webinar
Simple Steps to MIPS Success
Presented by Lea ChathamJanuary 18, 2017
@GoKareo
Agenda
2
Agenda
2
• Welcome & Introductions• Simple Steps to MIPS
Success• How Kareo Can Help• Your Questions
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How to Participate Today…
Type your questions
Download today’s resources
View today’s presentation
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How to connect:
1) Follow @GoKareo on Twitter2) Follow @LeaChatham on Twitter
twitter.com@GoKareo
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linkedin.com/company/kareo
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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
@GoKareo
Agenda
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Agenda
6
• Welcome & Introductions• Simple Steps to MIPS
Success• How Kareo Can Help• Your Questions
What Is MACRA?
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What is MACRA
MACRA is the rule that created the…QUALITY PAYMENT PROGRAM (QPP) which outlines the
Merit-Based Incentive Payment Program (MIPS) andAdvanced Alternative Payment Models (APMs)
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High Level Goals
Transition provider reimbursementFROM…
Fee-for-Service
TO…Quality Payment Program (QPP)
• Value-based reimbursement Quality of care Cost effectiveness Use of certified electronic
technology Practice improvement
MIPS
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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.
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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
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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
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Scoring for 2017
Percentage of Score 60% 15% 25% 0%
Status of Existing
ProgramsReplaces PQRS New Category Replaces MU Replaces Value-
Based Modifier
Targeted # of Activities for Individuals
6 measures, including one
outcome4 improvement
activities5 mandatory;9 maximum;bonus credits
No data submission;
based on claims
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Pick Your PaceAdded 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
outcome4 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
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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
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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
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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
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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
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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
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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
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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
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Reporting Options
Report by multiple mechanismsQuality 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 registryCMS attestation site
Reporting period January 2, 2018 through March 31, 2018
What Do You Do Next?
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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
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Agenda
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Agenda
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• Welcome & Introductions• Simple Steps to MIPS
Success• How Kareo Can Help• Your Questions
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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
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Kareo Platform
Kareo Clinical
• Comprehensive dashboard
• Simple charting• Easy ePrescribing• Convenient eLabs• Specialty templates• Electronic Superbill• Integrated Patient
Portal • Secure messaging
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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
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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!”
@GoKareo
Agenda
35
Agenda
35
• Welcome & Introductions• Simple Steps to MIPS
Success• How Kareo Can Help• Your Questions
@GoKareo 3636
How to Participate Today…
Type your questions
-- Questions After the Webinar --
888.775.2736 [email protected]
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