Reg-ent MIPS 2018 DRCF Completion and Submission Webinar · 2019-06-04 · THE GLOBAL LEADER IN...
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THE GLOBAL LEADER IN OPTIMIZING QUALITY EAR, NOSE, AND THROAT PATIENT CARE www.entnet.org Reg-ent MIPS 2018 DRCF Completion and Submission Webinar January 16, 2019 1:00 – 2:00 pm ET
Transcript of Reg-ent MIPS 2018 DRCF Completion and Submission Webinar · 2019-06-04 · THE GLOBAL LEADER IN...
THE GLOBAL LEADER IN OPTIMIZING QUALITY EAR, NOSE, AND THROAT PATIENT CARE www.entnet.org
Reg-ent MIPS 2018 DRCF Completion and Submission
Webinar
January 16, 2019
1:00 – 2:00 pm ET
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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
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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
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Presenters
• AAO-HNSF Reg-ent Team• Cathlin Bowman
• Laura McQueen
• Lisa Satterfield
• FIGmd Reg-ent Team• Lindsey Green
• Farha Mandal
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Demonstration:
Completing Your Submission through the Reg-ent MIPS 2018 Dashboard
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Review of Key Items
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Getting Started
• Individual Reporting• Select “Clinician”
• Group Reporting• Select “Practice”
• 2 or more clinicians with same TIN
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Clinician and Practice Details
• Confirm MIPS Eligibility • Validate TIN and NPI(s)
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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
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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
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Settings Questions
• PI Exclusions• e-prescribing
• Summary of Care
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Summary Details
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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
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Quality Performance
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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
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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
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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
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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)
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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 2nd performance rate and will be used for the benchmark.
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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
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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
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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
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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
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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
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What You’re Signing
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Completing Your Submission
• Select categories to submit
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Completing Your Submission
• Final review of submission data
• Confirm submission
• Submit to CMS
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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
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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
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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
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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
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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:
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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:
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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
THE GLOBAL LEADER IN OPTIMIZING QUALITY EAR, NOSE, AND THROAT PATIENT CARE www.entnet.org
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
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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
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Additional Resources Continued
• AMA How to Avoid a Penalty in 2018 MIPS Program• https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-
browser/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
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