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    Welcome To The Webinar: S Stems

    Uploaded by

    Drake Coleman
    This webinar discusses the Medicare Access and CHIP Reauthorization Act (MACRA) and its impact on physician payments through the Quality Payment Program (QPP). The QPP consists of two tracks: The Merit-based Incentive Payment System (MIPS) and alternative payment models (APMs). MIPS consolidates existing quality programs and adds a new category on use of certified electronic health record (EHR) technology. Providers will receive payment adjustments based on their MIPS performance scores. The webinar emphasizes planning ahead and using available CMS resources to succeed under MIPS. It also addresses key issues like eligibility, reporting options, and strategies for avoiding penalties in the first year of the program.

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    Welcome To The Webinar: S Stems

    Uploaded by

    Drake Coleman
    79 views23 pages
    This webinar discusses the Medicare Access and CHIP Reauthorization Act (MACRA) and its impact on physician payments through the Quality Payment Program (QPP). The QPP consists of two tracks: The Merit-based Incentive Payment System (MIPS) and alternative payment models (APMs). MIPS consolidates existing quality programs and adds a new category on use of certified electronic health record (EHR) technology. Providers will receive payment adjustments based on their MIPS performance scores. The webinar emphasizes planning ahead and using available CMS resources to succeed under MIPS. It also addresses key issues like eligibility, reporting options, and strategies for avoiding penalties in the first year of the program.

    Original Description:

    MIPS - Do’s and Don’ts

    Original Title

    MIPS

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    This webinar discusses the Medicare Access and CHIP Reauthorization Act (MACRA) and its impact on physician payments through the Quality Payment Program (QPP). The QPP consists of two tracks: The Merit-based Incentive Payment System (MIPS) and alternative payment models (APMs). MIPS consolidates existing quality programs and adds a new category on use of certified electronic health record (EHR) technology. Providers will receive payment adjustments based on their MIPS performance scores. The webinar emphasizes planning ahead and using available CMS resources to succeed under MIPS. It also addresses key issues like eligibility, reporting options, and strategies for avoiding penalties in the first year of the program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    79 views23 pages

    Welcome To The Webinar: S Stems

    Uploaded by

    Drake Coleman
    This webinar discusses the Medicare Access and CHIP Reauthorization Act (MACRA) and its impact on physician payments through the Quality Payment Program (QPP). The QPP consists of two tracks: The Merit-based Incentive Payment System (MIPS) and alternative payment models (APMs). MIPS consolidates existing quality programs and adds a new category on use of certified electronic health record (EHR) technology. Providers will receive payment adjustments based on their MIPS performance scores. The webinar emphasizes planning ahead and using available CMS resources to succeed under MIPS. It also addresses key issues like eligibility, reporting options, and strategies for avoiding penalties in the first year of the program.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 23

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    Welcome to the
    Webinar

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    MIPS
    Dos and Donts

    #mipsdosanddonts

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    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

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    MACRA, MIPS & APMs

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    MACRA: 3 Changes - A new QPP


    End Sustainable Growth Rate Based Reimbursement

    New Framework Rewarding Better Care

    Combining Existing Quality Programs into One

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    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

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    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+

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    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%

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    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

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    Clinical Practice
    Improvement (CPI)

    25%
    Advancing Care
    Information (Aci)

    60%
    Quality

    Participation - Pick Your Pace

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    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

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    How to Avoid Penalties?

    Chance

    Go to Jail Go Directly to Jail,


    Do not pass GO, Do not Collect 200

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    How to Avoid Penalties?

    1
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    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

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    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

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    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

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    Plan Ahead - CMS to the Rescue

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    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

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    Plan Ahead - CMS to the Rescue


    Search Measures with Keywords
    Filter by Priority, Reporting Method and Specialty
    Review Selection: Are You Doing Enough?

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    Dont Fret - Seek Help


    MACRA - $20 Million Each Year for 5 Years
    Beginning December 2016
    Experienced Organizations Helping Small Practices

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    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

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    Thank You
    (347) 343-2700
    webinars@emrsystems.net
    www.emrsystems.net
    mipsdosanddonts

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