Kentucky REC and our partners have made the bold commitment to helping 90 percent of eligible clinicians in the state successfully participate in the Quality Payment Program for performance year 2017.
Press Release below:
The Kentucky Health Information Exchange (KHIE), Kentucky Department for Medicaid Services (DMS), Kentucky Department for Public Health (KDPH), Kentucky Rural Healthcare Information Organization (KRHIO), Qsource — a member of atom Alliance, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) — and the University of Kentucky’s Regional Extension Center (KY REC) have made the bold commitment to helping 90 percent of eligible clinicians in the state successfully participate in the Quality Payment Program for performance year 2017. The Quality Payment Program is new federal legislation altering the way clinicians are reimbursed for their Medicare Part B encounters. Since 2017 is the transition year into the MIPS program, clinicians have multiple reporting options, known as “Pick Your Pace,” to be successful and avoid a negative payment adjustment.
To accomplish this goal, the partners are collaborating with several key stakeholders within Kentucky to spread awareness and provide the necessary resources and technical assistance to ensure clinicians meet Quality Payment Program reporting requirements. KHIE provides technical services that support Quality Payment Program, while Qsource and the KY REC hold the three CENTERS for MEDICARE & MEDICAID SERVICES (CMS) contracts to support clinicians through grant funded technical assistance.
Working in conjunction with KDPH, KHIE provides a broad range of free, technical services to assist Kentucky clinicians with public health reporting and Meaningful Use EHR Incentive Program requirements. KDPH operates multiple public health registries to monitor, prevent, and reduce the risk and incidence of vaccine-preventable diseases, cancer, reportable diseases, and outbreaks within Kentucky. KHIE serves as the backbone for electronic delivery of public health data to KDPH registries. Additional, KHIE services can be used by clinicians to improve coordination of care across healthcare settings. These same KHIE services can be used by clinicians to maximize their Quality Payment Program score. For more information or to sign up for KHIE technical services, you can contact KHIE by sending an email to KHIE@ky.gov or by calling (502) 564-7992.
The KRHIO, formerly NeKY RHIO, offers a wide selection of support in implementing, managing, servicing and supporting health information technology (IT). Operating as a managed IT service provider exclusively for health care organizations, KRHIO works with the technical infrastructure and supporting systems to increase the efficiency and effectiveness of clinics operating systems. This proactive approach allows for a faster, more reliable and longer lasting comprehensive system. Contact our office at 1-855-385-2089 or by email at email@example.com.
Qsource, a member of atom Alliance, oversees the CMS contract to provide free, Quality Payment Program technical assistance to practices comprised of more than 15 clinicians. Clinicians can obtain technical assistance via live chat, email, phone, or through the Providers.Exchange portal. Additionally, as a QIN-QIO contracted by CMS, Qsource partners with Kentucky healthcare organizations on targeted quality improvement initiatives that can be used by clinicians to maximize their performance scores in the Quality Payment Program Quality and Improvement Activities categories. Clinicians can contact Qsource by sending an email to firstname.lastname@example.org or by calling (800) 528-2655.
The Kentucky REC provides free, Quality Payment Program technical assistance to small, underserved, and rural practices of 15 clinicians or less through a CMS contract establishing the QPP Resource Center™, which provides education, resources, tools, live chat and phone support. Kentucky REC also is participant in the CMS-funded Great Lakes Practice Transformation Network (PTN), a peer-based learning network that supports 1938 providers in Kentucky with practice transformation and preparation for Alternative Payment Models (APMs). To learn more about Kentucky REC’s Quality Payment Program or PTN programs, you can contact Kentucky REC directly by email at email@example.com or by calling (888) 597-3234.
To act on this commitment, the partners are also hosting four Healthcare Transformation Survival Seminars to provide in-depth education for healthcare providers and staff on the Quality Payment Program. Additional information and registration is available here.
Please join us for a deep dive into the Advancing Care Information reporting category for the Merit Based Incentive Program (MIPS).
Under the Medicare Access and CHIP Reauthorization Act (MACRA), Advancing Care Information (ACI) replaces the Medicare EHR Incentive Program and Meaningful Use.
In this hour we will cover the base score requirements, performance and bonus score components of the ACI category. We will also briefly touch on the 2015 ONC CEHRT ACI requirements for 2017 performance year and beyond.
From Healthcare IT News: The Department of Health and Human Services Office of Inspector General will review the accuracy of $14.6 billion in meaningful use payments made to hospitals by Medicare between 2011 and 2016. Earlier this year, the OIG estimated physicians were wrongfully paid $729 million under meaningful use.
Medicare incentive payments were authorized over a 5-year period to hospitals that adopted electronic health record technology. From January 1, 2011, through December 31, 2016, the Centers for Medicare and Medicaid Services made Medicare EHR incentive payments to hospitals totaling $14.6 billion, the OIG said.
The Government Accountability Office identified improper incentive payments as the primary risk to the Medicare EHR incentive program. An OIG report described the obstacles that CMS faces in overseeing the Medicare EHR incentive program. In addition, previous OIG reviews of Medicaid EHR incentive payments found that state agencies overpaid hospitals by $66.7 million and would in the future overpay these hospitals an additional $13.2 million, the OIG said.
Read the full article here.
Kentucky REC can help your practice be better prepared when facing either a pre or post payment Meaningful Use Audit. When receiving an audit notice, most practices find that they have a very short time period to fulfill the request for a large amount of information. Kentucky REC offers a Meaningful Use Mock Audit service that will assist you in being ready for a potential audit. We will help you make sure that your practice is organized, having on hand the documentation that may be requested, and be fully prepared with the items needed at your finger tips for each program year.
If a provider is unable to prove they have met each objective and measure for Meaningful Use, they face the risk of failing the audit and their incentive money may be recouped. Per the EHR Incentive Program, documentation to support attestation data for meaningful use objectives and clinical quality measures should be retained for six years post-attestation. Providers and staff have worked hard to meet Meaningful Use objectives. Make sure you are ready for a Meaningful Use Audit and contact us at Kentucky REC to find out more and receive a quote for this helpful service. You can reach us by calling 859-323-3090.
PCMH is an excellent practice transformation model for practices committed to access, communication, and care coordination. Now is also the perfect time to pursue recognition since your organization can receive full points in the Improvement Activities category of the Merit-Based Incentive Payment System under the Medicare Access and CHIP Reauthorization Act (MACRA).
Our cohort framework is designed to accelerate your journey to NCQA PCMH Recognition within a 12-month period. Through our expert training, coaching, and resources, your staff will be well-prepared to carry out the practice transformation process.
Kentucky REC’s newest PCMH cohort will begin on September 22, 2017.
To learn about the PCMH program and our cohort services, join us for a FREE educational webinar on August 31st at 12PM EST.
Don’t miss the opportunity to be a part of something special as we work to transform healthcare in Kentucky!
For more information about joining the Kentucky REC PCMH Cohort, please contact us at 859-323-3090 or firstname.lastname@example.org
On Friday August 4th, CMS issued a correction of a previously released explanation of special status email. In this correction CMS points out that the initial post might lead to confusion regarding reporting requirements for Year 1 of MIPS. Please make sure that you verify eligibility and reporting requirements here or give us a call at 859-323-3090.
From the CMS Quality Payment Program Email:
Explanation of Special Status Calculation – Correction
On July 24, the Centers for Medicare & Medicaid Services (CMS) distributed an email update with an explanation for its special status calculation for the Quality Payment Program. The message incorrectly stated that clinicians considered to have “special status” would be exempt from the Quality Payment Program.
Special status affects the number of total measures, activities, or entire categories that an individual clinician or group must report. Individual clinicians or groups with special status are not exempt from the Quality Payment Program because of their special status determination.
To determine if a clinician’s participation should be considered special status under the Quality Payment Program, CMS retrieves and analyzes Medicare Part B claims data. Calculations are run to indicate a circumstance of the clinician’s practice for which special rules would apply. These circumstances are applicable for clinicians in: Health Professional Shortage Area (HPSA), rural, non-patient facing, hospital-based, and small practices.