JANUARY 19, How to Read and Effectively Use Your QRUR to Prepare for 2017 MIPS
|
|
- Miles Gordon
- 6 years ago
- Views:
Transcription
1 JANUARY 19, 2017 How to Read and Effectively Use Your QRUR to Prepare for 2017 MIPS
2 QRUR and MIPS Panel BETH HOUCK, MBA Vice President, Client Services SA Ignite MATTHEW BARRON Director, Advisory Services SA Ignite
3 Agenda I QRUR Overview and MIPS Readiness A. Sections of QRUR B. How to obtain your 2015 Quality and Resource Use Report C. Understanding the Value Modifier D. Interpreting Exhibits II. III. QRUR Tables Review Benchmark Regulation Review IV. Next Steps: Optimizing for MIPS V. Appendix
4 2015 QRUR Overview and MIPS Readiness
5 2015 QRUR The 2015 Annual QRURs show how groups and solo practitioners performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier. QRURs are identified by the TINs registration name and the last four digits of your Medicare-enrolled Taxpayer Identification Number. Key Learnings for MIPS: 1. Shows current performance on Quality measures; baseline for MIPS score 2. Gives insight into CMS-3 (All Cause Readmissions); a claims-based measure that will impact the MIPS Final Score QRUR tables contain beneficiary-level and provider-level information 4. Cost data will not have an immediate impact on your MIPS Final Score in 2017 but subsequent years will see the Cost category carry increasing levels of influence
6 Sections of QRUR I. Your TIN s Value Modifier A. Shows overall performance on quality and cost measures II. How does the Value Modifier apply to your TIN in 2017? III. IV. How does the high-risk bonus adjustment apply to your TIN? Your TIN s quality tier V. What quality measures are used to calculate the Quality Composite Score? A. Domain-specific scores VI. VII. Your TIN s cost tier What cost measures are used to calculate the Cost Composite Score? VIII. Accompanying tables IX. Glossary of terms
7 2015 QRUR: How to Obtain 1. Log in to the CMS Portal: 2. Create Enterprise Identity Management System (EIDM) account 3. QRURs are provided for each Medicareenrolled Taxpayer Identification Number (TIN) 4. CMS site on how to obtain a QRUR Quality measures = 60% of 2017 MIPS Final Score Cost = 10% of your 2018 MIPS Final Score Let s take a look at a Sample QRUR
8 Your TINs Value Modifier Shows how your TIN compares to a representative sample of other TINs Quality Score < -1 = Penalty -1 < Score < 1 = Neutral 1 < Score = Incentive Cost Score < -1 = Incentive -1 < Score < 1 = Neutral 1 < Score = Penalty low score is BAD for Quality, GOOD for Cost
9 How Does the Value Modifier Apply to Your TIN in 2017? Average Quality performance and average Cost performance in performance year 2015 result in no adjustment in payment year The Adjustment Factor under PQRS will change to the X Factor under MIPS. This will allow CMS to ensure the program remains budget neutral year over year.
10 Quality: Interpreting Exhibits Quality measures will remain the same under MIPS The number of eligible cases will impact how many MIPS points (3-10) are earned for a measures Under PQRS, benchmarks are ALL TINs in a peer group. Under MIPS, different reporting mechanisms will have different benchmarks Under MIPS, you will select 6 Quality measures (1 of which must be an Outcome measure but there will no longer be quality domain requirements); bonus points are available depending on the measures you select. It is also important to note that different reporting mechanisms (EHR Direct, Registry, etc.) will have different benchmarks.
11 Quality: CAHPS Not required under MIPS (will count as 1 measure if done; bonus points available if you complete CAHPS and at least one other high priority measure) The QRUR is the first time you will see what your performance was on CAHPS (CAHPS vendors are NOT allowed to share their results with you)
12 Quality: Claims-based Measures Eliminated under MIPS CMS-3 (All-cause Hospital Readmission) will survive under MIPS. Tables 2A and 2B will show us additional information about how to address
13 Cost Six cost measures (all of which are risk-adjusted) are used to calculate your TIN s Cost Composite Score based on performance in 2015; 2 cost measures (Per Capita Costs for all Attributed Beneficiaries and Medicare Spending per Beneficiary) will carry into MIPS: Your TIN Benchmark Per capita costs for all attributed beneficiaries: Medicare patients attributed to ONE TIN Sum of total Med A and Med B payments for those patients Total number of dollars / Total number of Medicare patients = per capita cost (which is compared to national standards)
14 QRUR Tables Overview
15 Tables Formerly known as Supplemental Exhibits, the QRUR tables contain a significant amount of information. Important notes:
16 Tables
17 Determining Eligibility: Table 1 CMS determines eligibility AFTER the conclusion of the performance year based on PECOS system and Medicare claims a subset of PQRS-eligible providers will be deemed MIPS-eligible clinicians Important to consider MIPS eligibility (specialties, low volume thresholds, etc.) MIPS exemptions should be published by CMS by end of 2017 Q1
18 Quality: Table 7 Shows all measures that were submitted for each individual provider
19 Quality: Table 7 Shows all measures that were submitted for each individual provider Unique line-item for each provider/measure that was submitted Shows the reporting mechanism and number of eligible cases for each measure; important reference for MIPS
20 Quality: Table 2 - All Cause Readmission Table 2 consists of three tables that shed light on the specific patients that are contributing to your CMS-3 score: 1. Table 2A: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending per Beneficiary) and Claims-Based Quality Outcome Measures, and the Care that Your TIN and Other TINs Provided 2. Table 2B: Admitting Hospitals: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending per Beneficiary) and Claims-Based Quality Outcome Measures 3. Table 2C: Hospital Admissions for Any Cause: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending per Beneficiary) and Claims-Based Quality Outcome Measures
21 Quality: Table 2 - All Cause Readmission Table 2 consists of three tables that shed light on the specific patients that are contributing to your CMS-3 score: Table 2A Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending per Beneficiary) and Claims-Based Quality Outcome Measures, and the Care that Your TIN and Other TINs Provided Table 2B Admitting Hospitals: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending per Beneficiary) and Claims-Based Quality Outcome Measures Table 2C Hospital Admissions for Any Cause: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending per Beneficiary) and Claims-Based Quality Outcome Measures
22 Quality: Table 2A Identifies which physician billed the greatest number of primary care services for a given patient One row for each patient; based on an INDEX # (links patients across Tables)
23 Quality: Table 2B Which hospitals are my patients going to? Shows more summary-level data Good for understanding which hospitals are causing your readmission numbers to be good/bad Understanding your span of control is critical for addressing readmission rates; figuring out how to coordinate care with these hospitals will drive operational optimization under MIPS
24 Quality: Table 2C What diagnoses are causing my readmissions? Patient index # ties back to preceding tables and ties to each admission (along with diagnosis AND readmission information). What hospitals are involved in my readmissions? Is there a correlation between my readmission risk and the status under which they were discharged? You can tie this information back to the provider that was/is most involved in a particular patient s primary care how much influence do specific providers have?
25 Benchmark Regulation Review
26 Benchmark Regulation Review Benchmark values published for each submission method All performance values against benchmark are shown on a decile scale; Quality category scoring related to decile performance Measures without benchmarks receive 3 point minimum Topped out measures can receive 10 points
27 Benchmark Regulation Review
28 Comparison of Filing Methods Benchmarks and Topped-Out Measures Registry Registry EHR Direct EHR Direct Claims Claims 0% 50% 100% With Benchmark Without Benchmark 0% 50% 100% Non Topped-Out Measures Topped-Out Measures
29 Comparison of Filing Methods Registry EHR Direct Claims 0% 50% 100% With Benchmark Without Benchmark 77% 26% 73% Registry EHR Direct Claims 0% 50% 100% Non Topped-Out Measures Topped-Out Measures
30 Example Benchmark Scale: EHR Direct Use of Imaging Studies for Low Back Pain
31 Example Benchmark Scale: Claims Reporting Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
32 Example Benchmark Scale: Registry Reporting Colorectal Cancer Resection Pathology Reporting: pt Category (Primary Tumor) and pn Category (Regional Lymph Nodes) with Histologic Grade
33 How hard is it to get 10 points for a measure? Characteristic EHR Direct Registry Claims Measures with a benchmark Measures requiring >90% performance to achieve 10 points Measure requiring 100% to achieve 10 points Average performance threshold to achieve 10 points % 95.7% 99.7%
34 What s the average performance I need to achieve to get the minimum? Characteristic EHR Direct Registry Claims Measures with a benchmark Measures requiring >50% performance to achieve 3 points Average performance threshold to achieve >=3 points % 56.7% 72.3%
35 Claims Submission Under Claims Submission, a clinician performing at the benchmark under PQRS would score no higher than 5.5 points for these four measures.
36 EHR Direct Under EHR Direct, a clinician performing at benchmark under PQRS would score between 8-9 points
37 Registry Under Registry, a clinician performing at benchmark under PQRS would score between 5-8 points
38 Next Steps: Optimizing for MIPS
39 Actions to Take 1. Estimate your MIPS score A. How does the MIPS Final Score differ from PQRS and MUA? B. What is the impact of the individual clinician versus group provider reporting option across all categories? C. How will Improvement Activities influence scoring? D. How does Quality measure selection change under MIPS? 2. Determine MIPS eligibility for your clinicians 3. Identify which Quality measures to focus for your clinical operations A. The Quality category is 60% of your overall MIPS Final Score; optimizing these measures is critical for success under MIPS 4. Investigate outlier clinicians and beneficiaries
40 SA Ignite On-going Education 10 FAQs about MIPS 10 FAQs About Alternative Payment Models (APMs) Free MIPS Financial Calculator (plus video and user guide) ABCs of MIPS monthly webinar videos and PDF presentations LinkedIn Group: Merit-Based Incentive Payment System (MIPS)
41 Thank you for joining us Connect with SA Ignite
42 Appendix
43 Setting up an EIDM account to access a group s QRUR 1. A group is defined as a TIN with 2 or more eligible professionals (EPs), as identified by their National Provider Identifier (NPI), that bill under the TIN. 2. To access a group's QRUR, one person from the group must first sign up for an EIDM account with the Security Official role. 3. If additional persons are needed to access the group's QRUR, then they can also request the Security Official role or the Group Representative role in EIDM. 4. If you do not have an IACS or EIDM account, then follow the instructions provided here to sign up for an EIDM account with the correct role. 5. If you already have an EIDM account, then follow the instructions provided here to sign up for the correct role in EIDM.
44 Setting up an EIDM account to access a solo practitioner s QRUR 1. A solo practitioner is defined as a TIN with only 1 EP, as identified by a NPI, that bills under the TIN. 2. To access a solo practitioner's QRUR, one person must first sign up for an EIDM account with the Individual Practitioner role. 3. If additional persons are needed to access the solo practitioner s QRUR, then they can also request the Individual Practitioner role or the Individual Practitioner Representative role in EIDM. 4. If you do not have an IACS or EIDM account, then follow the instructions provided here to sign up for an EIDM account with the correct role. 5. If you already have an EIDM account, then follow the instructions provided here to sign up for the correct role in EIDM.
45 Cost: Tables 3A and 3B Screen-shot provides sample of table. Key findings: o Provides information related to Costs by Service Type and procedure o How is your TIN doing on a per attributed beneficiary? o How much Higher (or Lower) your TINs Costs were than Peer Group (3A by TIN, 3B by provider) o Explains how Cost category is broken out by services, revenue leakage, and compares your TINs performance to other TIN Note that all terms with a Cross are defined on the Hover-over_Terms tab
46 Quality: Tables 6A and 6B - Quality Tracking for ACOs No data is available if hospital admission was the result of an emergency department evaluation, an Ambulatory Care-Sensitive Condition admission, or a readmission within 30 days of prior admission; LESS GRANULAR DATA No eligible provider information (all data is at ACO level)
47 CMS Resources 1. DETAILED METHODOLOGY FOR THE 2017 VALUE MODIFIER AND THE 2015 QUALITY AND RESOURCE USE REPORT: Payment/PhysicianFeedbackProgram/Downloads/Detailed-Methodology-forthe-2017-Value-Modifier-and-2015-Quality-and-Resource-Use-Report-.pdf 2. How to understand your 2015 Annual Quality and Resource Use Report: Payment/PhysicianFeedbackProgram/Downloads/2015- UnderstandingYourAQRUR.pdf QRUR FAQs: Payment/PhysicianFeedbackProgram/Downloads/2015-FAQs-QRUR.pdf 4. Computation of the 2017 Value Modifier: Payment/PhysicianFeedbackProgram/Downloads/2017-VM-factsheet.pdf
48 CMS Technical Assistance For questions about setting up an EIDM account, and/or resetting your EIDM password, or for questions about the 2015 PQRS Feedback Report content, please contact the QualityNet Help Desk: Monday Friday: 7:00 am 7:00 pm Central Time Phone: 1 (866) (TTY ) Fax: 1 (888) qnetsupport@hcqis.org For questions about the content of the QRUR, please contact the Physician Value Help Desk: Monday Friday: 8:00 am 8:00 pm EST Phone: 1 (888) , press option 3; (TTY ) Fax: (469) pvhelpdesk@cms.hhs.gov
Merit-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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 informationThe Value of Agile Self-Service Analytics. Mike Zuschin Director, Decision Support & Business Intelligence March 3 rd 2016
The Value of Agile Self-Service Analytics Mike Zuschin Director, Decision Support & Business Intelligence March 3 rd 2016 Agenda Cleveland Clinic & Early Analytics Success: The Phantom Menace Meeting Increased
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 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 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 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 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 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 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 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 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 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 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 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 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: Dr. Dan Mingle President and CEO 1 What we plan to cover: An overview of MIPS
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 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 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 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 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 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 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 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 informationConsiderations for Choosing MIPS Quality Measures. July 2017
Considerations for Choosing MIPS Quality Measures July 2017 Overview of Contents First know yourself Finding measures Understanding scoring Special Considerations about registries Special Considerations
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 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 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 informationHow to Put Your Meaningful Use Program Into AutoPilot. AMGA April 3, 2014
How to Put Your Meaningful Use Program Into AutoPilot AMGA April 3, 2014 Presenters Teresa Hall Director of Outcomes Improvement and Reporting Intermountain Medical Group Beth Houck Vice President, Client
More informationRural Quality Advisory Council Rural Quality Improvement Technical Assistance (RQITA) Program. January 4, 2018
Rural Quality Advisory Council Rural Quality Improvement Technical Assistance (RQITA) Program January 4, 2018 Agenda Welcome 2018 Final MIPS Rule: Implications for Rural NQF MAP Rural Health Workgroup
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 informationHow to Put Your Meaningful Use Program Into AutoPilot. AMGA April 3, 2014
How to Put Your Meaningful Use Program Into AutoPilot AMGA April 3, 2014 Presenters Teresa Hall Director of Outcomes Improvement and Reporting Intermountain Medical Group Beth Houck Vice President, Client
More informationMedicare Shared Savings Program 2018 Performance Year Kickoff
Medicare Shared Savings Program 2018 Performance Year Kickoff For Participating Accountable Care Organizations January 8, 2018 Performance-Based Payment Policy Group Medicare Shared Savings Program DISCLAIMER
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 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 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 informationEnabling Sustainability Under Value-Based Care. October 28, 2016
Enabling Sustainability Under Value-Based Care October 28, 2016 2 Agenda 1 Transition from Volume to Value 2 Foundations of Population Health Management 3 Clinical Integration as a Vehicle 4 Population
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 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 information(EHR) Incentive Program
ATTESTATION USER GUIDE For Eligible Hospitals and Critical Access Hospitals Medicare Electronic Health Record (EHR) Incentive Program APRIL 2011 (04.15.11 ver1) CONTENTS Step 1... Getting.started...4 Step
More informationPopulation Health Solutions
Population Health Solutions Actionable data at the point of care. Lightbeam Health Solutions Lightbeam s mission is to provide solutions that help improve quality of care and therefore quality of life.
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 informationProvider Workshop Training
Provider Workshop Training 2017 1 TODAY S AGENDA Passport Provider Portal (New!) Claims System (NEW PAYER ID)! ERA/ InstaMed (NEW!) Packet Information Title VI Fraud, Waste and Abuse FAQs Quick Reference
More informationCMS RELEASES BPCI SECOND ANNUAL EVALUATION REPORT
CMS RELEASES BPCI SECOND ANNUAL EVALUATION REPORT Introduction On September 19, 2016, CMS released the second annual evaluation report for Models 2-4 of the Bundled Payments for Care Improvement (BPCI)
More information1/28/2011. Resource Use Project: Endorsing Resource Use Measures (Phase II) January 27, 2011
Resource Use Project: Endorsing Resource Use Measures (Phase II) January 27, 2011 1 1 Agenda Phase II Project Overview Upcoming Dates Scope of Call for Measures Measure Review Process Submitting & Evaluating
More informationOptum. One. Award-winning intelligent health analytics platform
One Award-winning intelligent health analytics platform The One intelligent health platform enables health care providers to manage patient populations in a valuebased world. The platform combines the
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 informationAnalytics. HealthView. Cardiovascular Data Intelligence.
HealthView Analytics Cardiovascular Data Intelligence www.lumedx.com info@lumedx.com Meaningful Data for Clinical and Operational Success Cardiovascular service lines are under tremendous pressure to perform
More informationMAY 18, The Hidden Impacts of MIPS
MAY 18, 2017 The Hidden Impacts of MIPS Speakers TOM S. LEE, PHD CEO & Founder SA Ignite MATTHEW BARRON Director, Advisory Services SA Ignite MATTHEW FUSAN Director, Solutions Consulting SA Ignite 2 Agenda
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 informationMeaningful Use: Compliance Management Best Practices. David Morton, Adventist Health Jay Fisher, Meaningful Use Monitor May 20, 2015
Meaningful Use: Compliance Management Best Practices David Morton, Adventist Health Jay Fisher, Meaningful Use Monitor May 20, 2015 Theme 1. The risks associated with Meaningful Use are largely in the
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 information2013, Healthcare Intelligence Network
Note: This is an authorized excerpt from 2013 Healthcare Benchmarks: Health Risk Assessments. To download the entire report, go to http://store.hin.com/product.asp?itemid=4739 or call 888-446-3530. 2013,
More informationSHP Scorecards: SHP FOR AGENCIES. Practical Applications for Compensation Incentive Models. Zeb Clayton VP of Client Services, SHP
SHP FOR AGENCIES Zeb Clayton VP of Client Services, SHP Chris Attaya VP of Business Intelligence, SHP Carolyn Flietstra Executive Vice President, Atrio Home Care SHP Scorecards: Practical Applications
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 informationHome Health Regulatory Update
Home Health Regulatory Update August 2016 Presented by: Deanna Loftus HEALTHCAREfirst Director of Regulatory Compliance Before We Get Started Audio is through computer speakers or select Use Telephone
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 informationFrom Interaction to Integration to Transformation: Healthcare s Journey & Information s Role
From Interaction to Integration to Transformation: Healthcare s Journey & Information s Role HealthBridge is one of the nation s largest and most successful health information exchange organizations. Mike
More informationOptum One. The Intelligent Health Platform
Optum One The Intelligent Health Platform The Optum One intelligent health platform enables healthcare providers to manage patient populations. The platform combines the industry s most advanced integrated
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 informationPractice Guide APPLIED RESEARCH WORKS, INC.- COZEVA. 12/15/2016 v.2. Applied Research Works, Inc. 2016
12/15/2016 v.2 APPLIED RESEARCH WORKS, INC.- COZEVA Practice Guide Applied Research Works, Inc. 2016 Applied Research Works, 2016 *Not all functionalities exist with every COZEVA build info@appliedresearchworks.com
More informationThank you for joining today s webinar: An Overview of The New Jersey Medicaid Accountable Care Organization Business Planning Toolkit
Thank you for joining today s webinar: An Overview of The New Jersey Medicaid Accountable Care Organization Business Planning Toolkit We will begin shortly. 1 An Overview of The New Jersey Medicaid Mdi
More informationPreparing For & Managing a RADV Audit
Preparing For & Managing a RADV Audit Session 607 Dennis P.H. Mihale, MD, MBA Scott Weiner, CMA, CFM, MBA Agenda Assessing Your Risk CMS RADV Process Health Plan Process Preparation Execution Mock Audit
More informationGE Healthcare. ICD-10 Prep: ICD-10 Services Centricity Practice Solution v12 and Centricity EMR v9.8
GE Healthcare ICD-10 Prep: Centricity Practice Solution v12 and Centricity EMR v9.8 Denise Goble, Clinical Functional Lead Terri Drury, Revenue Cycle Functional Lead Lynn Wasielewski, Service Marketing
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 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 informationOptum Advisory Services Strategies to improve accuracy and completeness of risk adjustment
Payers and providers Optum Advisory Services Strategies to improve accuracy and completeness of risk adjustment IMPROVE CARE QUALITY MANAGE RISK REDUCE COST ADVANCE INFRASTRUCTURE GROW MARKET SHARE Growing
More informationNote: EPS features contained within these FAQs may not be applicable to all Payers.
Note: EPS features contained within these FAQs may not be applicable to all Payers. General Questi ons 1) Overall explanation of what Electronic Payments and Statements is? Electronic Payments and Statements
More informationCAQH CORE Valuebased Payment (VBP) Webinar Series: Attribution Unlocking Value-based Purchasing s Full Potential, with the National Quality Forum
CAQH CORE Valuebased Payment (VBP) Webinar Series: Attribution Unlocking Value-based Purchasing s Full Potential, with the National Quality Forum 2019 CAQH, All Rights Reserved. January 17, 2019 2:00 3:00
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 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 informationUnderstanding Attestation for the Medicare EHR Incentive Programs Eligible Professionals. Chicago Regional Office Webinar June 1, 2011
Understanding Attestation for the Medicare EHR Incentive Programs Eligible Professionals Chicago Regional Office Webinar June 1, 2011 1 Agenda Path to payment Register Attest Payments Walkthrough of the
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 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 informationLeveraging Crimson to Support Network Utilization Strategy
Crimson Population Risk Management Leveraging Crimson to Support Network Utilization Strategy January 25, 2016 2 Managing Your Screen To minimize the control panel To minimize the presentation area Minimizes
More informationAligning and Performing to MACRA & Value Based Quality Data. William Holland, MD VP and Chief Medical Informatics Officer
Aligning and Performing to MACRA & Value Based Quality Data William Holland, MD VP and Chief Medical Informatics Officer MACRA Status Our MACRA Goals Meet MIPS reporting requirements while setting a
More informationICD-10: The View from the Physicians Office. WEDI ICD-10 Winter Forum Miami-Jan. 8, 2014
ICD-10: The View from the Physicians Office WEDI ICD-10 Winter Forum Miami-Jan. 8, 2014 Faculty Rhonda Buckholtz, Vice President, ICD-10 Coding and Education American Academy of Professional Coders Nancy
More informationIntegrated EHR and Practice Management solutions for your GI practice and ASC. Gastroenterology Solutions
Integrated EHR and Practice Management solutions for your GI practice and ASC Gastroenterology Solutions One stop for all of your practice needs. Streamline your GI workflow. Tap into the single, shared
More informationBundled Payments for Care Improvement Advanced (BPCI Advanced)
January 26, 2018 Bundled Payments for Care Improvement Advanced (BPCI Advanced) Introduction and Background The Centers for Medicare & Medicaid Services (CMS) has had a history of reviewing existing payment
More informationBPCI Advanced and Bundled Payment Overview. Ann Conrath, Director of Business Development
BPCI Advanced and Bundled Payment Overview Ann Conrath, Director of Business Development SIGNATURE MEDICAL GROUP Multi-specialty physician group with more than 160 physicians and 500,000 patient visits
More informationUpdating Fee Schedules
HOT IN DECEMBER 2015 TIP OF THE MONTH: Updating Fee Schedules View Article A new year brings new opportunities to serve you better. For many, the start of a new year is filled with a renewed sense of purpose
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 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 informationKareo Managed Billing Service
Kareo Managed Billing Service 2017-2018 This document is intended to outline what you can expect from Kareo, and what Kareo expects from you (at a detailed level) as part of the Kareo Managed Billing Service.
More informationNetwork Development. Creating a strategic advantage through integration and alignment across the healthcare ecosystem
Network Development Creating a strategic advantage through integration and alignment across the healthcare ecosystem Michael Strilesky, Principal // Michael Lutkus, Sr. Manager 2 PINNACLE SPEAKER PROFILE
More information