January Coffee Talk Series: Navigating the MIPS Data Submission System This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy11SOW-QIN-D1-12/15/16-11918

Telligen QIN QIO Telligen: Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Colorado, Illinois and Iowa Subject Matter Experts for CMS Quality Performance Initiatives Courtnay Ryan Colorado Temaka Williams Illinois Linda Brewer Illinois Sandy Swallow Iowa Jennifer Flattery Iowa

Telligen SURS Michelle Brunsen IA, NE, ND and SD 515-453-8180 mbrunsen@telligen.com www.telligenqpp.com

Open discussion with Q & A Today’s Agenda QPP Updates New Resources Focused QPP Topic MIPS Data Submission Instructional Video Open discussion with Q & A

QPP Updates and Resources MIPS Participation Status Tool Updated with the final determination period Does not reflect participation in an Advanced APM Qualifying APM Participant (QP) Look-up Tool QPP Resource Library 2017 resources by provider type or topic 2018 resources by provider type or topic Resources for all years by provider type Resources for all years by topic

CMS Data Submission System is LIVE! QPP Updates and Resources CMS Data Submission System is LIVE! Submission period is Jan. 2 – March 31, 2018 Exception CMS Web Interface users have a different timeframe Jan. 22 – March 16, 2018 Real-time scoring Update data any time the submission window is open CMS will calculate the payment adjustment once the data submission window closes

CMS Web Interface (WI) testing period is open QPP Updates and Resources CMS Web Interface (WI) testing period is open CMS Web Interface User Guide Instructional videos located under the 2017 Resource tab WI users report quality data from January 22, 2018 to March 16, 2018.

QPP Data Submission System : Data submission instructional videos: Merit-based Incentive Payment System (MIPS) data submission  Advancing Care Information (ACI) data submission for APMs  QCDRs and Qualified Registries data submission  Data submission video

Q & A Time

Q & A Time How are the final scores calculated and determined into a payment adjustment? Budget neutral (2017 MIPS reporting affects payment year 2019) CMS Calculates the number of MIPS EC did not participate Those ECs are eligible for the full negative payment adjustment or -4% in 2019 Funds used for the participating MIPS EC that are eligible for a positive payment adjustment based on their MIPS Final Score Scaling factor determined between just over 0 to 3.0 4% x scaling factor = payment adjustment % Example: scaling factor determined to be .2 and a MIPS high performer would get 4% x .2 =.8% Exceptional bonus for scores over 70 point threshold

Telligen QIN-QIO Monthly Webinars Join the monthly webinars “Coffee Talks” with subject matter experts: Focused QPP topic Open discuss with Q & A – dedicated to your questions 2nd Thursday every month 11:00 a.m. CST for 1 hour Feb 8th March 8th April 12th – Exploring the Payment Adjustment Rules

Contact Information Colorado - Courtnay Ryan 720-554-1711 Courtnay.ryan@area-d.hcqis.org Illinois - Linda Brewer 630-928-5819 Linda.brewer@area-d.hcqis.org Illinois - Temaka Williams 630-928-5838 Temaka.williams@area-d.hcqis.org Iowa - Sandy Swallow 515-223-2105 Sandy.swallow@area-d.hcqis.org Iowa - Jennifer Flattery Jennifer.flattery@area-d.hcqis.org www.TelligenQINQIO.com

CMS Help Desks QPP Service Center 1-866-288-8292 Email: qpp@cms.hhs.gov