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Simple Steps to MIPS Success

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Set yourself up for MIPS success with these simple steps.

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Simple Steps to MIPS Success

  1. 1. webinar Simple Steps to MIPS Success Presented by Lea Chatham January 18, 2017
  2. 2. @GoKareo Agenda 2 Agenda 2 • Welcome & Introductions • Simple Steps to MIPS Success • How Kareo Can Help • Your Questions
  3. 3. @GoKareo 33 How to Participate Today… Type your questions Download today’s resources View today’s presentation
  4. 4. @GoKareo 44 Connect via Social Connect with us via social media How to connect: 1) Follow @GoKareo on Twitter 2) Follow @LeaChatham on Twitter twitter.com@GoKareo facebook.com/GoKareo linkedin.com/company/kareo
  5. 5. @GoKareo 55 Speakers Lea Chatham • Senior Content Marketing Manager, Kareo • Nearly 20 years in healthcare and health IT • Speaker and author • Published in leading journals including Physicians Practice, Medical Practice Insider, PAHCOM Journal
  6. 6. @GoKareo Agenda 6 Agenda 6 • Welcome & Introductions • Simple Steps to MIPS Success • How Kareo Can Help • Your Questions
  7. 7. What Is MACRA?
  8. 8. @GoKareo 88 What is MACRA MACRA is the rule that created the… QUALITY PAYMENT PROGRAM (QPP) which outlines the Merit-Based Incentive Payment Program (MIPS) and Advanced Alternative Payment Models (APMs)
  9. 9. @GoKareo 99 High Level Goals Transition provider reimbursement FROM… Fee-for-Service TO… Quality Payment Program (QPP) • Value-based reimbursement  Quality of care  Cost effectiveness  Use of certified electronic technology  Practice improvement
  10. 10. MIPS
  11. 11. @GoKareo 1111 MIPS Overview • Most providers will participate in MIPS • An eligible clinician is: • Physician (Doctors of Medicine or Osteopathy, Doctors of Dental Surgery or Dental Medicine, Doctors of Podiatric Medicine, Doctors of Optometry, Chiropractors) • Physician assistant • Nurse practitioner • Clinical nurse specialist • Certified Registered Nurse Anesthetist • Eligible Clinicians are defined for years 1 & 2 • Additional categories, PT, OT, etc. may be added in year 3.
  12. 12. @GoKareo 1212 MIPS Overview • You may be excluded if • First year in Medicare Part B • Low-Volume Threshold • < $30,000 billed to Medicare Part B • < 100 Medicare Part B patients • Advanced APM participant
  13. 13. @GoKareo 1313 MIPS Timing Timing • Effective January 1, 2017 • Two-year lag time from performance to payment in 2019 • Requirements will be phased over next few years • Created a “Pick your pace” rule allowing a transition period • PQRS and VBPM are gone at the end of 2016. • Medicaid providers participate in both MIPS and Medicaid MU, if: • Providers meet the definition of a MIPS EC, and • Also meet the 30% Medicaid MU participation threshold
  14. 14. Kareo, Copyright 2015 1414 Scoring for 2017 Percentage of Score 60% 15% 25% 0% Status of Existing Programs Replaces PQRS New Category Replaces MU Replaces Value- Based Modifier Targeted # of Activities for Individuals 6 measures, including one outcome 4 improvement activities 5 mandatory; 9 maximum; bonus credits No data submission; based on claims
  15. 15. @GoKareo 1515 Pick Your Pace Added to the final rule to give options to smaller practices Potential Adjustment Reporting Period Quality Improvement Activities Advancing Care Bonus + Bonus (up to 12%) Full year 6 measures incl. 1 outcome > 4 activities 5 required, 1-4 additional + bonus Full + Adj. Min 90 days to a Full year 6 measures incl. 1 outcome 4 activities 5 required, 1-4 additional Partial Avoid – Possible + Min 90 days 1 1 5 required measures Test Neutral < 90 days (special circumstance) 1 OR 1 OR 5 required measures Don’t Participate Negative 0 0 0 0
  16. 16. @GoKareo 1616 Pick Your Pace • Recommend doing as much as possible • Look for things you may already be doing or can make simple changes to do • If doing MU or PQRS, you may already be doing many of these activities • Reminder: You must use a certified EHR
  17. 17. Kareo, Copyright 2015 1717 Quality • 60% of Composite Score • 6 quality measures, including an outcome measure • Select measures individually or from specialty sets • Certified EHR used for data • All patients must be reported
  18. 18. @GoKareo 1818 Quality • For Test or Partial 1 quality measure you are probably doing now: - Documentation of Current Medications • For full participation: - 6 measures • 271 measures to choose from • You can sort by specialty and high priority • Choose outcome measures or high priority measures
  19. 19. @GoKareo 1919
  20. 20. Kareo, Copyright 2015 2020 Advancing Care • 25 % of Composite Score • 5 required measures (4 for transitional in 2014)  Security Risk Analysis  e-Prescribing  Provide Patient Access  Send Summary of Care  Request/Accept Summary of Care (not for transitional) • Can submit up to 9 measures • Bonus points for Public Health Reporting • Use of Certified EHR for specific activities adds bonus points
  21. 21. @GoKareo 2121 Advancing Care • Other Measures for 2017 (2014 Edition) - Health Information Exchange - Immunization Registry Reporting - Medication Reconciliation - Patient-Specific Education - Secure Messaging - Specialized Registry Reporting - Syndromic Surveillance Reporting - View, Download, Transmit
  22. 22. @GoKareo 2222
  23. 23. Kareo, Copyright 2015 2323 Clinical Improvements • 15 % of Composite Score • Complete up to 4 improvement activities from a list of 93 potential activities • APMs automatically receive points for participating in the requirements of the APM
  24. 24. @GoKareo 2424 Improvement Activities • For Test or Partial choose 1 Improvement such as - Depression screening - Diabetes screening - Implementation of antibiotic stewardship program - Tobacco use - Unhealthy alcohol use • For full participation complete 4 or more • Other more common activities - Collection and follow up on patient satisfaction data - Engagement of patients through implementation of improvements in patient portal - Use of groups visit for common chronic conditions - Use of telehealth
  25. 25. @GoKareo 2525
  26. 26. @GoKareo 2626 Reporting Options Report by multiple mechanisms Quality Reporting Claims (individual only) Qualified Registry Advancing Care Attestation to CMS (MU website to be reconfigured) QCDR (individuals or groups may connect on their own) CMS Web Interface (group of 25 or more) EHR Improvement Activities Qualified registry CMS attestation site Reporting period January 2, 2018 through March 31, 2018
  27. 27. What Do You Do Next?
  28. 28. @GoKareo 2828 Next Steps • Verify using certified EHR • Confirm your EHR is working on 2015 Edition certification for 2018 • Pick your pace • Visit qpp.cms.gov and select your measures • Check to see if your vendor has any added training or assistance for MIPS
  29. 29. @GoKareo Agenda 29 Agenda 29 • Welcome & Introductions • Simple Steps to MIPS Success • How Kareo Can Help • Your Questions
  30. 30. @GoKareo 3030 Awards and Rankings Growth awards The speed at which medical practices are moving to Kareo and referring it to other providers. Best places to work Happy, engaged employees stay longer, have more experience and offer better customer service Analyst reviews 3rd party recognition, driven by direct customer feedback, equals trust and credibility
  31. 31. @GoKareo 3131 Kareo Platform Kareo Clinical • Comprehensive dashboard • Simple charting • Easy ePrescribing • Convenient eLabs • Specialty templates • Electronic Superbill • Integrated Patient Portal • Secure messaging
  32. 32. @GoKareo 3232 Kareo Platform Kareo Marketing • Marketing and front office automation • Online visibility and SEO • Online appt. scheduling • Email, text & voice recording appt. reminders • Post visit patient reviews • Practice analytics for ROI • Patient communications
  33. 33. @GoKareo 3333
  34. 34. @GoKareo 3434 Discover Kareo’s Role • PAHCOM has approved 1 CEU credit. • Each attendee will receive an email today with a link to request certification. Certificates will be mailed within the next few days. • Attendees must be logged into the webinar to receive credit. • You’ll be asked at the end of the webinar if you want a CEU certificate. “…Make Your Practice a Best Practice!”
  35. 35. @GoKareo Agenda 35 Agenda 35 • Welcome & Introductions • Simple Steps to MIPS Success • How Kareo Can Help • Your Questions
  36. 36. @GoKareo 3636 How to Participate Today… Type your questions -- Questions After the Webinar -- 888.775.2736 x1 sales@kareo.com
  37. 37. Connect with Kareo Stop by and say hi! Kareo @GoKareo GoKareo Kareo 3353 Michelson Drive, Suite 400 Irvine, CA 92612 (888) 775-2736

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