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 and Submission Process Review of Key Items Open Q&A Conclusion
Webinar Logistics All attendees are in listen-only mode Questions: Should be entered via the Q&A functionality in Go ToWebinar Include practice name and Reg-ent Practice ID Will be answered verbally at the end of the demonstration and presentation Slide deck will be shared via email by the end of the week Will include links for resources
Presenters AAO-HNSF Reg-ent Team Cathlin Bowman Laura McQueen Lisa Satterfield FIGmd Reg-ent Team Lindsey Green Farha Mandal
Demonstration: Completing Your Submission through the Reg-ent MIPS 2018 Dashboard
Review of Key Items
Getting Started Individual Reporting Select Clinician Group Reporting Select Practice 2 or more clinicians with same TIN
Clinician and Practice Details Confirm MIPS Eligibility Validate TIN and NPI(s)
Settings Questions Impact scoring Small Group = 15 or fewer eligible clinicians 5 bonus points PI Hardship Exclusion Applications were due 12/31/18 Reweights Quality to 75% Do not submit until receive approval from CMS
Settings Questions EHR details Use of certified EHR: Yes or No CEHRT edition: 2014 and/or 2015 Bonus points for use of 2015 only Objectives & Measures 2018 Transition PI Objectives & Measures PI Objectives & Measures
Settings Questions PI Exclusions e-prescribing Summary of Care
Summary Details
Performance Categories Quality Out of 60 points, 50% of total MIPS score Promoting Interoperability Out of 165 points, 25% of total MIPS score Improvement Activities Out of 40 points,15% of total MIPS score Cost (not included on dashboard) 10% of total MIPS score Score calculated by CMS from claims data
Quality Performance
Quality Performance Out of 60 points, 50% of total MIPS score Performance score + bonus points = Quality score P preferred for submission Most points, not necessarily highest/best performance Report full performance year
Quality Performance Requirements 6 measures, including 1 outcome measure If you have data on an outcome measure you must submit it Even if you do not have 20 cases Even if performance rate is zero percent You cannot submit a high priority measure instead If you do not have data on an outcome measure, you are to submit a high priority measure You can submit more than 6 measures we recommend adding high priority measures and additional outcomes measures Bonus points additional high priority measures, end-to-end reporting
Data Completeness Data Completeness Requirements 60% of eligible patients/encounters per measure Minimum 20 cases Provide Eligible Population and Exceptions for each measure* Automatic for EHR SI sites Web tool sites and EHR push sites will be required to enter this data into the dashboard prior to submitting to CMS Functionality expected first week of February *CMS does not require Exclusions to be provided
Quality Scoring and Benchmarks Minimum points per QCDR and QPP measure where data completeness is not met 3 points for small practices 1 point for large practices Reg-ent QCDR Measures If no historical benchmark initial score will be 3 points Based on 2018 submitted data, CMS will create a benchmark and scores will change based upon the new benchmark QCDR outcomes measures with zero percent performance rate or fewer than 20 eligible patients will earn 1 or 3 points (depending on practice size)
Measure QPP 226 QPP 226 - Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Historical benchmark removed by CMS in the latter half of 2018 Default score for now is 3 points The measure will be scored against a performance year benchmark once the submission window has closed The overall stratum for 226 is the 2 nd performance rate and will be used for the benchmark.
Promoting Interoperability Out of 165 points, 25% of total MIPS score Base score + Performance score + bonus points = PI score Required base measures for base points Additional measures for performance points and bonus points Any 90 day period Run report from EHR Measure names may be different
Promoting Interoperability Settings questions Bonus for using 2015 CEHRT only PI Hardship Exclusion Exclusions for e-prescribing and Summary of Care Prior to completing submission will be required to attest that not data blocking
Improvement Activities Out of 40 points, 15% of total MIPS score Any 90 day period Subcategories Scoring based on practice size Small practice = 15 or fewer clinicians High = 40 points Medium = 20 points Large practice = more than 15 clinicians High = 20 points Medium = 10 points
Summary Tab Review scores per category and total score Need 15 points to avoid negative payment adjustment in 2020 Estimated scores only, final scores come from CMS Cost to be provided by CMS Click categories to submit
Data Release Consent Form Reporting as an Individual Clinician Individual clinician is required to sign the DRCF Reporting as a Group Practice administrator can sign the DRCF
What You re Signing
Completing Your Submission Select categories to submit
Completing Your Submission Final review of submission data Confirm submission Submit to CMS
Submission Confirmation Immediately receive a Success or Failure notification email Your CAM also receives Failure automatically triggers a support ticket CMS allows resubmission / multiple submissions Contact your CAM
Web Tool Practices Complete Quality Performance data entry by February 16 Submission through the Reg-ent Qualified Registry (QR) QPP measures only Data completeness requirement 60% of all patients all payers per measure Provide Eligible Population and Exceptions per measure* *CMS does not require Exclusions to be provided
MIPS 2018 Submission Checklist Individual vs. Group reporting Confirm MIPS eligibility Validate TIN and NPIs Complete data entry for Quality and/or PI categories as applicable Review Quality performance and scoring Provide Eligible Population and Exceptions per measure*(web tool & EHR push sites only) Make selections across all categories and review scoring Finalize selections Review and then Sign Data Release Consent Form (DRCF) Confirm selections Submit to CMS *CMS does not require Exclusions to be provided
Timeline December 31, 2018 End of MIPS 2018 performance period January 2, 2019 CMS opened submission period January 21, 2019 Quality data refreshed for 2018 Q4 (for most SI practices) Late January 2019 / Early February 2019 Reg-ent MIPS 2018 submission functionality released Eligible Population & Exceptions functionality released (EHR push and web tool sites) February 15, 2019 Deadline for web tool practices to enter patient encounter data for the Quality performance category March 1, 2019 DRCFs signed and all data submissions to CMS through Reg-ent completed April 2, 2019 CMS submission period closes
Q&A Session Please use the Question function via your Go ToWebinar to submit your questions. Include practice name and Reg-ent Practice ID. Contact the AAO-HNSF Reg-ent team and FIGmd Client Account Management team at: reg-ent@entnet.org and aaohnscams@figmd.com
Thank You Today s slides will be shared via email following the conclusion of the webinar and will be posted on www.reg-ent.org Stay up-to-date with Reg-ent: OTO News Reg-ent Report e-newsletter Webinars on a variety of topics, including the new Quality platform and MIPS 2019 reporting. Webinar details, including dates & times and registration links, to be provided. Contact us at: reg-ent@entnet.org aaohnscams@figmd.com
Reg-ent Resources Reg-ent Website www.reg-ent.org Reg-ent MIPS 2018 Reporting https://www.entnet.org/content/reg-ent%e2%84%a0-mips-2018- reporting Reg-ent 2018 Quality Measures http://www.entnet.org/2018-measures Additional Reg-ent Resources http://www.entnet.org/content/reg-ent-resources
Reg-ent Resources Continued Reg-ent MIPS 2018 User Guide http://entconnect.entnet.org/higherlogic/system/downloaddocumentfi le.ashx?documentfilekey=1bc7757f-69ed-5db7-1add- 8eb515efce2b&forceDialog=0 Web tool User Guide http://entconnect.entnet.org/higherlogic/system/downloaddocumentfi le.ashx?documentfilekey=ec44ce23-11ea-597c-2f0b- 40f9cb8bd34c&forceDialog=0 Reg-ent MIPS 2018 Dashboard Training videos https://www.youtube.com/playlist?list=plultp9yjfrzvmoyzhoaibqus saksqgd3f
Additional Resources CMS Quality Payment Program Webpage https://qpp.cms.gov/ CMS MIPS Participation & Overview Factsheet https://www.cms.gov/medicare/quality-payment-program/resource- Library/2018-MIPS-participation-and-overview-fact-sheet.pdf CMS MIPS 2018 Scoring Guide 101 https://www.cms.gov/medicare/quality-payment-program/resource- Library/2018-MIPS-Scoring-Guide.pdf
Additional Resources Continued AMA How to Avoid a Penalty in 2018 MIPS Program https://www.ama-assn.org/sites/ama-assn.org/files/corp/mediabrowser/public/physicians/macra/mips-scoring-sheet-avoid-penalty.pdf AAO-HNS MIPS and APMs Webpage https://www.entnet.org/content/quality-payment-program-advocacy AAO-HNS MIPS Brochure http://www.entnet.org/sites/default/files/2018_mips_brochure_web.pdf