government Relations (202) 543-0348 Baughn@capitolassociates.org www.narhc.org Overview NARHC Washington Update MACRA Overview and Update
More informationMIPS eligibility lookup tool (available in Spring 2018): https://qpp.cms.gov/participation-lookup
2018 MIPS Roadmap Under the Quality Payment Program launched in 2017, the Centers for Medicare and Medicaid Services (CMS) evaluates all eligible clinicians based on one of two tracks. The Academy expects
More informationAdvancing Care Information Performance Category Fact Sheet
Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced three quality programs (the Medicare Electronic Health Record (EHR) Incentive program, the Physician Quality Reporting
More informationMoving MACRA-MIPS Forward: Role by Role
Moving MACRA-MIPS Forward: Role by Role Todd Searls, President & Founder 10/24/2017 Wanda Kelley, VP Clinical Informatics Rhonda Luetkenhaus, Manager Quality Programs 888.848.9876 info@phc.guru www.praesidioconsulting.com
More informationWHITE PAPER. Taking Meaningful Use to the Next Level: What You Need to Know about the MACRA Advancing Care Information Component
Taking Meaningful Use to the Next Level: What You Need to Know Table of Contents Introduction 1 1. ACI Versus Meaningful Use 2 EHR Certification 2 Reporting Periods 2 Reporting Methods 3 Group Reporting
More informationImprovement Activities: What You Have To Do
Learning Forum Fridays Countdown to MIPS Data Submission Webinar Series Improvement Activities: What You Have To Do Merit-based Incentive Payment System = MIPS Liem Tran Health Informatics Specialist Health
More informationCritical Access Hospitals
Critical Access Hospitals Billing Practices, the Quality Payment Program, and Quality Measurement and Policy Resources for Critical Access Hospitals August 21, 2017 1 Welcome Purpose: The purpose of this
More informationImprovement Activities Performance Category
Improvement Activities Performance Category Call for Activities Submission Form Activities recommended for inclusion should be sent using the Improvement Activities template (below) to CMSCallforActivitiesIA@ketchum.com.
More informationWelcome to MACRA/MIPS 2017 New Medicare Quality Program
2017 MIPS Quality Program Welcome to MACRA/MIPS 2017 New Medicare Quality Program Becky Walter, MCS-P KMC University Medicare Quality Payment Program Pay-For-Performance New Incentivized Quality Program
More informationThe Merit-Based Incentive Payment System (MIPS) Survival Guide. August 11, 2016
The Merit-Based Incentive Payment System (MIPS) Survival Guide August 11, 2016 Speakers Nina Marshall, MSW, Senior Director, Policy and Practice Improvement, National Council for Behavioral Health Elizabeth
More informationCMS Priorities, MACRA and The Quality Payment Program
CMS Priorities, MACRA and The Quality Payment Program Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, Region IX Centers for Medicare and Medicaid Services Presentation on behalf of HSAG November 16, 2016
More informationMIPS Program: 2017 Advancing Care Information Category (formerly known as Meaningful Use) Proposed Rule Guide
MIPS Program: 2017 Advancing Care Information Category (formerly known as Meaningful Use) Proposed Rule Guide On April 27, 2016, CMS released a proposed rule on the Quality Payment Program, which includes
More informationSteps toward Sustainability with the second year of the Quality Payment Program
Steps toward Sustainability with the second year of the Quality Payment Program Deanna Graham, QI Consultant, Qualis Health March 27, 2018 Speaker Deanna Graham QI Principal Qualis Health 2 Qualis Health
More information2017 Physician Fee Schedule Impact on Medicare ACOs REGULATORY UPDATES
2017 Physician Fee Schedule Impact on Medicare ACOs REGULATORY UPDATES 2017 Physician Fee Schedule Impact on Medicare ACOs 1. Allowing ACO Participants to report PQRS separately from ACO 2. ACO Quality
More informationThe Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization. Quality Forum August 19, 2015
The Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization Quality Forum August 19, 2015 Ross Manson rmanson@eidebailly.com 701.239.8634 Barb Pritchard bpritchard@eidebailly.com
More information2/24/2017. MIPS, APMS, QRUR, and CMS Data: How Do Your Physicians Compare? Auditing Quality: The Quality Payment Program
MIPS, APMS, QRUR, and CMS Data: How Do Your Physicians Compare? Auditing Quality: The Quality Payment Program Quality Payment Program 2017 - and beyond Audit Points: QPP Implementation Big Data and Doctors
More informationMedicare Physician Payment Reform
Medicare Physician Payment Reform What practices need to know about MIPS and APMs in 2018 MGMA Government Affairs 2018 MGMA. All rights reserved. - 1 - MIPS Timeline for 2017 Performance Period Mar. 31,
More informationMIPS Improvement Activities: Quality Insights Tips, Tools and Support Transcript from Live Webinar
MIPS Improvement Activities: Quality Insights Tips, Tools and Support Transcript from Live Webinar Wednesday, March 14, 2017 Good afternoon and welcome everyone. Thank you for joining us. My name is Maureen
More informationMACRA, MIPS, and APMs What to Expect from all these Acronyms?!
MACRA, MIPS, and APMs What to Expect from all these Acronyms?! ACP Pennsylvania Council Meeting Saturday, December 5, 2015 Shari M. Erickson, MPH Vice President, Governmental Affairs & Medical Practice
More informationAdvancing Care Information Measures
Participants: Advancing Care Information Measures In 2017, Advancing Care Information (ACI) measure reporting is optional for Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, CRNAs,
More informationQuality Payment Program and Alternative Payment Models. Brian R. Bourbeau, MBA COA Administrators Network April 11, 2018
Quality Payment Program and Alternative Payment Models Brian R. Bourbeau, MBA COA Administrators Network April 11, 2018 Speaker Background Associate Director, Business Metrics & Analysis Clinical Affairs
More informationThank You to Our Sponsor!
AMCP Webinar Emerging Physician Payment Models: What Does it Mean for AMCP Members and Medication Management? April 19, 2017 Thank You to Our Sponsor! 1 Disclaimer Organizations may not re use material
More informationQuality Payment Program Final Rule Year 2: What s Coming in the New Year!
Quality Payment Program Final Rule Year 2: What s Coming in the New Year! Michelle Brunsen and Sandy Swallow December 6, 2017 1 This material was prepared by Telligen, the Medicare Quality Innovation Network
More informationMIPS Tips. Question and Answer Series Jan. 24, Presented by HealthInsight and Mountain Pacific Quality Health
MIPS Tips Question and Answer Series Jan. 24, 2018 Presented by HealthInsight and Mountain Pacific Quality Health HealthInsight Our business is redesigning health care systems for the better HealthInsight
More informationRecent Legislative Changes: MU, PQRS, and MIPS
Recent Legislative Changes: MU, PQRS, and MIPS Catherine Chuter Sr. Associate, athenahealth This event is live as of XYZ 2 Projected number of Medicare beneficiaries Source: CMS, 2013 Annual Report of
More informationMIPS Collaborative: Clinical Practice Improvement Activities April 19, 2017 Francis R Colangelo, MD
MIPS Collaborative: Clinical Practice Improvement Activities April 19, 2017 Francis R Colangelo, MD Outline of Presentation Introduction Overview of MACRA/MIPS Clinical Practice Improvement Activities
More informationAre physicians ready for macra/qpp?
Are physicians ready for macra/qpp? Results from a KPMG-AMA Survey kpmg.com ama-assn.org Contents Summary Executive Summary 2 Background and Survey Objectives 5 What is MACRA? 5 AMA and KPMG collaboration
More informationTake Action Now to Avoid Medicare Penalties
Take Action Now to Avoid Medicare Penalties The Centers for Medicare and Medicaid Services (CMS) says over 33,600 psychiatrists provide services reimbursed under Medicare Part B. The Merit-based Incentive
More informationThe Quality Payment Program: Your Questions Answered
APRIL 20, 2017 The Quality Payment Program: Your Questions Answered Quality Payment Program Panel BETH HOUCK, MBA Vice President, Client Services SA Ignite MATTHEW BARRON, MBA Director, Advisory Services
More informationMIPS Tips: Q & Answer Series Feb. 28, Presented by HealthInsight and Mountain Pacific Quality Health
MIPS Tips: Q & Answer Series Feb. 28, 2018 Presented by HealthInsight and Mountain Pacific Quality Health QualityPaymentHelp@mpqhf.org qpp@healthinsight.org Slide Deck Available Today s slide deck and
More informationThe Quality Payment Program: Overview & Roles and Responsibilities
The Quality Payment Program: Overview & Roles and Responsibilities National Tribal Health Conference Susy Postal DNP, RN-BC Chief Health Informatics Officer September 27, 2017 INDIAN HEALTH SERVICE / OFFICE
More informationQPP in the Real Word: How Your Peers Are Achieving Success. Monday, September 25, :00 4:30 PM ET
QPP in the Real Word: How Your Peers Are Achieving Success Monday, September 25, 2017 3:00 4:30 PM ET Meet Your Speakers Leila Volinsky MHA, MSN, RN Senior Program Administrator-Quality Payment Program
More informationThe MACRA Quality Payment Program: It s not too late to participate in 2017!
The MACRA Quality Payment Program: It s not too late to participate in 2017! QOPI s QCDR ASCO COME HOME Elaine L. Towle, CMPE Division Director, Analysis & Consulting Services Clinical Affairs elaine.towle@asco.org
More informationVALUE PAYMENT: A NEW REIMBURSEMENT SYSTEM USING QUALITY AS CURRENCY
VALUE PAYMENT: A NEW REIMBURSEMENT SYSTEM USING QUALITY AS CURRENCY Danielle Hansen, DO, MS (Med Ed), MHSA Healthcare Quality/ Value Challenge 1 Value-Based Programs Supports the IHI Triple Aim: 1. Better
More informationQuality and Improvement Activities Aaron Hubbard
Quality and Improvement Activities Aaron Hubbard QPP Webinar Series May 16, 2017 HealthInsight Our business is redesigning health care systems for the better HealthInsight is a private, non-profit, community
More informationMACRA Open Call December 5 th, 2016
MACRA Open Call December 5 th, 2016 Leila Volinsky, MHA, MSN, RN Quality Reporting Program Administrator This material was prepared by the New England QIN-QIO, the Medicare Quality Innovation Network-Quality
More informationACCOUNTABLE CARE ORGANIZATION & ALTERNATIVE PAYMENT MODEL SUMMIT
ACCOUNTABLE CARE ORGANIZATION & ALTERNATIVE PAYMENT MODEL SUMMIT The Centers for Medicare and Medicaid Services Kate Goodrich, MD MHS Director, Clinical Standards & Quality Chief Medical Officer 1 DISCLAIMERS
More informationCMS: NOW AND LATER. AUGUST 19, 2016 Ryan E. Spikes, RN BSN, CHTS-IM/PW, CHTS, PCMH
CMS: NOW AND LATER AUGUST 19, 2016 Ryan E. Spikes, RN BSN, CHTS-IM/PW, CHTS, PCMH KEY TOPICS 2016 Meaningful Use Requirements What is MACRA? Who is Eligible? What is MIPS? How will Clinicians be Scored?
More information11/14/2016. A few simple questions. MACRA Regulations. Congress & CMS Game Changer MIPPA CMS Quality Publications
A few simple questions Don t Lose Your Pants (or Your Sanity) Over MIPS An ODs Survival Kit for MACRA and Registries Jeff Michaels, OD, FAAO, Diplomate, American Board of Optometry Will Medicare funding
More informationWashington Update. Agenda
Washington Update Agenda Trending topics Quality Payment Program: Mid-Year Status Report Proposed 2018 Medicare regulations Healthcare Reform Update Q&A 1 Non Discrimination Standards Where did it come
More informationPromoting Interoperability Measures
Promoting Interoperability Measures Previously known as Advancing Care Information for 2017 and Meaningful Use from 2011-2016 Participants: In 2018, promoting interoperability measure reporting (PI) is
More informationFinal Meaningful Use Stage 3 Requirements Released August 2018
Final Meaningful Use Stage 3 Requirements Released August 2018 Earlier this month, Centers for Medicare and Medicaid Services (CMS) released the final Stage 3 requirements for the program formerly known
More informationQuality Measurement and Reporting Kickoff
Quality Measurement and Reporting Kickoff All Shared Savings Program ACOs April 11, 2017 Sandra Adams, RN; Rabia Khan, MPH Division of Shared Savings Program Medicare Shared Savings Program DISCLAIMER
More informationValue-Based Psychiatric Care
Value-Based Psychiatric Care North Carolina Psychiatric Association Annual Meeting September 15, 2017 Grace E. Terrell, MD Mission: To be your medical home Vision: To be the model for physician-led health
More informationFebruary 9, *Merit-based Incentive Payment System
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
More information