Practice Managers Forum February 9, 2018
Agenda MIPS Reminders 2018 Changes Medication Updates, RVU Updates New Medicare Insurance Card Patient Safety Issues Recent Issues PA-SIIS Interfaces Questions/Topics for Next Meeting
MIPS 2017 Reminders Performance Period for 2017 ended December 31 st, 2017. Review dashboards in ecw by going to Reports > Reports Console > MIPS. Gather documentation regarding workflows used to document Improvement Activities and Security Risk Assessments. MIPS Data submission is open until March 31 st. NOTE: Log in to the qpp.cms.gov website as soon as possible to avoid any issues getting logged in.
MIPS 2018 Changes 2017 was a Pick Your Pace year. Performance periods ranged from 1 day to 1 year. 2018 performance periods are now; Quality: 12-month calendar year performance period. Cost: 12-month calendar year performance period. Advancing Care Information: 90 days minimum performance period. Improvement Activities: 90 days minimum performance period.
MIPS 2018 Changes Low-Volume Threshold: Increases the threshold to exclude individual MIPS eligible providers or groups with $90,000 in Part B allowed charges or 200 Part B beneficiaries Small Practice Bonus: Adjusts the final score of any eligible clinician or group who s in a small practice (defined in the regulations as 15 or fewer providers) by adding 5 points to the final score
Performance Threshold / Payment Adjustment: MIPS 2018 Changes Performance threshold set at 15 points (instead of 3). How to achieve 15 points: Report all required Improvement Activities or Meet the Advancing Care Information base score and submit 1 Quality measure that meets data completeness or Meet the Advancing Care Information base score, by reporting the 5 base measures, and submit one medium-weighted Improvement Activity or Submit 6 Quality measures that meet data completeness criteria. Payment adjustment for the 2020 payment year ranges from - 5% to + (5% x scaling factor)
ecw Medication and RVU Updates Medispan and Multum- Updates to medication dictionaries as well as RVU updates 2/6/2018 Hanover Family Practice, Hanover Medical Group, Marcos Ugarte, and Raymond Ruberg 2/7/2018 Apple Ridge Family Medicine, Hanover Cardiology, and Community Health Initiative 2/8/2018 Advanced Otolaryngology and Allergy, Hanover Hospital Employee Health, and Mark Hirsh
New Medicare Insurance Card In April 2018 CMS will start mailing new Medicare cards to all existing Medicare patients The new card will have a Medicare Beneficiary Identifier (11 characters in length) instead of using the patient s SNN in an effort to help prevent identity theft The transition period for this change is from April 1, 2018 December 31,2019 Maryland and Pennsylvania patients should receive their new card by mail from April 2018-June 2018
New Medicare Insurance Card How Can you help your Medicare patients? Print/Provide education resources from https://www.cms.gov/newcard Speak to patients about making sure their address is up to date with the Social Security Administration (1-800-772-1213) Ask your Medicare patients if they have received their new card during check-in at the office (beginning in April)
Patient Safety Alerts Deleted Lab Orders and Associated Inbound Results Can occur when you: 1. Access a patient s Progress Notes and order a lab 2. Transmit the lab electronically to a lab company 3. Delete the lab In the scenario above, if the lab company results this order, the result may be associated with the deleted order. These results can be viewed in the patient s chart by selecting Deleted Labs Action Taken by eclinicalworks: This issue has been resolved in versions SP2.5.12 and higher
Patient Safety Alerts ehx Display of the Problem List Specific Clinical Statuses appear within the EMR, but these same specific statuses do not appear within the ehx. Ex: poorly-controlled, stable, well-controlled Action Taken by eclinicalworks: ecw is working diligently to resolve this issue
Patient Safety Alerts Special Characters in Telephone Encounters Can occur when you: 1. Access a patient s Hub and create a Telephone Encounter 2. Document in all necessary fields 3. Add a special character in any of the fields except the Message field In the scenario above, the data may not display and/or the Answered By field may be blank due to the special character. Or as shown below, the user could receive an invalid text box. ecw Recommended User Action: Until the resolution is in effect, do not use special characters while documenting in Telephone Encounters. If a user receives an invalid text box, place a space within the empty box at the bottom and select Replace All for the box to be removed.
Patient Safety Alerts Dosage Calculator in the Treatment Window The Dosage Calculator in the Add New Rx tab in the Treatment window will calculate the dosage if very specific entries are made in the Frequency section of the calculator. If any frequency other than one of the six listed below is entered, the dosage doesn t calculate. Do not use the Dosage Calculator unless you use one of the entries listed below. once a day twice a day bid tid qd qid For example, entering qid in the Frequency field will result in a correct dosage calculation. Entering four times a day will not produce any results. Please use with caution.
Recent Issues Viewing the Medication Summary from the Manage Orders Window We have had several users that have been unable to view the Medication Summary from the Manage Orders window. The screen will appear gray without any information.
Recent Issues Viewing the Medication Summary from the Manage Orders Window Steps to resolve this issue: 1. Right click on the desktop screen and select the Personalize option 2. Select Display when the next window appears 3. Choose the option for Smaller-100% (default)
Recent Issues A practice was not able to view any immunizations from one patient s right chart panel When attempting to view from Imm/T.Inj tab they were receiving an error One of the immunizations was documented as being Given at 12:00. After this time was updated to 11:59 the error was resolved and immunizations appeared in the right chart panel.
Recent Issues Provider Name on Out-going Faxes Always confirm the Provider name is correct on out-going faxes sent from Patient Documents. The most recent Rendering Provider from the Patient Demographics window defaults into the From Provider box in the Fax Document Preview window. ecw confirms this is by design and can t be changed to have the field blank. The incorrect provider name can be cleared and the proper name typed into the window.
Recent Issues Merging Histories from Templates Merging the Histories sections of a progress note from the Templates window could cause incorrect information to be pulled into the note. ecw recommends that users do not utilize Histories from templates. Default Options can be set, by appointment provider, for these sections to be unchecked so they do not merge from the template. 1. To set the Default Options, click the green arrow next to Templates in the progress note and select Set Default Options. 3. The recommended workflow is to merge histories from the Right Chart Panel or by accessing the histories sections from the progress note. 2. Uncheck the Histories sections. This sets the defaults for the provider the visit is scheduled with.
PA-SIIS Immunization Registry Testing is in progress for Hanover Medical Group State confirmed other practices in the queue for interface, couldn t commit to dates for installation Reminders Patient Demographic fields to be transmitted in Immunizations should be made mandatory fields Fields within the Vaccine Administered window should be made mandatory All vaccines require CVX codes Vaccine Lot Numbers must be entered for each immunization Lot Numbers must MVX codes, Lot type, Expiry Date and VIS date
Other Questions or Concerns?