CMS announced that it is extending the submission deadline for 2016 Quality Reporting Document Architecture (QRDA) data submission for the EHR reporting mechanism. Individual eligible professionals (EPs), PQRS group practices, qualified clinical data registries (QCDRs), and qualified EHR data submission vendors (DSVs) now have until March 13, 2017 to submit 2016 EHR data via QRDA. The original submission deadline was February 28, 2017.
A complete list of 2016 data submission time frames is below:
March 13, 2017 deadlines:
• EHR Direct or Data Submission Vendor (QRDA I or III) – 1/3/17 – 3/13/17
• Qualified Clinical Data Registries (QRDA III) – 1/3/17 – 3/13/17
March 17, 2017 deadline:
• Web Interface – 1/16/17 – 3/17/17
March 31, 2017 deadlines:
• Qualified Registries (Registry XML) – 1/3/17 – 3/31/17
• QCDRs (QCDR XML) – 1/3/17 – 3/31/17
Submission ends at 8:00 p.m. Eastern Time (ET) on the end date listed. An Enterprise Identity Management (EIDM) account with the “Submitter Role” is required for these PQRS data submission methods. Please see the EIDM System Toolkit for additional information.
EPs who do not satisfactorily report 2016 quality measure data to meet the PQRS requirements will be subject to a downward PQRS payment adjustment on all Medicare Part B Physician Fee Schedule (PFS) services rendered in 2018. For questions, please contact the QualityNet Help Desk at 1-866-288-8912 or via email at Qnetsupport@hcqis.org from 7:00 a.m. – 7:00 p.m. Central Time. Complete information about PQRS is available here.
User manuals for EPs and EHs for Program Year 2016 are located on the EHR website, under the Manuals section. The deadline to submit an attestation for Program Year 2016 is 11:59 pm, March 31, 2017. Any attestation that is in process after that time will be closed out and not eligible for participation. In the event of any questions or concerns, you may contact the EHR team by emailing EHRIncentives@ky.gov or calling (502) 564-0105 extension 2463.
CMS has extended its original deadline for 2016 EHR Incentive Program attestations from Feb 28 to March 13, giving providers two more weeks to successfully attest. Below is the information from CMS eHealth News Updates:
Attest to 2016 EHR Incentive Program Requirements by March 13 to Avoid a 2018 Payment Adjustment
The Centers for Medicare & Medicaid Services (CMS) has extended the attestation deadline for providers participating in the Medicare EHR Incentive Program to Monday, March 13, 2017, at 11:59 p.m. PT.
Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by March 13, 2017 to avoid a 2018 payment adjustment.
If you are participating in the Medicaid EHR Incentive Program, please refer to your state’s deadlines for attestation information.
If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the Medicare payment adjustment. You may demonstrate meaningful use under either Medicare or Medicaid. If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the Medicare payment adjustment. You may demonstrate meaningful use under either Medicare or Medicaid.
• Registration and Attestation System
• Eligible Professional (EP) and Eligible Hospital and Critical Access Hospital (CAH) Attestation Worksheets
• EP and Eligible Hospital and CAH Attestation User Guides
• EP and Eligible Hospital and CAH Registration User Guides
• Attestation Batch Upload Webpage
For questions about the Registration and Attestation System, contact the EHR Information Center at 1-888-734-6433 (press option 1). The EHR Information Center is open Monday through Friday from 6:30 a.m. to 5:30 p.m. ET, except federal holidays.
Contact the Kentucky REC for more information and help with this and other issues facing your practice at 859-323-3090.
With the nationwide migration of health care providers into value-based payment systems this year, it is vitally important that the QPP Portal be as user friendly, easily understood, and helpful as it can possibly be.
Who better than the providers and staff to help with an upgrade?
Please contact the Kentucky REC if you would be willing to review the web site and provide feedback, ideas, and suggestions about how to improve the QPP Portal to make it the best it can be for all who depend upon it.
Your insights and ideas will prove essential to guiding future changes and upgrades to the QPP Portal.
Access the QPP Portal here.
Contact us at 859-323-3090 or email us at email@example.com
• February 28, 2017 (Medicare EHR Incentive Program) CY 2016 Attestation Deadline
• February 28, 2017 (Medicare EHR Incentive Program) 2017 Payment Adjustment Reconsideration Deadline
• February 28, 2017 (Medicaid EHR Incentive Program) Last day to enroll and submit Registration for Program Year 2016
• March 31, 2017 (Medicaid EHR Incentive Program) Last day to submit an Attestation to receive an incentive payment for Program Year 2016
If your practice is a current client of the Kentucky REC, our Health IT Advisors are setting up appointments now to assist with attestations. With deadlines approaching quickly, contact your advisor to set up your appointment. If you are not currently a client and would like more information, contact us at 859-323-3090.
MEDICARE PAYMENT ADJUSTMENT RECONSIDERATIONS
According to CMS approximately 171,000 Medicare eligible EPs are subject to a downward payment adjustment in 2017 for failure to demonstrate meaningful use. If you feel you are subject to the payment adjustment for Medicare in error, please follow the instructions on the website link here to apply for payment adjustment reconsideration for Program Year 2017. If you received a letter from CMS stating that you would receive a payment adjustment and you were paid for 2015 MU attestation you will still need to fill out the payment adjustment reconsideration letter.
Medicare Payment adjustments for eligible Professionals are applied to the Medicare Physician Fee Schedule and the amounts were established by law:
• For 2015 – 99% of MPFS
• For 2016 – 98% of MPFS
• For 2017 – 97% of MPFS
• For 2018 – 97% of MPFS
Additional information on EHR Incentive Program Payment Adjustments and Reconsideration Application can be found here. There are two applications – one for single EPs and one for multiple EPs. To use the multiple EP application, all of the EPs must be from the same group and apply for the same reconsideration reason. A maximum of 25 EPs may apply on one reconsideration application.
To be reconsidered for the 2017 payment adjustment, this application must be submitted electronically by 11:59 PM ET, February 28, 2017. The date the application is received will be the submission date.
If approved, this payment adjustment reconsideration is valid only for 2017 payment adjustments.
The Kentucky REC is your trusted advisor for understanding government healthcare regulations and their impact on providers. Contact us for more information at 859-323-3090.