Using Updox to Succeed with MIPS

Using Updox to Succeed with MIPS

Who is Updox? A Communications Platform built by physicians, for physicians 56,000+ providers and more than 300,000 users--and growing 100+ EMR integrations 72 million patients in database 8.5 million patient portal accounts Over 1 million Direct email addresses in our global directory Updox is your single source for patient and provider communication.

Updox Solutions Suite The Single Source for Patient and Provider Communication Practice Optimization Patient Engagement Document Management Integrated digital document workflow Digital Faxing Go paperless, improve efficiency Messaging & Reminders Reduce no-shows, increase revenue

Clinical Communication Simplified. Patient Engagement+ Practice Optimization

MACRA MACRA stands for Medicare Access & CHIP Reauthorization Act of 2015. This law changed the way healthcare services will be paid. Included in MACRA is the Quality Payment Program, which outlines that physicians will be paid in one of two ways: MIPS (Merit-based Incentive Payment System) APM (Alternative Payment Models)

What is MIPS? Merit-Based Incentive Payment System Combines parts of PQRS, MU, and the Value-based Payment Modifier into one system in which measures: Quality Resource Use (Cost) Improvement Activities Advancing Care Information Each category will be worth a certain amount of points that determine who will get an incentive payment or a penalty. Physician Quality Reporting (PQRS) Meaningful Use Value Based Modifier MIPS

2017 Composite Scoring Adding the CategoriesTogether Composite Score Calculation Quality Improvement Activities Advancing Care Information Resource Use + + + 0-60% 0-15% 0-25% Resource Use will NOT count for 2017 7

Your Options for 2017 Reporting No Participation Test Partial Participation Full Participation WHAT TO DO No reporting for 2017 1 Quality Measure or 1 Improvement Activity or 4 Required ACI 2 Quality Measures or 2 Improvement Activities or 4 Required ACI Report on as many measures as you can, for as long as you can base measures base measures FOR HOW LONG You ll report for MIPS for ZERO days As long as you d like! ACI requires at least90 days* At least 90 days 90 days to a full year WHAT YOU GET 4% will be deducted from your Medicare payments Your Medicare payment won t be negatively adjusted You could increase your Medicare payment You ll have the highest chance of increasing your Medicare payment The more measures/activities you report on, and the longer you report, increases your chances of an increased Medicare payment.

Incentives & Penalties Incentives and Penalties start in 2019. While eligible professionals will report on all patients the penalties and incentives will only affect Medicare payments.

Advancing Care Information (Required for Base Score ) Advancing Care Information 25% Improvement Activities 15% Quality 60%

Advancing Care Information Updox allows you to meet the Requirement for Patient Electronic Access. If you publish every patient s updated CCD-A to the Updox portal, you will maximize your score. (performance score of up to 20%!) Utilizing secure messaging for communication with other providers earns a performance score of up to 10% Don t have time to hand out patient education while the patient is in the office? Deliver it securely after the visit via the patient portal. This earns you up to 10%

Prevention of Information Blocking Attestation: Making Sure EHR Information is Shared CMS Issued a recent rule (Oct. x) where you must also attest that you are not preventing the exchange of patient health information. Specifically you must state: A MIPS eligible clinician must attest that they did not knowingly and willfully take action (such as to disable functionality) to limit or restrict the compatibility or interoperability of CEHRT. A MIPS eligible clinician must attest that they implemented technologies, standards, policies, practices, and agreements reasonably calculated to ensure, to the greatest extent practicable and permitted by law, that the CEHRT was, at all relevant times A MIPS eligible clinician must attest that they responded in good faith and in a timely manner to requests to retrieve or exchange electronic health information, including from patients, health care providers and other persons, regardless of the requestor s affiliation or technology vendor. https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mipsand-apms/aci-information-blocking-fact-sheet.pdf

Improvement Activities Two levels: Medium Activities = 10 points High Activities= 20 points Flexible Approach - No required way of doing any activity You can attest to activities Small groups, individual clinicians (and others) can do fewer activities Advancing Care Information 25% Improvement Activities 15% Quality 60% 1 3

Care transition standard operational MEDIUM 10 POINTS improvement Establish standard operations to manage transitions of care that could include one or more of the following: Establish formalized lines of communication with local settings in which empaneled patients receive care to ensure documented flow of information and seamless transitions in care; and/or Partner with community or hospital-based transitional care services. Updox Can Help Things you could do in Updox to help meet these measures: You could track your referrals and assure that you receive a clinical summary and Plan of Care after the visit, either via fax, or mail, or Direct Messaging. You can contact the patient after you receive this information if needed, perhaps writing a secure message to the patient s portal to make a follow up appointment. Care Coordination Agreements MEDIUM 10 POINTS Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care. MEDIUM 10 POINTS 12

Maximize Patient Management Integration of Patient Coaching Between Visits Provide coaching between visits MEDIUM 10 POINTS Implementation of Condition-Specific Chronic Disease Self-Management Support Programs Provide condition-specific chronic disease selfmanagement support programs or coaching or link patients to those programs in the community MEDIUM 10 POINTS Chronic & Preventive Care Management Provide coaching between visits with follow-up on care plan and Proactively manage chronic and preventive goals care for empaneled patients that could include one or more of the following: Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and conditionspecific preventive care services; plan of care for chronic conditions; and advance care planning; Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; Use panel support tools (registry functionality) to identify services due; Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or Routine medication reconciliation MEDIUM 10 POINTS

Blast Messaging Setup Pre-configured Lists provided for practices to use such as: today s birthdays, next weeks appointments, last months appointments, all females, all males, all patients, all contacts, etc.

Blast Custom List

Blast Reporting

Provider Communication Automatically Manage Referral Relationships Boost Revenue AND Nurture Relationships Stay in front of existing referral sources with regular reminder/thank you emails Message potential new referral sources letting them know about a new location or service offering

Leverage Blast Messaging to Boost Revenue One copay on one patient pays for Blast for an entire month (3X over!)

Updox Solution Suite Features & Benefits SECURE MESSAGING Direct secure address - free Vetting Access to Direct Trust Directory - 1.1M providers Secure messaging between providers & staff Mobile accessible Web-based Inbox WORKFLOW ORGANIZATION EHR Integrated task and document workflow Receive fax, annotate, sign and send electronically Admin Tools EHR integration Audit Trails Auto compliance store docs for 7 yrs re: HIPAA No contracts, month to month subscription Free Onboarding & Training Free support PATIENT ENGAGEMENT Automated appointment reminder notifications Customizable patient notifications Send messages either Phone, Text or Email Send messages in foreign languages Build custom patient contact lists Communication dashboard and reports Updox Connect Updox Engage

How To Get Started! ü 15-day free trial ü No hardware ü No contract ü Free training ü Free support LIMITED TIME OFFER! 10% off for 12 months with promo code stuffing Contact Us: 614.798-8170 x1 sales@updox.com

MACRA & MIPS References CMS Website & Interactive Tools: https://qpp.cms.gov/ Approved list of Improvement Activities https://qpp.cms.gov/mips/improvement-activities Guidance document for Information Blocking Attestation https://www.cms.gov/medicare/quality-initiatives-patient- Assessment-Instruments/Value-Based-Programs/MACRA-MIPSand-APMs/ACI-Information-Blocking-fact-sheet.pdf