1. AQI Vendor Webinar January 24, 2018
Annette Antos, AQI Registry Manager
Benjamin Westlake, AQI Senior Applications Development Manager
January 24, 2018

2. Agenda 2018 MIPS Overview 2018 QCDR Measure Changes
2018 XML Schema Changes
2017 Reporting Deadlines
© 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

3. MIPS 2018 Changes – Eligibility
Not first year enrolled in Medicare
Not significantly participating in Advanced APMs
Exceeds Low-Volume Threshold – Increase for 2018
Determine MIPS Eligibility:
2017
Bills at least $30,000 Medicare Part B charges AND sees 100 Medicare Part B patients in a year
2018
Bills at least $90,000 Medicare Part B charges AND sees 200 Medicare Part B patients in a year
*Disclaimer: Changes identified in this presentation do not represent all changes made in the Quality Payment Program (QPP) in 2017 to 2018
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

4. MIPS 2018 Changes – Performance Period
2017
“Pick Your Pace” options for MIPS Reporting
Full Year: 12 months of data to CMS
Partial Year: 90 days of data to CMS
Test reporting: Submit one measure or Improvement Activity
2018
There are no “Pick Your Pace” options in 2018:
Quality: 12 months
Cost: 12 months
Improvement Activities: 90 days
Advancing Care Information: 90 days
*Disclaimer: Changes identified in this presentation do not represent all changes made in the Quality Payment Program (QPP) in 2017 to 2018
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

5. MIPS 2018 Changes – Quality Component
Eligible clinician/group must report six (6) measures including one outcome or high-priority measure if an outcome does not apply
If fewer than 6 measures apply, the EC/group must report all applicable measures
Anesthesiology Specialty Measure Set – Measure Added
MIPS #463: Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics)*
Data Completeness Requirements – Increase for 2018
2017
Report at least 50% of all denominator-eligible cases for each measure
2018
Report at least 60% of all denominator-eligible cases for each measure
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

6. MIPS 2018 Changes – Cost Component
MIPS ECs/groups will be evaluated on two cost measures in 2018:
Medicare Spending per Beneficiary
Total Per Capita Cost
Calculated automatically by CMS, using administrative claims data
If data minimums are not met and no Cost component score can be calculated, Cost component will be reweighted to Quality
2017
Weighted at 0% of Total MIPS Score
2018
Weighted at 10% of Total MIPS Score
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

7. MIPS 2018 Changes – Improvement Activities
ECs/groups must complete activities worth 40 points
Special reweighting for the following providers:
Small, rural, HPSA and non patient-facing ECs/groups
Perform activities for 90 days
Yes/No attestation through AQI
Maintain documentation for six years
Additional activities added for 2018
AQI NACOR to provide list of supported activities soon
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

8. 2018 Performance Threshold and Payment Adjustment
2017
3 point threshold
Exceptional performer at 70 points
Payment adjustment at +/- 4%
Achieving minimum threshold in 2018
Submit 5 quality measures that meet data completeness criteria
Report required Improvement Activities
Meet ACI base score measures and one Improvement Activity
2018
15 point threshold
Exceptional performer at 70 points
Payment adjustment at +/- 5%
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

9. 2018 QCDR Measures
2018 Measure Specifications are posted on the AQI Website:
Measures have been approved by CMS for 2018
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

10. 2018 QCDR Measures Removed from the Measure Set
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

11. 2018 Schema Changes 2018 Schema Changes
Added comorbidities (ICD 10 CM codes + Registry Codes)
Added capability to report Internal Improvement Measures (IIM)
Include retired ASA/AQI measures, retired PQRS/MIPS measures, measures in development, other measures as identified.
2018 schema versions 2018V1.0, 2018V1.0R
Schema changes: This list is not a comprehensive list, the final list will be posted early December 2017 and implemented Spring of 2018 – date to be determined.
Vendor Agreement: Vendor agrees to participate in the Registry on behalf of each Participant by transmitting data through a secure site designated by AQI for the collection and submission of data pertaining to the practice of anesthesiology. Vendor agrees to submit data in accordance with the AQI Data Specifications. Vendor understands that the data elements may differ depending on the Participant’s desired level of reporting (e.g. reporting data to a Centers for Medicare and Medicaid Services program). Vendor further understands that the AQI Data Specifications will evolve over time and AQI will provide reasonable notice to Vendor of any material changes.
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

12. AQI Deadlines – January 31st
January through November 2017 data files due to the NACOR data submission portal
Files must be properly merged and formatted prior to submission
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

13. AQI Deadlines – February 15th
December 2017 Data Submission due to the NACOR data submission portal.
In NACOR Dashboard:
CMS Opt-Out
TIN/NPI Reconciliation
Improvement Activity Attestation
Enrollment in NACOR Quality Concierge 90 day or 1 measure/1 case option;
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

14. AQI Deadlines – February 28th – Provider Consents
New for 2017 CMS is requiring provider consents to be signed and returned to AQI prior to submission of data to CMS
Only applies to those reporting as Individuals – not Group Reporting
Consents will be due by 2/28/18
No data will be submitted to CMS for the provider unless a consent form is on file.
© 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.

15. Q&A
© 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS.