MACRA Minute June 2018 Newsletter

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Summer is officially here. Although data submission is behind us, it’s not too early to work on improvements and brush up your knowledge by attending June webinars.

We’re Here to Help You Improve . . . Let Us Know How!

  • Have workflow changes improved your Quality and/or Promoting Interoperability scores?
  • What Improvement Activities have you selected?
  • Are you gathering Improvement Activity baseline data and working on quality improvement workflows?
  • Have you determined what changes might improve your 2017 score?

The Telligen team is reaching out to ECs to answer questions and offer tips for improving in 2018. Reach us now at 844-358-4021 or send an email.

New: MIPS Eligibility Tool

A new tool is now available on the QPP website for group practices to verify their 2018 MIPS eligibility.

Check Your Group’s Eligibility Status Today:

  1. Log-in using your EIDM credentials
  2. Locate the Taxpayer Identification Number (TIN) affiliated with your group
  3. Click the details screen to view the 2018 MIPS eligibility status of each clinician based on their National Provider Identifier (NPI)

Year 2 Reminders:

  • Changes to Low-Volume Threshold: CMS modified the 2018 eligibility threshold to exclude clinicians and groups:
    • Billing $90,000 or less in Medicare Part B under the Physician Fee Schedule (PFS); or
    • Providing services to 200 or fewer Medicare Part B beneficiaries under the PFS
  • Individual Eligibility Status: Individual clinicians can check their eligibility status without logging into the feature through the MIPS Participation Lookup Tool

For QPP Website Questions:

Email CMS at qpp@cms.hhs.gov or reach them toll-free at 1-866-288-8292 (TTY: 1-877-715-6222).

Events: Mark Your Calendar

June 12 & 14

What: CMS LAN May Webinar: Using Data & Strategy to Succeed in Year 2

Description: This event will help solo and small group practices learn how to leverage their limited resources more effectively by using available data and strategies to enhance their scores in each performance category.

Participants Will Learn How To:

  • Understand available data, including PQRS data and 2017 MIPS data
  • Avoid penalties
  • Successfully transition from individual to group reporting
  • Apply practical tips to frequent challenges encountered by solo and small group practices

Register Now:

Tuesday, June 12

What: Telligen QPP Webinar: Everything You Need to Know About the MIPS Payment Adjustment

Description: Confused about the new payment adjustment rules under MIPS? Are you aware that it’s different from previous years? To ensure good performance is rewarded and poor performance is penalized, CMS will apply the payment adjustment received under MIPS to ECs transitioning to another TIN/NPI.  Meaning unlike previous years, MIPS adjustments will follow ECs regardless of whether they bill under a new TIN.

Please join Telligen’s Michelle Brunsen and Sandy Swallow as they explore the payment adjustment rules under MIPS and walk through several scenarios.

Objectives:

  •  Explore how CMS will calculate the MIPS Final Score
  •  Review how the payment adjustment will be applied
  • Understand the general payment adjustment rules

Register Now: Tuesday, June 12, 2018 11:00 a.m. – Noon CT

Spotlight: Brookings Chiropractic Center

Practice Earns National Recognition for Connected Care 

Brookings Chiropractic Center, a QPP-SURS client in Brookings, SD, recently achieved the National Committee for Quality Assurance’s (NCQA) Patient-Centered Connected Care Recognition.

This is awarded to facilities that provide outpatient care, but do not act as the patient’s primary care provider. The goal is to close gaps in care by connecting relevant patient information back to the patients’ primary care team in a structured and timely manner.

Achieving this recognition requires clinicians meet an aggregated 80 percent score on specific clinical measures, which exceeds the quality benchmarks for some those measures. In addition to this three-year recognition, the group will also receive credit for a medium-weighted Improvement Activity in 2018.

The Brookings team that pulled together to meet required performance levels includes Dr. Chad Munsterman, Dr. Jonathan Schneider, Dr. Steven Clites, Dr. Trevor A Penning, Dr. Christina Yackley, and Brenda Buus, PT.

Congratulations on this important achievement!

CMS News: Interagency Rural Health Strategy

CMS announces new effort to increase access to quality, affordable healthcare to rural America. 

Rural Americans are facing multiple healthcare-related obstacles including: higher poverty rates, higher rates of chronic conditions, being uninsured or underinsured, and lack of access to specialty services.

“For the first time, CMS is organizing and focusing our efforts to apply a rural lens to the vision and work of the agency,” said CMS Administrator Seema Verma. “The Rural Health Strategy supports CMS’ goal of putting patients first. Through its implementation and our continued stakeholder engagement, this strategy will enhance the positive impacts CMS policies have on beneficiaries who live in rural areas.”

The Rural Health Strategy, built on input from rural providers and beneficiaries, focuses on five objectives for improving rural health:

  1. Apply a rural lens to CMS programs and policies
  2. Improve access to care through provider engagement and support
  3. Advance telehealth and telemedicine
  4. Empower patients in rural communities to make decisions about their healthcare
  5. Leverage partnerships to achieve the goals of the CMS Rural Health Strategy

The strategy will also look at ways the agency can better serve rural communities, and avoid unintended difficulties resulting from policy and program implementation.

Work on the strategy is already underway with efforts to increase telehealth by making it easier for providers to bill Medicare.

CMS will collaborate with agencies across the U.S. Department of Health and Human Services to implement this strategy. For more information, visit: http://go.cms.gov/ruralhealth.

QPP Resources: Now Available on CMS.gov

The QPP Resource Library was updated in May with multiple new resources including:

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