Post by Kraig on Mar 22, 2018 16:56:29 GMT -6
MIPS deadline is 3/31/2018
Many offices are waiting until the last minute to try to attest. Because of this, assistance is taking longer than normal. There is a 3rd party company that can assist. PRACTICE COMPLIANCE SOLUTIONS can help you with your attestation process.
If you wish to do this on your own, with our assistance, please see the following information:
MIPS 2017…
To avoid the 4% penalty in 2019, you were required to submit either ONE quality measure via claims to Medicare, within the 2017 calendar year or attest to ONE improvement activity before March 31, 2018, using the QPP website. If you did not submit one quality measure, possibly one PQRS quality measure, your only option will be to attest for the one improvement activity. You will need to call QPP, 866-288-8292, and they will be able to help guide you in setting up an EIDM username and password, or help you give your current EIDM account rights to attest through the QPP website.
--To see if you included any PQRS measures on your Medicare claims for 2017, you can run your Bill Code report. You will enter 1/1/2017 – 12/31/2017 as your date range. Select Generate. Once generated, you will then sort by Medicare and by doctor (if you have more than one at your location). The bill codes you are looking for are listed under your Admin>PQRS>Measure Code column. (For example: 2027F, 2019F, 5010F, G8427, etc.) If you have some of these bill codes listed, you will then want to look at your Medicare EOB’s and see if they include a remark code, or an adjustment code of N620 for the PQRS codes listed. This will be your confirmation that they received the code on your claim, and they marked you as reporting.
For doctors who are trying to meet an incentive, please follow the steps below.
Using your EIDM account (as mentioned above), you will Sign In to the QPP website and it will ask you to upload a QRDA3 file to report your Clinical Quality Measures. For this, you will generate and save your CQM report within Crystal. You will also use the QPP website to attest your Advanced Care Information and Clinical Practice Improvement Activities. The following steps will walk you through the process.
To get your QRDA3 file for you to upload to the QPP (Quality Payment Program) website, to attest for their Clinical Quality measures…
-We need your CPM ID. (Help > About > CPM ID. Please respond to this email with your ID)
-Update Crystal to 4.6.6 or later (For this step, CPM must enable this within our system and give you the go ahead to update)
-After you update, you will want to generate your CQM (Clinical Quality Measure) report for the dates you are wanting to attest for.
-You will select Stage – MISC MIPS
-Generate
-Once generated you will want to select the doctor you are attesting for in the provider drop down.
-You will select Run (WARNING: The report may take some time to generate depending on the time frame you are running the report for.)
-Once generated, you will look over the results.
-If you like what you see, you will select Save Results.
-Be sure to add .xml to the end of the file name and save it to your computer. (Where you know you can find it.)
-This will be the file you will upload to the QPP website.
**If you do NOT like the results, if you think your numbers are too low, you will want to highlight each CQM listed, and select Details to find out what is needed to meet that measure. You will then want to click on the Eligible Instances number that is given, to see all patients listed in BLACK for you to go back to their MedRec and edit.
To report your Advancing Care Information (ACI), what Meaningful Use used to be, you will run your Meaningful Use Measures report - Stage 2 to help you attest. The information that will be important are the Core descriptions and the numerator and denominator numbers that are linked to each. The numbers will be what you’ll want to plug in to the QPP website.
Finally, you’ll attest to Clinical Practice Improvement Activities (CPIA's). (Note: this section cannot be recorded within a software.) This section will be based on whether you do or use certain methods for reporting. For example: Are your doctors available to their patients 24/7? Questions like this, you'll attest yes or no to.
MIPS 2018…
THE NEW CMS REQUIREMENTS FOR MIPS, FOR DOCTORS OF OPTOMETRY TO HAVE TO REPORT THIS YEAR ARE --- YOU MUST HAVE BILLED $90k+ IN ALLOWABLE MEDICARE CHARGES AND SEEN 200+ MEDICARE PATIENTS WITHIN A YEAR’S TIME. (CMS does not give a specific time frame. To my knowledge, 2017 reporting was based off of reported information from 9/1/2015 – 8/31/2016. You may take that for what you’d like, and move forward as you please.)
Within Crystal, the best report to give you an idea of where you stand will be the Invoice report. You may use the date range given above (but use 2016-2017), or use all of year 2017 to run your report. Once generated, you will want to filter by Medicare and by doctor. The Insurance Billed total will be a rough estimate on whether you have met the $90K+ in allowable charges. To find the number of patients seen within your time frame, you will want to first sort by patient name and then select Print to File. (This will allow you to save the patient list, as an excel spreadsheet to your desktop. Please be sure to add .csv to end of the file name.) Once opened, you will want to delete the duplicate names, and scroll to the last patient listed. The row number, minus one, will be your total patient number. (If you are above both, please let me know via email.)
If you are below BOTH or ONE requirement, you will NOT be required to have to report for MIPS 2018. (CMS only expects around 4700 doctors, across the U.S. to have to report this year.) Exempt doctors will still be encouraged by CMS to report, but as of now, it will not be for an incentive. It will strictly be for knowledge for you, CMS and your colleagues. (Unless you hear otherwise. Please do not hesitate to share.)
If you meet/exceed BOTH requirements, please respond to me ASAP. Within your response, please include your CPM ID number (Help>About>CPM ID). And I will be able to go over your next steps.
So, to be clear…Depending on whether you meet BOTH of the NEW amounts required to report, will determine whether the AOA MORE integration will be used in your near future. J
----Here is a link from AOA I used for reference. www.aoa.org/news/practice-management/pfs-final-rule-and-2018-mips ----
I hope this helps.
Offices that would like additional information about MIPS I strongly recommend watching a MIPS video ( www.youtube.com/watch?v=CFYN2H3SJoU ) from our user conference presented by Dr. Peter Cass.
Dr. Cass also runs a compliance company with a MIPS Training Package ( www.shop.practicecompliancesolutions.com/MIPS-Training-Package-MIPS.htm ) available for purchase.
Many offices are waiting until the last minute to try to attest. Because of this, assistance is taking longer than normal. There is a 3rd party company that can assist. PRACTICE COMPLIANCE SOLUTIONS can help you with your attestation process.
If you wish to do this on your own, with our assistance, please see the following information:
MIPS 2017…
To avoid the 4% penalty in 2019, you were required to submit either ONE quality measure via claims to Medicare, within the 2017 calendar year or attest to ONE improvement activity before March 31, 2018, using the QPP website. If you did not submit one quality measure, possibly one PQRS quality measure, your only option will be to attest for the one improvement activity. You will need to call QPP, 866-288-8292, and they will be able to help guide you in setting up an EIDM username and password, or help you give your current EIDM account rights to attest through the QPP website.
--To see if you included any PQRS measures on your Medicare claims for 2017, you can run your Bill Code report. You will enter 1/1/2017 – 12/31/2017 as your date range. Select Generate. Once generated, you will then sort by Medicare and by doctor (if you have more than one at your location). The bill codes you are looking for are listed under your Admin>PQRS>Measure Code column. (For example: 2027F, 2019F, 5010F, G8427, etc.) If you have some of these bill codes listed, you will then want to look at your Medicare EOB’s and see if they include a remark code, or an adjustment code of N620 for the PQRS codes listed. This will be your confirmation that they received the code on your claim, and they marked you as reporting.
For doctors who are trying to meet an incentive, please follow the steps below.
Using your EIDM account (as mentioned above), you will Sign In to the QPP website and it will ask you to upload a QRDA3 file to report your Clinical Quality Measures. For this, you will generate and save your CQM report within Crystal. You will also use the QPP website to attest your Advanced Care Information and Clinical Practice Improvement Activities. The following steps will walk you through the process.
To get your QRDA3 file for you to upload to the QPP (Quality Payment Program) website, to attest for their Clinical Quality measures…
-We need your CPM ID. (Help > About > CPM ID. Please respond to this email with your ID)
-Update Crystal to 4.6.6 or later (For this step, CPM must enable this within our system and give you the go ahead to update)
-After you update, you will want to generate your CQM (Clinical Quality Measure) report for the dates you are wanting to attest for.
-You will select Stage – MISC MIPS
-Generate
-Once generated you will want to select the doctor you are attesting for in the provider drop down.
-You will select Run (WARNING: The report may take some time to generate depending on the time frame you are running the report for.)
-Once generated, you will look over the results.
-If you like what you see, you will select Save Results.
-Be sure to add .xml to the end of the file name and save it to your computer. (Where you know you can find it.)
-This will be the file you will upload to the QPP website.
**If you do NOT like the results, if you think your numbers are too low, you will want to highlight each CQM listed, and select Details to find out what is needed to meet that measure. You will then want to click on the Eligible Instances number that is given, to see all patients listed in BLACK for you to go back to their MedRec and edit.
To report your Advancing Care Information (ACI), what Meaningful Use used to be, you will run your Meaningful Use Measures report - Stage 2 to help you attest. The information that will be important are the Core descriptions and the numerator and denominator numbers that are linked to each. The numbers will be what you’ll want to plug in to the QPP website.
Finally, you’ll attest to Clinical Practice Improvement Activities (CPIA's). (Note: this section cannot be recorded within a software.) This section will be based on whether you do or use certain methods for reporting. For example: Are your doctors available to their patients 24/7? Questions like this, you'll attest yes or no to.
MIPS 2018…
THE NEW CMS REQUIREMENTS FOR MIPS, FOR DOCTORS OF OPTOMETRY TO HAVE TO REPORT THIS YEAR ARE --- YOU MUST HAVE BILLED $90k+ IN ALLOWABLE MEDICARE CHARGES AND SEEN 200+ MEDICARE PATIENTS WITHIN A YEAR’S TIME. (CMS does not give a specific time frame. To my knowledge, 2017 reporting was based off of reported information from 9/1/2015 – 8/31/2016. You may take that for what you’d like, and move forward as you please.)
Within Crystal, the best report to give you an idea of where you stand will be the Invoice report. You may use the date range given above (but use 2016-2017), or use all of year 2017 to run your report. Once generated, you will want to filter by Medicare and by doctor. The Insurance Billed total will be a rough estimate on whether you have met the $90K+ in allowable charges. To find the number of patients seen within your time frame, you will want to first sort by patient name and then select Print to File. (This will allow you to save the patient list, as an excel spreadsheet to your desktop. Please be sure to add .csv to end of the file name.) Once opened, you will want to delete the duplicate names, and scroll to the last patient listed. The row number, minus one, will be your total patient number. (If you are above both, please let me know via email.)
If you are below BOTH or ONE requirement, you will NOT be required to have to report for MIPS 2018. (CMS only expects around 4700 doctors, across the U.S. to have to report this year.) Exempt doctors will still be encouraged by CMS to report, but as of now, it will not be for an incentive. It will strictly be for knowledge for you, CMS and your colleagues. (Unless you hear otherwise. Please do not hesitate to share.)
If you meet/exceed BOTH requirements, please respond to me ASAP. Within your response, please include your CPM ID number (Help>About>CPM ID). And I will be able to go over your next steps.
So, to be clear…Depending on whether you meet BOTH of the NEW amounts required to report, will determine whether the AOA MORE integration will be used in your near future. J
----Here is a link from AOA I used for reference. www.aoa.org/news/practice-management/pfs-final-rule-and-2018-mips ----
I hope this helps.
Offices that would like additional information about MIPS I strongly recommend watching a MIPS video ( www.youtube.com/watch?v=CFYN2H3SJoU ) from our user conference presented by Dr. Peter Cass.
Dr. Cass also runs a compliance company with a MIPS Training Package ( www.shop.practicecompliancesolutions.com/MIPS-Training-Package-MIPS.htm ) available for purchase.