EMR S stems
simpliying selection
Welcome to the
Webinar
EMR S stems
simpliying selection
MIPS
Dos and Donts
#mipsdosanddonts
EMR S stems
simpliying selection
In this webinar
MACRA, MIPS & APMs
MACRA: 3 Changes - A new QPP
MIPS Performance Scoring
MIPS Eligibility
MIPS Payment Adjustments
Participation - Pick Your Pace
How to Avoid Penalties?
Individual vs Group Reporting
EHR vs QCDR
Plan Ahead - CMS to the Rescue
Dont Fret - Seek Help
Important To-Do List
EMR S stems
simpliying selection
MACRA, MIPS & APMs
EMR S stems
simpliying selection
MACRA: 3 Changes - A new QPP
End Sustainable Growth Rate Based Reimbursement
New Framework Rewarding Better Care
Combining Existing Quality Programs into One
EMR S stems
simpliying selection
MIPS Eligibility
Providers who have met a minimum volume threshold of Medicare Part B patients or payments.
WHO QUALIFIES AS AN EP?
2017 & 2018 Performance Year:
MDs
PAs
CNSs
CRNAs
EMR S stems
simpliying selection
2019 Performance Year: (additional)
NPs
PTs
OTs
SLPs
AuDs
CNMs
LCSW
LCPs
RDNs
MACRA
MIPS
APMs
Adjusts Traditional Fee-For-Service
Participation mandates use of
Measurement Categories:
Certied EMR Technology
Quality of Care (PQRS)
Resource use (VBPM)
Clinical practice improvement
Advancing Care Information
Category (Meaningful Use)
Providers will bare additional nancial risk
Will be exempt from MIPS payment
adjustments and receive 5%
additional incentives.
Examples:
MSSP Track 2 & 3
Next Gen. ACO Model
CPC+
EMR S stems
simpliying selection
MIPS Payment Adjustments
+27%
+21%
+15%
+9%
+12%
Potential Adjustment
+7%
+5%
% =
2019
+/ -
Incentive
+4%
Maximum
Adjustments
2020
2021
2022 onward
-4%
Penalties
-5%
-7%
-9%
EMR S stems
simpliying selection
MIPS Performance Scoring
Starting Jan. 1, 2017, Medicare Part B eligible
CMS may choose to shift these point values each year, but a
providers (EPs) will be measured annually in four
providers 2017 performance in just two of these categories,
performance categories to derive a MIPS score
MU and Quality, will comprise 85% of their
85%
between 0 and 100.
maximum possible score.
Providers scores will be publically available to consumers
via the Centers for Medicare & Medicaid Services (CMS)
Physician Compare website.
15%
0%
Resource Use
EMR S stems
simpliying selection
Clinical Practice
Improvement (CPI)
25%
Advancing Care
Information (Aci)
60%
Quality
Participation - Pick Your Pace
EMR S stems
simpliying selection
Participation Pick Your Pace
Andy Slavitt's Pick Your Pace message for MIPS 2017:
No reporting means penalties
Test: minimum reporting to avoid penalties
Partial reporting: 90-day reporting
Ideal reporting: full year
Participation in an Advanced APM Additional 5% bonus
EMR S stems
simpliying selection
How to Avoid Penalties?
Chance
Go to Jail Go Directly to Jail,
Do not pass GO, Do not Collect 200
EMR S stems
simpliying selection
How to Avoid Penalties?
1
EMR S stems
simpliying selection
Quality Measure
OR
Improvement Activity in Each
Category Helps Avoid Penalties
Individual vs Group Reporting
Individual
Group
Data tied to single NPI
Entire group has the same adjustment
Adjustment dependent on individuals own
reporting
Tied to a single TIN
Reporting available via CMS web interface
EHR or CDR based reporting
EMR S stems
simpliying selection
Web interface registration deadline - June
30, 2017
EHR vs QCDR
Finalize your reporting platform now Dont wait till 2017
Check if your EMR is ready for reporting on;
chpl.healthit.gov
EMR S stems
simpliying selection
EHR vs QCDR
If Your EHR:
Is not certied or is not ready for reporting your measures &
Youre unable to switch EHRs at this stage
Choose a QCDR
CMS approved entity
Introduced for the PQRS program
Collects clinical data for reporting
EMR S stems
simpliying selection
Plan Ahead - CMS to the Rescue
EMR S stems
simpliying selection
Plan Ahead - CMS to the Rescue
Planning Ahead will Pay Off in 2017
CMS Platform Dedicated to MIPS Planning:
qpp.cms.gov/measures/quality
qpp.cms.gov/measures/aci
qpp.cms.gov/measures/ia
EMR S stems
simpliying selection
Plan Ahead - CMS to the Rescue
Search Measures with Keywords
Filter by Priority, Reporting Method and Specialty
Review Selection: Are You Doing Enough?
EMR S stems
simpliying selection
Dont Fret - Seek Help
MACRA - $20 Million Each Year for 5 Years
Beginning December 2016
Experienced Organizations Helping Small Practices
EMR S stems
simpliying selection
Important To-Do List
Educate your organization, particularly the C-suite, as soon as possible
Estimate your MIPS score using your current MU, PQRS and VBM scores
Optimize MU & PQRS/VBM Quality to maximize the MIPS score (comprise 85% of the
2017 MIPS score)
Evaluate staff, resources and organizational structure, e.g. combine MU & PQRS efforts
under a single leader
Identify 2016 deadlines impacting 2017 MIPS, e.g. Medicare Shared Savings Program
Track 2/3 ACO or NCQA PCMH application deadlines to gain MIPS exemptions or points
EMR S stems
simpliying selection
Thank You
(347) 343-2700
webinars@emrsystems.net
www.emrsystems.net
mipsdosanddonts
EMR S stems
simpliying selection
