The Chicago HIT Regional Extension Center Bringing Chicago together through health IT < INSERT PICTURE > Illinois Medicaid EHR Incentive Program for EPs A Guide to Attesting for the 2016 Program Year in the emipp System
Agenda Logging into IMPACT; accessing emipp Searching for attestation by CMS ID Entering eligibility data (AIU and MU attestations) Entering MU objectives and CQM data (MU attestations only) Uploading documents Submitting attestation Tracking attestation
IMPACT: Login Visit https://impact.illinois.gov Enter user ID and password, click Login
IMPACT: Login Click IMPACT
IMPACT: Domain/Profile Select the individual provider for whom you are attesting from the first drop-down box
IMPACT: Domain/Profile Select Domain Administrator (or EHR Domain Administrator) profile from the second drop-down; click Go
IMPACT: Accessing emipp Click External Links
IMPACT: Accessing emipp Click EHR MIPP
emipp: Welcome Screen MIPP Registration Start registration for 2016 program year (AIU, MU) Click Start to access an open attestation Track is only for reviewing previously submitted attestations
emipp: Search by CMS ID CMS ID is displayed upon initial CMS registration Can be found under Status tab at https://ehrincentives.cms.gov Must be the ID associated with IMPACT domain Enter CMS ID and click Search
emipp: Federal Information Shows payment/program years for EP Click the icon for the program year 2016 row 000000000 000000000 000000000 000000000 000000000 Active tab Additional tabs (click to open)
Federal Information: Review Review Personal Information, Address, Identifiers, Exclusions and Prior Payments (not shown) If inaccurate, click the word here in red to access the federal CMS registration site and update When finished reviewing, click the Close button in the lower left to advance
emipp: Eligibility Tab Shows payment/program years for EP Click the icon for the program year 2016 row 000000000 000000000 000000000 000000000 000000000 Active tab Additional tabs (click to open)
Eligibility: Main Screen Identifying Information EHR Certification Information 00000000 00000000 Reporting Period email@email.com Eligible Patient Volume
Eligibility: EHR Certification Information EHR Status: EPs in program year one will see Adopt, Implement, Upgrade or MU ; EPs in later years will only have option for MU EHR Certification Number: must be accurate per the ONC Certified HIT Product List (https://chpl.healthit.gov) Email: pre-populated from initial CMS registration email@email.com
Volume: Reporting Tips Encounter = one patient, one provider, one day (regardless of number of procedures/items billed) Medicaid Encounter = encounter with a patient enrolled in an Illinois Medicaid program on day of service Include encounters where Medicaid is primary, secondary or tertiary insurance (i.e. encounters with dual-eligible patients where Medicare paid the bill) Include encounters with managed care patients (i.e. Harmony, Aetna, IlliniCare) Medicaid (plus needy individual for FQHC/RHC) encounters must be greater than 30% of total encounters Pediatricians can receive 2/3 of the total incentive payment for a program year if Medicaid encounter volume is >20% but <30% Medicaid patient volume thresholds may be met at the individual level (by provider NPI) or at the group practice level (by organizational NPI/TIN)
Volume: Reporting Tips If EP is reporting individual volume, include encounters from ALL sites of practice (inpatient, nursing home, physical therapy, etc.) If EP is reporting group volume: Limit to encounters associated with the practice Group volume must be appropriate methodology for individual EP All EPs in group must use group volume Group volume is aggregate total of each group member encounters HFS validates the number of Medicaid encounters reported Within an acceptable range compared to claims per adjudicator Re-submit if rejected Maintain all evidence supporting your volume calculation, such as: Output from billing software Table 4 from UDS reports for FQHC/RHC Spreadsheet for calculating organization volume
Volume: Pre-Approval Pre-approval information will be sent to hfs.ehrincentive@illinois.gov Visit http://chitrec.org/blog/2016/12/09/pre-approval-open-forvolume-data-required-for-meaningful-use/ for instructions Please be patient for a response from Mecky Lang of the EHR Incentive Program Adjudication Team before moving forward with attestation Attestations for providers who have not pre-approved are highly likely to be rejected
Eligibility: Reporting Period Past 90 day period from which EPs must report encounter volume: Prior Calendar Year (begins/ends during 2015) Prior 12 Months (begins/ends within the 12 month period preceding attestation submission date) Different from MU reporting period Enter start date, end date will calculate automatically
Volume: Include Organization Encounters Select No if EP is reporting individual encounter volume from eligibility reporting period (provider-level data, ALL sites of practice) Select Yes if EP is reporting group volume; select organization from drop-down list* Select - V * Organization must be enrolled as group in IMPACT and set as associated billing provider for individual enrollment. Visit https://www.illinois.gov/hfs/impact/documents/impactgroup.pdf for instructions on enrolling a group and review step 3 at https://www.illinois.gov/hfs/impact/documents/impacttypicalrenderingservicing.pdf for associating group with individual provider enrollment.
Volume: Include Organization Encounters For the 1 st EP selecting Yes to organization encounters, emipp will notify that eligibility data will be read-only (cannot be changed) for future attestations selecting the same organization NPI For all other EPs selecting Yes to organization encounters with the same organization NPI, emipp will notify that group eligibility data will be copied from 1 st EP (Notification for 1 st group member) (Notification for all other group members)
Volume: Pediatrician/PA/Hospital- Based EP Select Yes only if EP practices as a pediatrician, defined as board certified in pediatrics or 90%+ patient base under age 21 Select Yes only if EP practices as a physician assistant (check all that apply) To simplify the process, select No to Hospital Based Provider
Volume: Render Care in FQHC/RHC Select No if EP did not render any care in an FQHC/RHC Enter Total and Medicaid Encounters from eligibility reporting period Total Encounters = all encounters, all payers Medicaid Encounters = encounters with Medicaid program patients
Volume: Render Care in FQHC/RHC Select Yes if EP rendered any care in an FQHC/RHC Total Encounters = all encounters occurring at FQHC/RHC Medicaid Encounters = number of total encounters with Illinois Medicaid patients Charity Care Encounters = number of total encounters provided free of charge Sliding Fee Scale Encounters = number of total encounters that were billed based on patient income If EP is reporting individual encounters, enter non-fqhc/rhc patient volume in the All Other Settings Encounters section
Volume: Nurse Practitioner If EP is a Nurse Practitioner, a Billing NPIs section will display: Enter NPI numbers of all providers under whom the EP bills If the EP does not bill under other provider NPI(s), just enter the NPI of the EP in the Billing NPI 1 box
Volume: No-Cost Encounters To simplify the process, select No to Did you include no-cost encounters (billed at $0); these should have been included in your Medicaid encounters above Select Yes if you included encounters from outside Illinois in order to reach the 30% threshold Enter state(s) in which encounters included above occurred Will initiate audit verification check and delay payment
Eligibility: Main Screen After completing Eligibility Information, click the button in the lower left corner to advance
emipp: Meaningful Use Tab First year participants reporting AIU will not see/use this tab Shows payment/program years for EP Click the icon for the program year 2016 row Active tab Additional tabs (click to open)
Meaningful Use: MU Overview 5 navigation tabs at top Meaningful Use Reporting Period (at least 90 days) CQM Reporting Period (at least 90 days) Location Information
MU Overview: Meaningful Use Reporting Period The MU reporting period can be any 90-366 days from 2016 (leap year) during which the EP achieved compliance with MU Not the same as eligibility reporting period Enter start and end date
MU Overview: CQM Reporting Period The CQM reporting period can be any 90-366 days from 2016 (leap year) Does not have to be same as MU period Enter start and end date
MU Overview: Location Information Enter the total number of locations where EP works* Enter number of locations where EP has a certified EHR* Enter the percentage of patients seen at locations where EP has a certified EHR (must be at least 50% to be eligible) Enter the percentage of encounters occurring at locations where EP has a certified EHR (must be at least 50% to be eligible) * Report details on all locations that applied at the start of the 90 day MU reporting period
MU Overview: Submission and Upload PDF Select Online to enter Meaningful Use data through the emipp application (screen shots to follow) Select PDF to download a PDF reporting template which can be filled out and uploaded to populate MU tabs Select QRDA III to download a PDF reporting template which can be filled out and uploaded to populate CQM tabs
Meaningful Use: MU Overview For those selecting Online submission, click the MU- Objectives tab at top to continue* For those selecting PDF and QRDA III submission, verify that all 3 items in the Meaningful Use Completion checklist are checked then click in the lower left to continue * You may click the Save button at any time to save your progress
Meaningful Use: MU Objectives Must report compliance on ALL 9 objectives to advance Report numerator/denominator or respond yes/no Some objectives ask for exclusions, alternate exclusions, or alternate compliance Click the title bar of an objective to open/close the reporting panel
Meaningful Use: MU Objective (Yes/No) 1. Complete measure measure compliance fields 2. Click the title bar for the next objective to advance
Meaningful Use: MU Objective (Num/Den) 1. Claim exclusion, if available 2. Claim alternate exclusion, if available* 3. Attest to compliance, if not excluded 4. Click the title bar for the next measure to advance * Stage 1 EPs can claim alternate exclusions for objectives that were not part of the most recent Stage 1 rules; Stage 1 and 2 EPs can claim alternate exclusions for objectives that were menu measures they did not intend to select under the most recent rules
Meaningful Use: MU Public Health Measures You do not need to click the button after completing MU objectives- just click the MU- Public Health Measures tab to the at top to advance Click the title bar of a measure to open/close the reporting panel
Meaningful Use: MU Public Health Measures 1. Claim exclusion, if available 2. Claim alternate exclusion, if available* 3. Attest to compliance and enter registry details, if not excluded 1. Click the title bar for the next measure to advance
Meaningful Use: MU CQM You do not need to click the button after completing MU Public Health Measures, just click the MU- Clinical Quality Measures tab at top to advance Click the title bar of a domain to open/close the reporting panel
Meaningful Use: MU CQM Must report on minimum 9 Clinical Quality Measures to advance Must report on at least one CQM from 3 different domains Report numerator/denominator/exclusions/exceptions Click the title bar for a CQM within the domain to open/close the reporting panel for that CQM Click the title bar for another domain to open the reporting panel
Meaningful Use: MU CQM 1. Attest to compliance (numerator, denominator, exclusions/exceptions) 2. Click the title bar for another CQM you want to attest for in this domain
Meaningful Use: Save After completing 9 MU CQM, click the button to save your responses; or return to another tab by clicking at top
emipp: Upload Document Tab AIU attestations must include documentation supporting the adoption, implementation or upgrade to certified EHR technology (i.e. purchase order, contract, receipt) FQHC must upload UDS Table 4 (Patient Characteristics) Click the button to upload for the 2016 program year 000000000 Active tab Additional tabs (click to open)
Upload Document: Browse for File Click Browse to locate the file on your computer and select File type must be Word, Excel or PDF Enter a file description (i.e. EHR receipt), click Upload
emipp: Attestation Tab Read the attestation statement, click the check box in the lower left to accept the terms and conditions Click the Register button to complete attestation with a digital signature
Attestation: Confirm Click OK to submit your EHR Registration for State Review (this is equivalent to attestation ) or Cancel to go back
emipp: Registration Confirmation You will receive an EHR Incentive Program Registration Confirmation (this indicates you ve completed attestation ) Click the PDF icon to download an attestation summary report
emipp: Track View Status of MIPP Registration Click Track to view eligibility, MU and payment information from previous program years Note: If you are re-submitting patient volume, use the Start button. Track will NOT allow you to edit any information
Track Registration: Search by CMS ID CMS ID is displayed upon initial federal registration Can be found under Status tab at https://ehrincentives.cms.gov Must be an ID associated with a provider registered in MEDI Click Search to track your attestation status
Track Registration: Payment Information Tab Review program status and payment information for previous program years by clicking the Payment Information tab
Help Desk Information For any EHR Incentive related questions, please use the contact information below: Support Line: 855-684-3571 (855-MU-HELP-1) E-mail: muhelpdesk@chitrec.org
CHITREC The Chicago HIT Regional Extension Center Collaboration Trust Leadership Service Community Bringing Chicago together through health IT www.chitrec.org Sam Ross CHITREC Implementation Manager 3/1/2016