Considerations for Choosing MIPS Quality Measures. July 2017
|
|
- Prosper Hawkins
- 6 years ago
- Views:
Transcription
1 Considerations for Choosing MIPS Quality Measures July 2017
2 Overview of Contents First know yourself Finding measures Understanding scoring Special Considerations about registries Special Considerations ESRD patients Understanding the data that feeds measures numerators, denominators, and excluders OH MY! Data capture in the typical workflow Data quality and integrity Notes and considerations on reporting 2018 proposed CMS updates RPA Guide to QPP Participation 2
3 First Know Yourself Quality measurement is dependent on making sure you are choosing measures that: Reflect the most typical care you or your practice provide Have reasonable distributions of performance (decile range benchmarks) so you can achieve high scores, even when you don t have 100% performance Require data that your electronic health record system can easily and discretely record RPA Guide to QPP Participation 3
4 Identifying and Choosing Measures Library of Measures at qpp.cms.gov 271 measures currently approved Must know the requirements for complete data and choose the method of how you or your group want to submit data Important to remember that measures are benchmarked and earning a score is dependent on deciles of performance and the submission method. Decile of performance equals point score; e.g. 9 th decile = 9 points 4 All tables adapted from for performance/optimizing your mips score quality measure benchmarks and reporting mechanisms/
5 Scores for MACRA/QPP MIPS Quality Category Quality portion of MIPS composite score = 60 (out of 100) points for 2017 Earning the 60 points is based on how well you (or your group) performs on the 6 chosen quality measures, where each measure is worth a maximum of 10 points. Groups of >16 clinicians will also be held accountable for a 7 th measure the AHRQ all cause hospital readmission measure. No reporting is required data is aggregated and reported for you by CMS from claims data. There are bonus points achievable for choosing certain measures or using certified EHR technology (CEHRT). The 60 points of the MIPS composite score is the % of points out of 60 (or 70 for groups >16) earned. RPA Guide to QPP Participation 5
6 MIPS Quality Measure Score Card Example Measure Measure 1 Measure 2 Measure 3 Measure Type Outcome Measure using CEHRT # of Cases Performance Points Bonus Points For High Priority 0 (required) Bonus Points for CEHRT use Totals Process using CEHRT N/A Process using CEHRT N/A 1 11 Measure 4 Process N/A N/A 10 Measure 5 High Priority N/A 9.5 Measure 6 All Cause Hospital Readmissions Process below case minimum 10 3 N/A N/A 3 Claims N/A N/A 5 Group >16 clinicians, therefore 70 maximum possible points Did not meet the minimum # of reported cases for measure #6 Earned bonus points for reporting via EHR and choosing high priority measures (#1,2,3, and 5) 53.9/70 = 77% Quality Category Score 77% of 60 possible MCS = 46.2 MIPS Composite Score Points Total Points All Measures N/A From MACRA final rule TABLE 19: Quality Performance Category Example with High Priority and CEHRT Bonus Points 6
7 Notes on Scoring of Measures Score is based on the performance decile achieved according to published, benchmarked distribution. CMS publishes benchmarks for all measures on QPP.CMS.GOV Many measures are topped out, meaning there are very small performance differences separating the deciles. The same measure often has different benchmarks, depending on method of submission For EHR submission has the lowest percentage of topped out measures 7 All tables adapted from for performance/optimizing your mips score quality measure benchmarks and reporting mechanisms/
8 Notes on Registries Qualified Registries (QRs) are approved vendors that aggregate and report quality data on behalf of subscribing clinicians and practices. MIPSwizard is an example. QCDRs (Qualified Clinical Data Registry) are databases that allow the collection and submission of the data needed to report on quality measures. QCDRs differ from Qualified Registries (QRs) in that QCDRs will offer both standard quality measures as well as custom, CMS approved quality measures that are not available in standard MIPS library of measures published by CMS. These custom measures may be specific to a disease or specialty of medicine. RPA s Kidney Quality Improvement Registry (a QCDR) is an example. Both QRs and QCDRs typically charge subscription fees and may offer various visualization and other tools, beyond simple data aggregation and reporting RPA Guide to QPP Participation 8
9 Notes about ESRD patients There is a lot of confusion about the requirements for reporting across MIPS categories on ESRD patients. At a minimum (and depending on how a clinician or group reports data), CMS requires reporting on 50% of Part B patients who fall in the denominator of a chosen measure. When choosing measures, the types of encounters (based on CPT code) and/or disease state based on (ICD 10) will determine which patients count in the denominator. There are very few measures that include the dialysis CPT codes (909XX) or N18.6 in the denominator. However, if a chosen measure does include ESRD services or patients, how to capture other needed data for the measure on enough patients will have to be considered given that EHR system use and robust data capture are not as easy in the dialysis setting. RPA Guide to QPP Participation 9
10 Understanding the data that feeds measures numerators, denominators, excluders, OH MY! For each chosen measure, it is important to ensure that for each data element required the following is known: Where it is captured in the practice workflow? Who is responsible for capturing it? Which field specific data must be entered in the EHR? What the acceptable range of responses are for each specific data element needed? RPA Guide to QPP Participation 10
11 Example Smoking Cessation CMS #226 Preventative Care and Screening: Tobacco Use Measure: Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user Denominator Inclusion Numerator Inclusion Numerator Exclusion Age > 18 on or after time of visit reports no tobacco use NOT Screened for tobacco use and circumstances document (terminal illness, etc.) and or or A patient encounter resulting in a CPT list defined by CMS* Reports current tobacco use No Screening and/or no intervention for other documented reason *90791, 90792, 90832, 90834, 90837, 90845, 92002, 92004, 92012, 92014, 96150, 96151, 96152, 97003, 97004, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99406, 99407, G0438, G0439 and received counseling (3 min or less), pharmacotherapy, or both RPA Guide to QPP Participation or No Screening and/or no intervention without documentation(measure not met) 11
12 Measure #226 Data Workflow and CPTs to be reported Report CPT 4004F Report CPT 1036F Report CPT 4004F 1P Report CPT 4004F 8P 12 From PQRS Measure /s8gr 6b6i/data
13 Matching Data Requirements to Workflow: Measure #226 Example Required Data How and Where is this data typically captured? Who Captures the data? Age time of visit Typically calculated from DOB in EHR Front office staff Visit CPT code Date of visit Reports current tobacco use? If tobacco user, was counseling provided? If tobacco user, was pharmacotherapy prescribed? Chosen by time of encounter completion/bill generation Automatically calculated based on date of service Typically a checkbox or part of social history varies on EHR May be a CPT code, may be a separate checkbox varies by EHR May be a checkbox, may be based on specific Rx given during or after the visit completion varies by EHR Provider (possibly coder) Auto generated Provider/Medical Assistant/Nurse Provider Provider 13
14 Considerations on Data Capture What practice level incentives are in place to ensure staff and clinicians are capturing the right data, in the right place, and at the right time? What and how often are reports reviewing the quality and completeness of the data captured being run? Who reviews these reports? How is feedback offered to correct or praise people in the practice? What mechanisms, policies, and/or procedures are in place to amend the medical record if problems of missing or inaccurate data are discovered? For your EHR and other data tools, what is the time lag between when data is recorded/entered in the EHR to when scorecards or quality measure reports are updated for review? RPA Guide to QPP Participation 14
15 Considerations on Reporting Data to CMS Before allowing your registry vendor (QR, QCDR, or your EHR acting in the role of QR) to submit data, consider the following: Have you sent test versions of your data to CMS? (will be available in some software in late 2017) Have you confirmed what measures will be reported to CMS? Have you reviewed the data to be submitted for each clinician and checked it against internal reports? Will you have confirmation of transmission to CMS AND a copy of the exact data file(s) sent? Are you aware of when and how CMS will report their calculated MIPS score for your practice and/or clinicians? Are you aware of the deadlines and steps CMS offers to appeal/amend scoring on submitted quality (and other) data? RPA Guide to QPP Participation 15
16 Possible Changes for 2018: Updates From the proposed rule released in June 2017 (see library) The quality category of MIPS will remain worth 60/100 points of the MIPS composite score for CMS has now proposed a nephrology specific quality measure bundle (See appendix table B.21 in the proposed rule and the next slide) CMS has proposed a bonus of up to 10 points for clinicians or groups that show significant year to year improvement between 2018 and 2019 reporting years. CMS proposes to accept data from more than one submission method for a single category. This may ease some burden of reporting quality on ESRD patients when data is gathered in multiple EHRs (office and dialysis unit based). CMS has proposed 1 possible change to scoring measures with incomplete data may be scored at 1 point as opposed to 3 points (except for small and rural practices). CMS has proposed to sunset topped out measures over 4 year period starting in RPA Guide to QPP Participation 16
17 2018 Proposed Rule: Possible Nephrology Specific Quality Measure Bundle Table B.21 in the proposed rule RPA Guide to QPP Participation
18 For additional resources, including a list of MIPS measures relevant to nephrology, visit RPA Guide to QPP Participation 18
The Merit-based Incentive Payment System Quality Performance Category Eligible Measure Applicability (EMA) Fact Sheet
The Merit-based Incentive Payment System Quality Performance Category Eligible Measure Applicability (EMA) Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) combines many programs
More informationThe Merit-based Incentive Payment System Quality Performance Category Eligible Measure Applicability (EMA) Fact Sheet
The Merit-based Incentive Payment System Quality Performance Category Eligible Measure Applicability (EMA) Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) combines many programs
More informationNavigating the 2017 MIPS Roadmap FALCON PHYSICIAN
Navigating the 2017 MIPS Roadmap FALCON PHYSICIAN DISCLAIMER: This material is provided for informational purposes only and should not be regarded as legal or compliance advice. If legal advice or other
More informationScoring of Qualified Registry and QCDR Submissions to Quality Payment Program in Year 1 (2017)
Scoring of Qualified Registry and QCDR Submissions to Quality Payment Program in Year 1 (2017) CMS has received many questions regarding how submissions from 2017 Qualified Registries and QCDRs will be
More informationMerit-based Incentive Payment System (MIPS) 2017 Performance Feedback User Guide
Merit-based Incentive Payment System (MIPS) 2017 Performance Feedback User Guide Table of Contents I. Introduction 3 II. Who Can Access MIPS Performance Feedback on qpp.cms.gov? 4 III. Key differences
More informationMerit-based Incentive Payment System (MIPS) Performance Feedback Fact Sheet
Merit-based Incentive Payment System (MIPS) Performance Feedback Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate (SGR) formula, which would
More informationTHE MERIT-BASED INCENTIVE PAYMENT SYSTEM: ANNUAL CALL FOR PROMOTING INTEROPERABILITY PERFORMANCE CATEGORY MEASURES AND IMPROVEMENT ACTIVITIES
THE MERIT-BASED INCENTIVE PAYMENT SYSTEM: ANNUAL CALL FOR PROMOTING INTEROPERABILITY PERFORMANCE CATEGORY MEASURES AND IMPROVEMENT ACTIVITIES February 5, 2019 Disclaimer This presentation was current at
More informationQuality Payment Program: Advancing Clinical Information
Quality Payment Program: Advancing Clinical Information July 2017 In Partnership with Alliant Quality South Carolina Office of Rural Health Center for Practice Transformation MACRA/QPP Medicare Access
More informationReplaces, revises, and simplifies Stage 2 and 3 Medicare Meaningful Use requirements, with a greater focus on performance.
MIPS Scoring Guide How to succeed under the new CMS payment model The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 enacted a new Medicare payment model to reward physicians and other clinicians
More informationSUBMITTING YOUR 2018 MIPS DATA: ADVICE FOR SOLO AND SMALL GROUP PRACTICES
1 QUALITY PAYMENT PROGRAM SMALL UNDERSERVED RURAL SUPPORT (QPP SURS) WEBINAR OCTOBER 16, 3:30 PM ET AND OCTOBER 18, 11:00 AM ET SUBMITTING YOUR 2018 MIPS DATA: ADVICE FOR SOLO AND SMALL GROUP PRACTICES
More informationDisclaimer. Understanding MACRA Quality Payment Program: Using MIPS Scores to Inform Improvement Interventions
Understanding MACRA Quality Payment Program: Using MIPS Scores to Inform Improvement Interventions Lisa Gall, DNP, FNP, LHIT-HP Candy Hanson, BSN, PHN, LHIT-HP August 24, 2017 Disclaimer Information provided
More informationMeaningful Data Sharing to Enable APMs
Meaningful Data Sharing to Enable APMs MACRA Summit December 1, 2016 Kelly Cronin, MS, MPH, Director, Office of Care Transformation, ONC/HHS Quality Quality Payment Payment Program Program Strategic Strategic
More informationGetting Started with MIPS
Getting Started with MIPS A concise overview of MIPS and introducing you to MIPS Solutions by Mingle Analytics Presented by: Gay De Hart SVP Special Projects 1 2017 Mingle Analytics What we plan to cover:
More information2018 Quality Payment Program Data Submission User Guide for Clinicians, Practice Staff and Representatives of Virtual Groups and APM Entities
2018 Quality Payment Program Data Submission User Guide for Clinicians, Practice Staff and Representatives of Virtual Groups and APM Entities 1 Table of Contents Getting Started o Accessing the System
More informationDenali v3.1b1/onc 2015 Edition Webinar QPP/MU Settings Master & Reports
Denali v3.1b1/onc 2015 Edition Webinar QPP/MU Settings Master & Reports Bizmatics, Inc. 4010 Moorpark Avenue, Suite 222 San Jose, CA 95117 www.prognocis.com training@bizmaticsinc.com Copyright 2017 Bizmatics,
More information2019 Merit-based Incentive Payment Program (MIPS) Improvement Activities Performance Category Fact Sheet
2019 Merit-based Incentive Payment Program (MIPS) Improvement Activities Performance Category Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate
More informationGetting Started with MIPS
Getting Started with MIPS A concise overview of MIPS and introducing you to MIPS Solutions by Mingle Analytics Presented by: Dr. Dan Mingle President and CEO 1 What we plan to cover: An overview of MIPS
More information2017 MIPS Calculator For Non-APM and Non-CMS Web Interface Reporters. May 24, 2017 Kathy Wild, RN, QPP Network Task Lead
2017 MIPS Calculator For Non-APM and Non-CMS Web Interface Reporters May 24, 2017 Kathy Wild, RN, QPP Network Task Lead 2017 MIPS Calculator Tool The tool was developed by the Great Plains QIN (the Quality
More informationQuality Payment Program. Quality Payment Program (QPP) Overview
Quality Payment Program (QPP) Overview 1 The Quality Payment Program Mission: We will work to earn the trust of clinicians and patients by designing, implementing and constantly evolving a quality payment
More informationGetting Started with MIPS
Getting Started with MIPS A concise overview of MIPS and introducing you to MIPS Solutions by Mingle Analytics Presented by: Dr. Dan Mingle President and CEO 1 What we plan to cover: An overview of MIPS
More informationReg-ent MIPS Webinar
Reg-ent MIPS 2018 DRCF Completion and Submission Webinar January 16, 2019 1:00 2:00 pm ET Webinar Agenda Welcome Webinar Logistics Introduction of Presenters Reg-ent MIPS 2018 Dashboard Demo DRCF Signing
More information2018 Final Rule from CMS for. Alternative Payment Models
2018 Final Rule from CMS for Starting at Noon EST Wed 12/13/2017 Alternative Payment Models Dr. Dan Mingle Register for Webinars or Access Recordings http://mingleanalytics.com/webinars 2017 Mingle Analytics
More informationThank you, and enjoy the webinar.
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that
More information2017 Final Rule for MIPS/MACRA Medicare s New Quality Payment Program Dr. Dan Mingle
Starting at Noon EDT 11/9/2016 2017 Final Rule for MIPS/MACRA Medicare s New Quality Payment Program Dr. Dan Mingle Register for Webinars or Access Recordings http://mingleanalytics.com/webinars 2017 Final
More informationMIPS Small Practice Office Hours: Aiming for Success in 2018 June 12, 2018
This transcript is intended to provide webinar content in an alternate format to aid accessibility. We apologize for any inaudible or unclear content as a result of audio quality. MIPS Small Practice Office
More informationMIPS Data Submission Guide 2018 Performance Period
MIPS Data Submission Guide 2018 Performance Period The Merit-based Incentive Payment System asks clinicians to participate in and submit data for up to performance categories. In 2018, these categories
More informationMedicare s new payment system
CODING & REIMBURSEMENT PRACTICE PERFECT Guide to MIPS 2017, Part 1: Know the Basics Medicare s new payment system the Quality Payment Program (QPP) launches on Jan. 1, 2017, though you don t necessarily
More informationMACRA, MIPS and APMs: 2018 Participation in the Quality Payment Program. May 2, 2018
MACRA, MIPS and APMs: 2018 Participation in the Quality Payment Program May 2, 2018 1 Disclaimer This presentation was current at the time it was presented, published or uploaded onto the web. Medicare
More informationNOVEMBER 16, The 2018 QPP Final Rule: Your Questions Answered
NOVEMBER 16, 2017 The 2018 QPP Final Rule: Your Questions Answered Quality Payment Program Panel Tom S. Lee, PhD CEO and Founder, SA Ignite BETH HOUCK, MBA Vice President, Customer Experience SA Ignite
More informationThe CMS Quality Payment Program: A Nephrologist s Perspective
The CMS Quality Payment Program: A Nephrologist s Perspective Terry Ketchersid, MD, MBA Senior VP and Chief Medical Officer Integrated Care Group, Fresenius Medical Care North America Introduction In March
More informationThe New York State Practice Transformation Network (NYSPTN)
Request for Proposal New York State Practice Transformation Network Clinical Measurement Tool Issued: August 8 th, 2016 Proposals Due: August 26 th, 2016 1 Contents No table of contents entries found.
More informationOfficeEMR Release Notes
OfficeEMR Release Notes October 28, 2012 Table of Contents Billing... 2 2013 ICD-9 Updates... 2 Payment Posting Report... 3 EMR... 4 E/M Coding... 4 Reports... 5 Provider Dashboard (Meaningful Use)...
More informationDon Rucker, M.D. National Coordinator Office of the National Coordinator for Health Information Technology 330 C Street, SW Washington, DC 20201
October 17, 2018 Don Rucker, M.D. National Coordinator Office of the National Coordinator for Health Information Technology 330 C Street, SW Washington, DC 20201 Re: Request for Information Regarding the
More informationThe Quality Payment Program: 2018 Rule Updates and Strategies for Successful Participation
The Quality Payment Program: 2018 Rule Updates and Strategies for Successful Participation Bruce Maki, MA M-CEITA / Altarum Regulatory & Incentive Program Analyst May 3, 2018 1 Disclaimer This presentation
More informationDo I Have to Attest? What Actions Are Required?
The Merit-based Incentive Payment System (MIPS) Promoting Interoperability Prevention of Information Blocking Attestation: Making Sure EHR Information is Shared 2018 Performance Year To prevent actions
More informationMEANINGFUL USE CRITERIA PHYSICIANS
MEANINGFUL USE CRITERIA PHYSICIANS The first list is of the 25 Stage 1 Meaningful Use criteria for eligible providers (EP) and comes from the proposed rule: "Medicare and Medicaid Programs; Electronic
More informationTitle: Advanced APMs & MIPS APMs
Title: Advanced APMs & MIPS APMs Date June 8 th, 2017 This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for
More informationReady for a new EHR?
Ready for a new EHR? 5 questions to help you determine if you should make the switch Many practices are struggling to maintain profitability and patient volume due to increasing regulatory requirements
More informationSubmitting 2017 MIPS Data Using the QPP Portal Webinar Transcript from Live Session
Submitting 2017 MIPS Data Using the QPP Portal Webinar Transcript from Live Session Thursday, January 11, 2018 Good afternoon, and welcome to today's webinar, Submitting 2017 MIPS Data Using the Quality
More informationOverview of Alternative Payment Models QPP Performance Year 2018 An Introductory Guide for CRNAs in Year 2. August 2018
Overview of Alternative Payment Models QPP Performance Year 2018 An Introductory Guide for CRNAs in Year 2 August 2018 Learning Objectives MACRA and Quality Payment Program Overview Alternative Payment
More informationEvent ID: WEBINAR- Measuring MIPS Performance: What s Your Score? Event Started: 4/12/ pm
Event ID: WEBINAR- Measuring MIPS Performance: What s Your Score? Event Started: 4/12/2017 12-1 pm All right good afternoon my name is Olivia Henze from the New England QIN-QIO and I am your moderator
More informationQuestions on MACRA Everyone Wants to Know
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/inside-medicares-new-payment-system/questions-macra-everyonewants-know/9569/
More informationPQRS Reporting and Meaningful Use Attestation for 2016
PQRS Reporting and Meaningful Use Attestation for 2016 August 25, 2016 11:00 AM Mountain Time Welcome, we ll get started in moment Please mute your phones! Agenda Overview PQRS for 2016 Requirements Reporting
More informationJANUARY 19, How to Read and Effectively Use Your QRUR to Prepare for 2017 MIPS
JANUARY 19, 2017 How to Read and Effectively Use Your QRUR to Prepare for 2017 MIPS QRUR and MIPS Panel BETH HOUCK, MBA Vice President, Client Services SA Ignite MATTHEW BARRON Director, Advisory Services
More information2016 Quality Measures Validation Audit Overview
2016 Quality Measures Validation Audit Overview For Participating Accountable Care Organizations January 9, 2017 Center for Medicare, Performance-Based Payment Policy Group Center for Medicare & Medicaid
More informationMACRA: An Overview and Implications for Your Organization. Patrick J. Hurd, Esq. March 30, 2017 VASHRM
MACRA: An Overview and Implications for Your Organization Patrick J. Hurd, Esq. March 30, 2017 VASHRM MACRA: How Did We Get Here? MACRA: How Did We Get Here? Medicare Access and CHIP Reauthorization Act
More informationI. Summary of ACP s Top Priority Recommendations
December 29, 2017 Seema Verma Administrator Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services Attn: CMS- 5522- FC and IFC Room 445 G, Hubert H. Humphrey Building 200
More information2019 MIPS Quality Category Measures for Ophthalmology
2019 MIPS Quality Category Measures for Ophthalmology Physicians must report on 60% of all patients, if reporting via registry or EHR, and 60% of all Medicare Part B patients if reporting via claims. Claims
More informationDeveloping Staff and Resource Infrastructure to Support Value-Based Reimbursement. NCHICA Annual Conference 2016
Developing Staff and Resource Infrastructure to Support Value-Based Reimbursement NCHICA Annual Conference 2016 1 University Physicians, Inc. (UPI) Faculty Practice Plan for the University of Colorado
More informationThese seminars are a collaborative work of NIATx, SAAS and The National Council supported by SAMHSA.
Behavioral Health providers are being challenged to adopt health information technology with very limited resources. There is a need to prepare for increased numbers of patients receiving health insurance
More informationIndustry Report: The State of QPP Preparedness
White paper Industry Report: The State of QPP Preparedness New research reveals that health systems relying on ehr and phm systems for quality performance management are at risk of falling short of their
More informationMACRA Year 2 Moving out of the Transition Period and Into Reality February 16, 2018
MACRA ear 2 Moving out of the Transition Period and Into Reality February 16, 2018 February 16, 2018: Where are we in MACRA implementation? The 2018 performance year is underway. Cost will take effect
More informationMerit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Measure
Quality Payment Program Merit-Based Incentive Payment System (MIPS) Advancing Care Information Performance Category Measure Objective: Patient Electronic Access Measure: Provide Patient Access For at least
More informationIn formulating the structure of Advanced BPCI, SHM asks that CMS keep the following recommendations in mind:
March 9, 2017 Amy Bassano, Acting Director Center for Medicare and Medicaid Innovation Centers for Medicare and Medicaid Services 7500 Security Blvd. Baltimore, MD 21244 Dear Ms. Bassano: The Society of
More informationVia Electronic Submission ( April 5, 2013
Via Electronic Submission (www.regulations.gov) April 5, 2013 Ms. Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services 7500 Security Blvd. Baltimore, MD 21244-8013 Re: Request
More informationWHITE PAPER TIME IS MONEY. Specialty practices should act now to avoid costly Medicare payment penalties.
WHITE PAPER TIME IS MONEY Specialty practices should act now to avoid costly Medicare payment penalties. TIME IS MONEY There are good reasons for the focus on immediacy in every physician practice the
More informationFour Rights Can t Be Wrong:
Four Rights Can t Be Wrong: Why Now is the Right Time to Implement an EHR The information in this document is subject to change without notice. This documentation contains proprietary information, which
More informationReal-Life Strategies for Account Managers to Help Grow Market Share
1 CMR Institute 2017. All Rights Reserved. Real-Life Strategies for Account Managers to Help Grow Market Share As an account manager, understanding your customers challenges including their performance
More informationThe Evolution of Electronic Prescribing: Closing the Gaps To Promote Quality of Care. Tony Schueth Chief Executive Officer & Managing Partner
The Evolution of Electronic Prescribing: Closing the Gaps To Promote Quality of Care Tony Schueth Chief Executive Officer & Managing Partner The Evolution of eprescribing 100% 90% 80% 70% 60% 50% 40% 30%
More informationDear Acting Administrator Slavitt,
The Society of Thoracic Surgeons STS Headquarters 633 N Saint Clair St, Floor 23 Chicago, IL 60611-3658 (312) 202-5800 sts@sts.org STS Washington Office 20 F St NW, Ste 310 C Washington, DC 20001-6702
More informationInpatient Quality Reporting (IQR) Program
CMS QRDA Implementation Guide Changes for CY 2017 Hospital Quality Reporting Questions & Answers Moderator Artrina Sturges, EdD Project Lead, IQR Electronic Health Record (EHR) Incentive Program Alignment
More informationRE: Bundled Payments for Care Improvement Advanced. Dear Ms. Verma:
Seema Verma Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: Bundled Payments for Care Improvement Advanced
More informationHow Northside Leverages IT to Optimize Quality Reporting
Quality Reporting Roundtable How Northside Leverages IT to Optimize Quality Reporting Ed Bolding Manager, Finance Value Based Care Northside Hospital System Ye Hoffman Consultant The Advisory Board Company
More informationThe Quality Payment Program in 2019: What to Know About Upgrading Your EHR
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/inside-medicares-new-payment-system/the-quality-payment-program-in-
More informationLessons Learned From Medicare EHR Registration and Attestation for Eligible Providers (EPs)
Lessons Learned From Medicare EHR Registration and Attestation for Eligible Providers (EPs) Size 120 providers with over 550 employees Multi-specialty group in various locations with career physicians,
More informationAttestation Sample. This document shows you what to expect when you attest for 2014 using the 2011 Edition of Chiro QuickCharts.
Attestation Sample dbc DB Consultants, Inc. This document shows you what to expect when you attest for 2014 using the 2011 Edition of Chiro QuickCharts. The data contained herein is fictitious. Do NOT
More informationPolicies and Procedures - School of Medicine SECTION: COMPLIANCE
7/14/05 CHAPTER: Replaces Policy 01/08/05 DEPARTMENT AUDIT GUIDELINES PAGE 1 OF 5 I. PURPOSE This policy is to provide a uniform mechanism for each clinical department, as appropriate, to conduct quarterly
More informationCreating a MIPS Success Roadmap
MARCH 16, 2017 Creating a MIPS Success Roadmap About Tom Lee, Ph.D. Founder & CEO of SA Ignite Tom is a serial entrepreneur and leading expert in healthcare valuebased programs such as MIPS, MACRA, Meaningful
More informationData Scrubbing and Quality Improvement; How to evaluate the quality of your QPP data and prepare for reporting February 15, 2018
Data Scrubbing and Quality Improvement; How to evaluate the quality of your QPP data and prepare for reporting February 15, 2018 Good afternoon, everyone. My name is Leila Volinsky and I'm a senior program
More informationNovember 17, Dear Mr. Slavitt:
Mr. Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 3321-NC Room 445-G, Hubert H. Humphrey Building 200 Independence Avenue,
More information33 W. Monroe, Suite 1700 Chicago, IL Phone:
33 W. Monroe, Suite 1700 Chicago, IL 60603 swillis@himss.org Phone: 312-915-9518 Twitter: @EHRAssociation AdvancedMD AllMeds, Inc. Allscripts Healthcare Solutions Amazing Charts Aprima Medical Software,
More informationAn Integrated Solution to Your Medical Billing & Collection Needs
An Integrated Solution to Your Medical Billing & Collection Needs 12708 Riata Vista Circle Suite A126 Austin, Texas 78727 Phone: (512) 637-2002 Fax: (512) 637-2007 www.ascend-health.com Second in importance
More information2019 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process
Quality ID #70: Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry National Quality Strategy Domain: Effective Clinical Care Meaningful Measure Area: Management of Chronic Conditions
More informationCLINICAL CAREERS BEYOND THE ACADEMIC MEDICAL CENTER. David Ramos, MD, MPH, FACC Managing Physician ColumbiaDoctors of the Hudson Valley
CLINICAL CAREERS BEYOND THE ACADEMIC MEDICAL CENTER David Ramos, MD, MPH, FACC Managing Physician ColumbiaDoctors of the Hudson Valley OVERVIEW Employment: Stats, Characteristics Salaries Agreements Billing
More informationMACRA Session 3: Alternative Payment Model Planning Key Elements. June 13, 2016/ 12:00-1:00 PM EST
MACRA Session 3: Alternative Payment Model Planning Key Elements June 13, 2016/ 12:00-1:00 PM EST How to Participate Today 2 Today s Presenters Craig Tolbert Principal, DHG Healthcare Works in the DHG
More informationCalendar Year 2018 Medicare Physician Fee Schedule Proposed Rule
Calendar Year 2018 Medicare Physician Fee Schedule Proposed Rule August 2017 This document is presented for informational purposes only and is not intended to provide reimbursement or legal advice. Laws,
More informationDESCRIPTION: Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
Quality ID #93 (NQF 0654): Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy Avoidance of Inappropriate Use National Quality Strategy Domain: Efficiency and Cost Reduction Meaningful Measure Area:
More informationHOW TO MITIGATE YOUR ED REIMBURSEMENT RISK
HOW TO MITIGATE YOUR ED REIMBURSEMENT RISK Tips to Automate and Improve Emergency Services Billing and Coding Workflow IN PARTNERSHIP WITH How to Mitigate Your ED Reimbursement Risk 1 Emergency Reimbursement
More informationELECTRONIC MEDICAL RECORDS. Selec g and zing an Electronic Medical Records. A WHITE PAPER by CureMD. CureMD Healthcare
ELECTRONIC MEDICAL RECORDS Selec g and zing an Electronic Medical Records n A WHITE PAPER by CureMD CureMD Healthcare 120 Broadway, 35th Floor New York City, NY 10271 Overview United States of America
More informationRegist ry Vendor Assessm ent
Regist ry Vendor Assessm ent April, 2014 Completed by the (NQRN ) The PCPI Foundation and the disclaim any liability for use or non-use of this document. The PCPI does not provide medical, legal, financial,
More informationFinancial Management for Nephrology
Financial Management for Nephrology Cybernius Medical Ltd. B i l l i n g a n d A c c o u n t i n g f o r N e p h r o l o g y Product Capability W e l c o m e t o t h e N e w G e n e r a t i o n o f R e
More informationData Collection and Aggregation: Making It Work for Your P4P Program
Data Collection and Aggregation: Making It Work for Your P4P Program Dolores Yanagihara, MPH Integrated Healthcare Association February 27, 2008 National P4P Summit Overview The Data Problem Data Sources
More informationPatty Kosednar, PMP, CPEHR MT HIE Stakeholder Meeting 12/7/2016
Patty Kosednar, PMP, CPEHR MT HIE Stakeholder Meeting 12/7/2016 Health IT Consultant with Mountain-Pacific Project Management Professional (PMP) (Project Management Institute) Certified EHR Professional
More informationUS Regulatory and Reimbursement Issues for Life Sciences Companies
US Regulatory and Reimbursement Issues for Life Sciences Companies Michael J. Werner Partner, Holland & Knight August 1, 2017 Copyright 2017 Holland & Knight LLP. All Rights Reserved About Holland & Knight»
More information8/6/2018. Quality Improvement Basics for Ambulatory Clinics Part Two. Goals. What is ecqi?
Quality Improvement Basics for Ambulatory Clinics Part Two ecqi: A Comprehensive Approach to MIPS Sharon Phelps, RN, BSN, CPHIMS, CHTS-CP Mountain-Pacific Quality Health August 8, 2018 Goals 1) Review
More informationEHRs The Future is NOW! Are you ready? Part 1
Rural HIT Workshop March 15 th, 2016 EHRs The Future is NOW! Are you ready? Part 1 Presented by: Patty Kosednar, PMP, HTS Account Manager Mary Erickson, RN, HTS Account Manager HTS, a department of Mountain-Pacific
More informationImprovement of Performance and Reimbursement Documentation through RealTime Physician Clarification
Improvement of Permance Reimbursement Documentation through RealTime Physician Clarification one Current Problem two Point-of-care Technology three Accurate Documentation four Real-time Quality Improvement
More informationPresenter(s): Topic HQM Nuts and Bolts 101. Level 100. Sharon Tompkins, Sr. Product Manager, HQM Thomas Samuel, Sr.
Presenter(s): Sharon Tompkins, Sr. Product Manager, HQM Thomas Samuel, Sr. Manager HQM Dev Topic HQM Nuts and Bolts 101 Level 100 Safe Harbor Provisions/Legal Disclaimer This presentation may contain forward-looking
More informationDavid Shulan, MS, MD, FAAAAI
David Shulan, MS, MD, FAAAAI Make sure the hardware and software is ready Before you or your colleagues are subjected to an EMR. Make sure your hardware and networking is ready. Make it as stress free
More informationWebinar Agenda. Webinar Etiquette. HTH Iowa SHIP IRCTC Webinar For more Information, please contact:
Welcome to the HOMETOWN HEALTH IRCTC CLOSING WEBINAR A PORTION OF THESE MATERIALS WERE PRODUCED PURSUANT TO 2016-2017 IOWA SHIP GRANT. Webinar Agenda Welcome & A Look Back Jennie Price Managed Care & Contract
More informationMeaningful Use Audit Process: Focus on Outcomes and Security
Meaningful Use Audit Process: Focus on Outcomes and Security Phyllis A. Patrick, MBA, FACHE, CHC The 22nd National HIPAA Summit February 6, 2014 Phyllis A. Patrick & Associates LLC Topics Meaningful Use
More informationDiscover Your Leverage: A Value-Based Contracting Case Study
Discover Your Leverage: A Value-Based Contracting Case Study Doral Jacobsen, MBA, FACMPE, Chief Executive Officer Amanda Pritchett, MHA, Chief Executive Officer Prosper Beyond Inc., Asheville, N.C. Coastal
More informationBalancing Value & Burden: CMS Electronic Quality Reporting
Balancing Value & Burden: CMS Electronic Quality Reporting Session #199, February 14, 2019 Michelle Schreiber, MD, Director, Quality Measurement and Value-Based Incentives Group Debbie Krauss, MS BSN RN,
More informationMeaningful Use in 2014: Flexible Reporting Option
Meaningful Use in 2014: Flexible Reporting Option Cathy Costello, JD Director, CliniSyncPLUS Services Ohio Health Information Partnership Scott Mash, MSLIT, CPHIMS CSOHIMSS Vice President/President Elect
More informationTrainee Name: 2.0 Practice Director Set Up. 3.0 Administration Set Up. 1.1 Using Practice Director Training Center * * * * * *
1.0 Introduction 1.1 Using Practice Director Training Center 2.0 Practice Director Set Up 2.1 Restart Practice Director (With the black window) 2.2 Restart Practice Director (Without the black window)
More informationMeaningful Use: What Are the 2015 Requirements for Eligible Professionals? Tuesday, October 20, 2015
Meaningful Use: What Are the 2015 Requirements for Eligible Professionals? Tuesday, October 20, 2015 The Quality Insights Quality Innovation Network team welcomes you to today s webinar, Meaningful Use:
More informationOptimization: The Next Frontier
Optimization: The Next Frontier A White Paper Impact Advisors LLC January 2015 400 E. Diehl Road Suite 190 Naperville IL 60563 1 800 680 7570 Impact Advisors.com Table of Contents Introduction... 3 Optimization
More informationQuality ID #409: Clinical Outcome Post Endovascular Stroke Treatment National Quality Strategy Domain: Effective Clinical Care
Quality ID #409: Clinical Outcome Post Endovascular Stroke Treatment National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Outcome
More informationHealthcare Economics Professionals Council Meeting Web Discussion January 14, 2016
Healthcare Economics Professionals Council Meeting Web Discussion January 14, 2016 Meeting Agenda Today s Agenda Introducing your 2016 Steering Committee Merit-based Incentive Payment System Amanda Attaway
More informationMEANINGFUL USE AND PQRS
MEANINGFUL USE AND PQRS Understanding the Measures Presented By: Morgan Kuper, Customer Service Supervisor 2016 Meaningful Use Overview Objectives and Measures Exclusions Changes to Specific Objectives
More information