Meaningful Use continues until 2021 for EPS who are participating in the Medicaid EHR Incentive Program.
The 2017 Program Year brings some changes in the Medicaid Meaningful Use reporting requirements for certain Modified Stage 2 Objectives. Also, in 2017, EPs can choose to report on Stage 3 Objectives instead of Modified Stage 2.
Join us for our “Meaningful Use: Preparing for 2017 and First Look at Stage 3” Webinar on Tuesday, May 16 at Noon EST.
During this webinar, we’ll provide a side-by-side comparison to help with your decision making process.
Register now to learn more about Medicaid Meaningful Use reporting for 2017.
The Centers for Medicare & Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in MIPS, the Merit-based Incentive Payment System. MIPS is an important part of the new Quality Payment Program. In late April through May, practices will get a letter from the Medicare Administrative Contractor that processes Medicare Part B claims. This letter will tell the participation status of each MIPS clinician associated with the Taxpayer Identification Number or TIN in a practice.
Clinicians should participate in MIPS for the 2017 transition year if they bill more than $30,000 in Medicare Part B allowed charges a year AND provide care for more than 100 Part B-enrolled Medicare beneficiaries a year.
The Quality Payment Program intends to shift reimbursement from the volume of services provided toward a payment system that rewards clinicians for their overall work in delivering the best care for patients. It replaces the Sustainable Growth Rate formula and streamlines the “Legacy Programs” Physician Quality Reporting System (PQRS), the Value-based Payment Modifier (VM), and the Medicare Electronic Health Records (EHR) Incentive Program. During this first year of the program CMS is committed to diligently working with you to streamline the process as much as possible. Our goal is to further reduce burdensome requirements so that you can deliver the best possible care to patients. Learn more about the Quality Payment Program.
Contact the Kentucky REC with your questions. Our advisors are here to help you navigate healthcare IT, regulatory issues and more. 859-323-3090
The Center for Children’s Digestive Health (CCDH) has paid the U.S. Department of Health and Human Services (HHS) $31,000 to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule and agreed to implement a corrective action plan. CCDH is a small, for-profit health care provider with a pediatric subspecialty practice that operates its practice in seven clinic locations in Illinois.
In August 2015, the HHS Office for Civil Rights (OCR) initiated a compliance review of the Center for Children’s Digestive Health (CCDH) following an initiation of an investigation of a business associate, FileFax, Inc., which stored records containing protected health information (PHI) for CCDH. While CCDH began disclosing PHI to Filefax in 2003, neither party could produce a signed Business Associate Agreement (BAA) prior to Oct. 12, 2015.
The Resolution Agreement and Corrective Action Plan may be found on the OCR website at http://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/agreements/CCDH
For more information on Business Associate Agreements, please visit https://www.hhs.gov/hipaa/for-professionals/covered-entities/sample-business-associate-agreement-provisions/index.html
To learn more about non-discrimination and health information privacy laws, your civil rights, and privacy rights in health care and human service settings, and to find information on filing a complaint, visit http://www.hhs.gov/hipaa/index.html
Don’t let this happen to you! Contact the Kentucky REC with your questions. Our security advisors are here to help you. 859-323-3090
In case you missed our informational PCSP webinar last week, we are having a repeat webinar on April 18th, 2017 at 12pm.
The Patient-Centered Specialty Practice is a National Committee for Quality Assurance (NCQA) recognition program that extends the Patient-Centered Medical Home (PCMH) concepts to specialists. Specialty practices committed to access, communication and care coordination can earn accolades as the “neighbors” that surround and inform the medical home and colleagues in primary care.
Our cohort framework is designed to accelerate your journey to NCQA PCSP Recognition within a 14-16 month period. Through our expert training, coaching, and resources, your staff will be well-prepared to carry out the practice transformation process.
Now is the perfect time! By receiving recognition as a PCSP, your organization will receive full points in the Improvement Activities category of the Merit-Based Incentive Payment System under the Medicare Access and CHIP Reauthorization Act (MACRA).
Don’t miss the opportunity to be a part of something special as we work to transform healthcare in Kentucky!
Groups participating in the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program are not required to register, except for groups that intend to utilize the CMS Web Interface and/or administer the Consumer Assessment of Health Providers and Systems (CAHPS) for MIPS survey. To register, please visit the Quality Payment Program website. The registration period is from April 1, 2017 through June 30, 2017.
Under MIPS, a group is defined as a single Taxpayer Identification Number (TIN) with two or more eligible clinicians (including at least one MIPS eligible clinician), as identified by their National Provider Identifiers (NPI), who have reassigned their billing rights to the TIN. Eligible clinicians who participate as a group will be assessed a at a group level across all four MIPS performance categories. The group will receive one payment adjustment for the group’s performance.
Note: Groups that participate in a Shared Savings Program ACO are not required to register or report; the Shared Savings Program ACO is required to report quality measures on behalf of participating eligible clinicians for purposes of MIPS.
For 2017, only groups of 25 or more eligible clinicians that have registered can report via the CMS Web Interface. Groups that participate in MIPS through qualified registry, qualified clinical data registry, or electronic health record data submission mechanisms do not need to register. For 2017, only groups of 2 or more eligible clinicians that have registered can participate in the CAHPS for MIPS survey.
As a courtesy, CMS automatically registered groups for the CMS Web Interface for the 2017 performance period that previously registered for group reporting under the Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) Web Interface. If you need to remove your registration for Web Interface submission because your group now has fewer than 25 eligible clinicians, you should “cancel” your registration. If your group wants to administer the CAHPS for MIPS survey, your group will need to make an election via the registration system.
The registration period for groups who choose Web Interface or CAHPS for MIPS Survey as their data submission method is April 1 – June 30, 2017.
Note: For individual or group participation, registration is not required for any other submission method.
How to Register
To register, visit Quality Payment Program website.You will need a valid Enterprise Identity Management (EIDM) account with a Physician Value – Physician Quality Reporting System (PV-PQRS) role in order to register.
EIDM Account Information
• Open a New Account: To create or modify an EIDM account, review the Guide for Obtaining a New EIDM Account.
• Reactivate an Account: To reactivate or confirm the status of an account, contact the Quality Payment Program at 1-866-288-8292 (TTY:1-877-715-6222) or firstname.lastname@example.org, Monday – Friday 8:00am – 8:00pm Eastern Time and provide the group name and TIN.
• Use a Current Account: To request a role to access the ‘Physician Quality and Value Programs’ application in the CMS Enterprise Portal, review the Guide for Obtaining a ‘Physician Quality and Value Programs’ Role for an Existing EIDM User.
For More Information: visit the Quality Payment Program website and review the following materials:
Contact the Kentucky REC with your questions. Our advisors are here to help you. 859-323-3090