OCC Fall Users’ Group Meeting MIPS/MU

1. OCC Fall Users’ Group Meeting MIPS/MU Friday, February 24, 2017

2. Medicare Eligible Clinicians: MU vs. Advancing Care Information

3. What’s New in 2017 • MIPS replaces Meaningful Use for Medicare Providers • Advancing Care Information (ACI) • Quality • Improvement Activities • ACO status plays a large part in MIPS requirements • Group reporting option • Option to use Modified Stage 2 objectives or Stage 3 objectives for Advancing Care Information component • 2017 reporting impacts 2019 Medicare Reimbursement

4. ACO vs No ACO • Groups in ACO: • Must Group Report at TIN Level • Medicare Reimbursement is reflective of all scores for all TINs in ACO • Groups not in ACO: • Option to Group Report or Individually Report • Medicare Reimbursement is reflective of score at Group or Individual Level depending on which reporting option is chosen.

5. MIPS Reporting in 2017 • Groups in ACO: • Report ACI at TIN level • ACO reports Quality • ACO contract covers Improvement Activities • Groups not in ACO: • Report ACI at TIN level • Report Quality at TIN level • Attest to Improvement Activities

6. MIPS Scorecard Report – Stage 3

7. MIPS Scorecard Report – Stage 3

9. ACI Base Objectives • Security Risk Analysis • e-Prescribing • Provide Patient Access • Health Information Exchange • Send Summary of Care • Request/Accept Summary of Care • To receive the base score, physician/group must meet a numerator of 1 or yes/no for each objective and measure. • 2018 QPP Rule proposes to reestablish low volume denominator exclusions.

10. ACI Performance Objectives

11. Quality and Improvement Activities • Quality • Submit QRDA file via EHR Direct • CMS has not yet released specifications • Improvement Activities • CMS has provided 92 eligible activities • https://qpp.cms.gov/mips/improvement-activities

12. Meaningful Use • Providers registered as Medicaid for the Meaningful Use program can still attest to Louisiana Medicaid to complete incentive payments • AIU + 5 incentive payments of $8500 • Option to report Modified Stage 2 or Stage 3 in 2017

13. Questions?