OCC Fall Users’ Group Meeting MIPS/MU Friday, February 24, 2017

Medicare Eligible Clinicians: MU vs. Advancing Care Information Electronic Patient Engagement & Physician Communication Continuous Performance Meaningful Use Wide focus of objectives Thresholds

What’s New in 2017 MIPS replaces Meaningful Use for Medicare Providers Advancing Care Information (ACI) Quality Improvement Activities ACO status plays a large part in MIPS requirements Group reporting option Option to use Modified Stage 2 objectives or Stage 3 objectives for Advancing Care Information component 2017 reporting impacts 2019 Medicare Reimbursement Anyone unfamiliar to MU?

ACO vs No ACO Groups in ACO: Groups not in ACO: Must Group Report at TIN Level Medicare Reimbursement is reflective of all scores for all TINs in ACO Groups not in ACO: Option to Group Report or Individually Report Medicare Reimbursement is reflective of score at Group or Individual Level depending on which reporting option is chosen.

MIPS Reporting in 2017 Groups in ACO: Groups not in ACO: Report ACI at TIN level ACO reports Quality ACO contract covers Improvement Activities Groups not in ACO: Report Quality at TIN level Attest to Improvement Activities

MIPS Scorecard Report – Stage 3

MIPS Scorecard Report – Stage 3

ACI Base Objectives Security Risk Analysis e-Prescribing Provide Patient Access Health Information Exchange Send Summary of Care Request/Accept Summary of Care To receive the base score, physician/group must meet a numerator of 1 or yes/no for each objective and measure. 2018 QPP Rule proposes to reestablish low volume denominator exclusions.

ACI Performance Objectives Patient Electronic Access to Health Information Patient Access - Data is made available for patient to access, download and transmit on MyChart Patient Education Resources – Patient provided education resources via MyChart Coordination of Care through Patient Engagement VDT (View, Download, Transmit) – Patient access health data on MyChart Secure Messaging – Physician sends message to patient via MyChart Patient-Generated Health Data - Patient fills out pre-visit questionnaire Health Information Exchange Send Summary of Care Outgoing – Summary of Care sent when patient transitioned to another setting of care outside of organization, receipt required Request/Accept Summary of Care-Incoming Query for patient record when patient presents himself from another setting of care outside of organization Clinical Reconciliation - Meds, Problems, and Med Allergies are reconciled for new patients or patients from another setting of care Public Health Immunization Registry

Quality and Improvement Activities Submit QRDA file via EHR Direct CMS has not yet released specifications Improvement Activities CMS has provided 92 eligible activities https://qpp.cms.gov/mips/improvement-activities

Meaningful Use Providers registered as Medicaid for the Meaningful Use program can still attest to Louisiana Medicaid to complete incentive payments AIU + 5 incentive payments of $8500 Option to report Modified Stage 2 or Stage 3 in 2017

Questions?