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

2. Medicare Eligible Clinicians: MU vs. Advancing Care Information
Electronic Patient Engagement & Physician Communication
Continuous Performance
Meaningful Use
Wide focus of objectives
Thresholds

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
Anyone unfamiliar to MU?

4. ACO vs No ACO Groups in ACO: Groups not 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: Groups not in ACO:
Report ACI at TIN level
ACO reports Quality
ACO contract covers Improvement Activities
Groups not in ACO:
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
Patient Electronic Access to Health Information
Patient Access - Data is made available for patient to access, download and transmit on MyChart
Patient Education Resources – Patient provided education resources via MyChart
Coordination of Care through Patient Engagement
VDT (View, Download, Transmit) – Patient access health data on MyChart
Secure Messaging – Physician sends message to patient via MyChart
Patient-Generated Health Data - Patient fills out pre-visit questionnaire
Health Information Exchange
Send Summary of Care Outgoing – Summary of Care sent when patient transitioned to another setting of care outside of organization, receipt required
Request/Accept Summary of Care-Incoming Query for patient record when patient presents himself from another setting of care outside of organization
Clinical Reconciliation - Meds, Problems, and Med Allergies are reconciled for new patients or patients from another setting of care
Public Health
Immunization Registry

11. Quality and Improvement Activities
Submit QRDA file via EHR Direct
CMS has not yet released specifications
Improvement Activities
CMS has provided 92 eligible 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?