The new reporting for Medicare is now through the Medicare. MIPS. Through MIPS data will be reported by TXCIN through what is now known as CMS Web Interface. The term Group Practice Reporting Option (GPRO) has been officially retired as of 2017.
The CMS Web Interface is a secure internet-based data submission mechanism for groups of 25 or more MIPS eligible clinicians to report quality data to CMS. The submission of data through the CMS Web Interface requires that all 15 CMS web interface measures be reported for 12 months of quality data for the 2017 performance period between (January 1- December 31) therefore, there will be no need to search for and pick quality measures.
The CMS Web Interface reporting period for the 2017 performance year will be January 22, 2018 - March 16, 2018. CMS will send TXCIN a file during the Quality Measure Reporting period in early January. TXCIN will work with all practices to get the necessary information submitted by the March deadline. Once the file is complete, TXCIN will submit the data to CMS through the CMS Web Interface. TXCIN is required to completely and accurately report quality data used to calculate and assess quality performance.
How are the Medicare Beneficiaries chosen?
1) TXCIN will receive a sample of Medicare beneficiaries from CMS derived MIPS methodology for beneficiary assignment. This methodology requires a sample of 248 eligible beneficiaries for each measure. If the sample of eligible assigned beneficiaries is less than 248, then 100% of assigned beneficiaries is reported.
2) The CMS Web Interface will be partially pre-populated with 2017 claims data from Medicare Part A and B beneficiaries assigned to the group. This data has demographic and utilization information for the assigned beneficiaries.
3) TXCIN will have to populate the rest of the data fields and submit the data during the submission period ending March 16, 2018.
How will participants be notified?
TXCIN will contact your practice to schedule a day between January 8, 2018 and January 15, 2018 to discuss a deadline date for data abstraction for the CMS Web Interface Reporting. TXCIN will provide the CMS generated beneficiary assignment file for the data abstraction.
What can we do now to prepare for the reporting period?
Use performance measure patient roster and information to continue to bring patients in for their wellness visits to ensure all preventative measures are met for the remaining of the 2017 year.
What are the data abstraction options?
1) Provide TXCIN with the completed abstracted data form
2) Provide TXCIN with remote access to EMR
3) Schedule an in office appointment for TXCIN to abstract data
What will be the next step for the CMS Web Interface reporting?
1) Provide TXCIN your office preferred data abstraction method no later than January 4, 2018.
2) After receiving the CMS generated Medicare Beneficiary Assignment List and the Web Interface Data Abstraction Form from TXCIN, provide TXCIN with the date the data abstraction will be completed by your office and delivered to TXCIN. The date of completion for data abstraction must be prior to February 19, 2018. If your office would like data abstraction assistance provide TXCIN with remote access to EMR for the data abstraction. The access to the EMR must be established with TXCIN by January 15, 2018.
What are the documentation requirements for the CMs Web Interface reporting period?
Data information will be abstracted and provided to TXCIN for submittal through the completion of a Web Interface Data Collection Form provided to your office from TXCIN.
Medical record documentation will only need to be available as necessary to support the information that has been submitted by TXCIN through the CMS Web Interface. The expectation is that medical record documentation is available to support the action reported on the CMS Web Interface.
When will our office receive Medicare Beneficiary Assignment list and the Web Interface data abstraction form?
TXCIN expects to receive this information form CMS in the first week of January 2018. TXCIN will contact each practice upon receiving the information.
What are the 15 measures for the 2017 CMS Web Interface Reporting period?
Care Coordination/Patient Safety (CARE) Measures – Individually Sampled
- CARE-1 Medication Reconciliation Post-Discharge
- CARE-2 Falls: Screening for Future Fall Risk
Diabetes Composite Single Composite Consisting of 2 Measures
- DM-2: Composite (All or Nothing Scoring): Diabetes: Hemoglobin A1c Poor Control
- DM-7: Composite (All or Nothing Scoring): Diabetes: Eye Exam
Hypertension (HTN) Disease Measure
- HTN-2: Controlling High Blood Pressure
Ischemic Vascular Disease (IVD) Measure
- IVD-2: Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
Mental Health (MH) Disease Measure
- MH-1: Depression Remission at Twelve Months
8 Preventive (PREV) Care Measures – Individually Sampled
- PREV-5: Breast Cancer Screening
- PREV-6: Colorectal Cancer Screening
- PREV-7: Influenza Immunization
- PREV-8: Pneumonia Vaccination Status for Older Adults
- PREV-9: Body Mass Index (BMI) Screening and Follow-Up Plan
- PREV-10: Tobacco Use: Screening and Cessation Intervention
- PREV-12: Screening for Clinical Depression and Follow-Up Plan
- PREV-13: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
What are the Quality Measure Specifications?
The specifications for each measure will be included on the CMS Web Interface data collection tool provided in January.
Besides the CMS Web Interface reporting by TXCIN what else should be reported?
Advancing Care Information (ACI)
- The reporting of meaningfully use of certified EHR technology is referred to as Advancing Care Information (ACI), which replaces the Medicare EHR Incentive Program for clinicians. ACI should be reported to CMS for eligible clinician individually and deadline to report is March 31, 2018. ACI Reporting is offered through the choice of two measure set options:
1) Advancing Care Information Objectives and Measures
2) 2017 Advancing Care Information Transition Objectives and Measures
Can report the Advancing Care Information Objectives and Measures:
- If you have technology certified to the 2015 Edition; or
- If you have a combination of technologies from 2014 and 2015 Editions that support these measures.
Can report the 2017 Advancing Care Information Transition Objectives and Measures:
- If you have technology certified to the 2015 Edition; or
- If you have technology certified to the 2014 Edition; or If you have a combination of technologies from 2014 and 2015 Editions