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September 2018 - Additional News

Updated Performance Feedback Report

MIPS 2017 performance feedback and final scores are available. CMS recently updated the Performance Feedback so please be sure to go to the QPP website and log in using your EIDM credentials to verify your updated Performance Feedback Report.

For more information on the feedback report, please refer to this fact sheet.

Targeted Review

MIPS-eligible clinicians or groups can request that CMS review the calculation of their 2019 MIPS payment adjustment factor through a targeted review. You may file such a request at any time. The deadline to do so is October 15, 2018.

For more information on targeted review, please refer to this fact sheet.

For further questions, please reach out to your analyst, or contact the QPP help desk at (866) 288-8292.

Preparing for MIPS 2018 Reporting

A MIPS-eligible clinician would be scored based on performance in four categories: Quality, Cost, Promoting Interoperability and Improvement Activities.

Quality Performance Category

  • Report on at least six Quality Measures
  • One of the six measures must be an outcome measure
  • Reporting Period: Full Year

For detailed information on Quality performance category requirements, please refer to this fact sheet.

Promoting Interoperability Performance Category

  • Base Score Measures: Submit a “yes” for the security risk analysis measure, and at least a 1 in the numerator for the remaining base score measures*
  • Report on Performance & Bonus Score measures
  • Reporting Period: Minimum continuous 90 days

    Public Health Reporting

    Report to one or more of the following public health agencies or clinical data registries as part of the Performance Score measure. Reporting to one of the public health reporting measures counts toward the 10% Performance Score and reporting to the second one counts toward the 5% Bonus Score.
    • Below is the list of public health agencies or clinical data registries:
    • Immunization registry
    • Syndromic surveillance
    • Public health registry (CDC National Health Care Survey)
    • Specialized registry (Dartnet or any registries that accept data in the CCDA format through data export)

      If you are reporting to any of the public health agencies or clinical data registries, you need to be registered within the first 60 days of the start of the reporting period. 

Improvement Activity Performance Category

  • Report to two* or more Improvement Activities to earn full category score
  • Reporting Period: Minimum continuous 90 days
  • Refer to these data validation criteria that suggests the documentation to keep in case of an audit.

* Number of activities depend on the size of the practice and weight of the improvement activity

For detailed information on Improvement Activity performance category requirement, please refer to this fact sheet.

Performance Tracking

Continue monitoring your dashboard regularly to track performance and identify and correct deficiencies. Schedule monthly dashboard review calls with your MIPS analyst. 

Thank you,

eClinicalWorks
Macra@eclinicalworks.com

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eClinicalWorks offers MIPS Registry and EHR Submissions Services, at an additional cost, for practices that require eClinicalWorks to submit MIPS data on their behalf. To sign up for these services, contact macra@eclinicalworks.com.

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