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February 2019
KHIN Offers a Solution for MIPS Reporting Needs in 2019, 2020
As MIPS-eligible clinicians across the state work on reporting to CMS in the first quarter of 2019 for the 2018 performance year, the CMS Quality Payment Program (QPP) moves into Year 3. KHIN is invested in helping members understand the connection between KHIN utilization and receiving a positive incentive under the CMS QPP/MIPS requirements.
Under the Merit-Based Incentive Payment System (MIPS), eligible providers are required to submit their data to CMS in the first quarter of 2020 for their 2019 performance, which will impact 2021 Medicare reimbursement.

In addition to staying on top of the rules and changes to scoring for QPP, KHIN can help with interpreting provider performance, as well as with the submission of data. While clinicians have many reporting options, including claims-based through their EMR or via third-party registry, KHIN members may elect to report through the KHIN Qualified Clinical Data Registry (QCDR) , a CMS-approved entity that extracts, calculates and reports MIPS measures on behalf of clinicians for annual QPP data submission. The KHIN QCDR is able to collect the patient data and submit the data in a more efficient, cost effective manner.

Clinicians who sign up for the QCDR receive the quality metrics component of the KHIN Analytics Dashboard for up to 12 months, giving the practice daily access to meaningful analytics. Furthermore, they may report their clinical improvement activities and promoting interoperability measures through this service at no cost.

Regarding the QPP Final Rule for Year 3, CMS estimates approximately 798,000 clinicians will be MIPS-eligible clinicians in the 2019 MIPS performance period, an increase of almost 148,000 providers. CMS estimates MIPS payment adjustments will be equally distributed between negative and positive MIPS payment adjustments. For Year 3, the maximum negative payment adjustment is -7%. The maximum positive payment adjustment can be up to 7%.

Practices and providers should contact Josh Mosier, jmosier@khinonline.org or Brenda Kebert, bkebert@kammco.com for more information or to sign up for 2019 reporting.
KHIN Membership Call
Thank you for being a valued KHIN member. Mark your calendar for the next KHIN membership call scheduled for Wednesday, February 27, 2019, at 12:00 P.M.

KHIN members will receive the membership call registration link and agenda via email two weeks prior to the call.
One Stop Shop for Electric Clinical Quality Resources
The Centers for Medicare & Medicaid Services (CMS) recently updated the  Electronic Clinical Quality Improvement (eCQI) Resource Center website based on user feedback. It is the one-stop shop for the most current resources to support electronic clinical quality improvement. The website serves as a centralized location for federal eCQI initiatives and includes the most current Electronic Clinical Quality Measure (eCQM) specifications, as well as links to the tools, standards, education, and materials critical to support development, testing, implementation, and reporting of eCQMs. The eCQI Resource Center offers two new resources based on stakeholder feedback.

The new eCQM Tools, Resources, & Collaboration (InfoTRAC) previously named eCQM Tools & Resources, has been revised based on user input. This interactive graphic provides an in-depth overview of the tools, standards, and resources used in the various stages of the eCQM lifecycle. Stakeholders will find references and links to tools and resources specific to their areas of interest.

Visit the eCQI Resource Center to learn more.

For More Information
Submit specific questions regarding eCQMs, eCQM standards, and eCQM tools to the  eCQI Resource Center . The most updated measure specifications and supplemental materials can be found at the  eCQI Resource Center .
Find the New Shared Savings Program and Quality Payment Program Interactions Guide Online
The Quality Payment Program Resource Library has a new interactions guide available to help clinicians understand participation tracks in 2019. The Medicare Shared Savings Program and Quality Payment Program (QPP) Interactions Guide provides:

  • An overview of 2019 Shared Savings Program participation tracks and whether they meet the criteria of a Merit-based Incentive Payment System (MIPS), Alternative Payment Model (APM) or Advanced APM; 
  • An explanation of the APM scoring standard and eligibility for eligible clinicians (ECs) participating in a Shared Savings Program Accountable Care Organization (ACO); 
  • Details on how ECs participating in an ACO are scored under MIPS if their Shared Savings Program participation agreement is terminated during the performance year; and 
  • A description of how CMS identifies Qualifying APM Participants for ECs participating in an ACO meeting the Advanced APM criteria. 

CMS encourages Shared Savings Program ACOs and their participants to review the guide.
MIPS Eligible Clinicians Can Start Submitting Data for 2018
The Centers for Medicare & Medicaid Services (CMS) has officially opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program (QPP). With the exceptions noted in the paragraph below, data can be submitted and updated any time through April 2, 2019.

CMS Web Interface users need to report their Quality performance category data between January 22 and March 22, 2019. Also, for clinicians who reported Quality measures via Medicare Part B claims throughout the 2018 performance year , CMS will receive quality data from claims processed by the Medicare Administrative Contractor, and claims for services furnished during 2018 must be processed within 60 days after the end of the 2018 performance period.

How to Submit 2018 MIPS Data
Clinicians will follow the steps outlined below to submit their data:

  1. Go to the Quality Payment Program website
  2. Log-in using your QPP access credentials (see below for directions)
  3. Submit your MIPS data for Year 2 (2018)

How to Login to the Quality Payment Program Data Submission System
To submit data, clinicians will need to use the new HCQIS Authorization Roles and Profile (HARP) system. Previously, clinicians received their credentials through the Enterprise Identity Management (EIDM) system. Clinicians are encouraged to log in early to familiarize themselves with the system.

  • Previous EIDM Accounts: For all clinicians who previously had an EIDM account, you were automatically transitioned to HARP, and will use your existing EIDM user ID and password to sign in to the QPP website. 
  • New Clinicians: For all clinicians who didn’t have an EIDM account, you’ll need to enroll with HARP. For a step-by-step guide to signing up for a HARP account, refer to the QPP Access User Guide.

Note: Clinicians who are not sure if they are eligible to participate in the Quality Payment Program can check their eligibility status using the  QPP Participation Status Tool .

For More Information
To learn more about how to submit data, please review the  2018 MIPS Data Submission FAQs and other resources available in the QPP Resource Library .

If you have questions about how to submit 2018 MIPS data, contact: the Quality Payment Program by email:  QPP@cms.hhs.gov ; or by phone: 1-866-288-8292/TTY: 1-877-715-6222.

If you would like to learn how KHIN can submit your 2019 data for you through the Doctors Quality Reporting Network, please call 877.520.5448.
KHIN Bi-Monthly Member Call
February 27, 2019
KHIN
Bi-Monthly Member Call
Webinar
12:00 P.M.
Come See Us!
February 8, 2019
Kansas City Southwest Clinical Society's
2019 Winter Conference
Sheraton Overland Park Hotel
Overland Park, KS



Josh Mosier
Manager of Client Services
785.231.1341