What’s New: eCW Podcast decodes MACRA, MIPS, & APMs

The Medicare and CHIP Reauthorization Act (MACRA), passed by Congress in 2015, shifts healthcare from a fee-for-service model into the Quality Payment Program. Yet at over 2,100 pages, understanding MACRA can seem overwhelming. In its latest podcasts, eClinincalWorks summarizes the MACRA and Quality Payment program, and outlines the MIPS and APMs payment tracks.

Check it out on their website!

Meaningful Use Highlights, November 2016

Medicaid MU

Medicaid Meaningful Use 2016

The last year that an eligible professional (EPs) can begin participation in the Medicaid EHR incentive program is 2016.

  • Payments for eligible professionals are higher under Medicaid EHR Incentive Programs — up to $63,750 over six years.
  • Eligible professionals can receive an incentive payment for adopting, implementing, or upgrading certified EHR technology in their first year of participation.
  • Medicaid eligible professionals who also treat Medicare patients will see a negative payment adjustment to Medicare reimbursements beginning in 2015, if they do not successfully demonstrate Meaningful Use.

For more information on reporting requirements and deadlines, click here.

Alternate Medicare Attestation for Medicaid EPs
For years in which they cannot meet Medicaid MU eligibility requirements, EPs may avoid payment adjustments by attesting on the CMS Registration and Attestation System.

MACRA and Medicaid Meaningful Use
MACRA does not affect Medicaid Meaningful Use. The Medicaid EHR Incentive Program will continue until payment year 2021. Providers eligible to participate in MIPS and Medicaid MU must report data separately, both to CMS to earn a score toward MIPS, and to their state Medicaid MU program to earn EHR incentives.

90-day Reporting Period Finalized for 2016

CMS is allowing returning EPs in Medicare and Medicare EHR Incentive Programs to use any continuous 90-day reporting period in 2016 and 2017. Click here for the CMS factsheet.

90-day data ending Oct. 31, 2016, is being extracted for both Objectives and eCQMs. Change your view from YTD to 90 days in the drop-down on the MAQ Dashboard scorecard view.

Important Meaningful Use 2016 and PQRS Points to Remember

Meaningful Use 2016

90-day Reporting Period Finalized for 2016

CMS is allowing returning EPs in Medicare and Medicare EHR Incentive Programs to use any continuous 90-day reporting period in 2016 and 2017. Click here for the CMS factsheet.

90-day data ending Oct. 31, 2016, is being extracted for both Objectives and eCQMs. Change your view from YTD to 90 days in the drop-down on the MAQ Dashboard scorecard view.

MACRA, MIPS, and APMs: Quality Payment Program Final Rule Released

On October 14, 2016, CMS released the final rule for the Quality Payment Program (QPP). For the final rule, click here.

Click here to login & download eClinicalWorks’ Frequently Asked Questions document for MACRA and the Quality Payment Program.

Public Health Reporting

If you are planning to attest for last 90 days of 2016, you can register intent by Dec. 1, 2016.

  • A CMS tipsheet on Public Health Registry is available to learn more about requirements and alternate exclusions.
  • Register with State Immunization Registries and Syndromic Surveillance Registries. Click here for details, or to begin, open a case on my.eclinicalworks.com.
  • eClinicalWorks currently works with two specialized registries:
Modification to Calculation of Patient Electronic Access, Measure 1

This calculation has been modified to reflect the clarification provided by CMS in the Modified Stage 2 final rule, which requires that a patient who has multiple encounters during the EHR reporting period needs to have access to the information related to their care for each encounter where they are seen by the EP. Please see the eClinicalWorks Meaningful Use Guide or the MAQ Dashboard home page for details.

Security Risk assessment

Remember that conducting a security risk analysis to meet the standards of the 1996 HIPAA Security rule is part of Meaningful Use requirements. This applies to both Stage 1 and Stage 2 of meaningful use, and it must be conducted within the same calendar year as the EHR reporting period. If the provider attests prior to the end of the calendar year, it must be conducted prior to the date of attestation. Click here for a tip sheet provided by the EHR Incentive Program.

eRX + Rx Eligibility

Remember that you must verify Rx Eligibility prior to ePrescribing through eClinicalWorks. The system makes it easy in that the Rx eligibility button will help indicate whether a drug formulary is available for that patient, and can simply be clicked to perform the check, which will either happen automatically or manually. Once the check is performed, it is valid for 72 hours. In order to meet the Stage 2 ePrescription Measure, you must:

  • Set up a scheduled job to verify Rx eligibility for all scheduled appointments
  • Manually verify Rx eligibility for same-day appointments and phone refill requests
  • Continue to ePrescribe medications
Summary of Care Record

Remember to attach the summary of care record to referrals and to send referrals via P2P/JTN. Contact support or your account manager if you have questions.

Patient Electronic Access

Patients must be web-enabled from the very first visit within the reporting period. Patients may opt out if they do not want access to their health information electronically. Please utilize the “web enabled patient” pop-up on the appointment screen to opt a patient out, in order to be credited for this measure. Opting a patient out from the patient demographics will NOT give credit for this measure.

Auto Extraction of MAQ Dashboard

Starting in April of 2016, eCW has made a change as to how the automated MAQ dashboard extractions run. 30 day and 90 day extractions will no longer occur on a monthly basis. Going forward, only the year to date (YTD) extractions will run automatically. Any additional extractions can be scheduled after the 10th of each month. When accessing the score card, period B will represent the YTD data.

Check your dashboard

Don’t forget to check your dashboard every month. You need to report for the entire year. Contact Curas if you need help. Curas also has Meaningful Use services to assist practices. Click here to learn more.

PQRS 2016

How are you planning to report PQRS? If you do not have a plan, you should get started now to ensure that you can report on enough patients and to minimize/eliminate the need to go back to past encounters. There are three primary methods of reporting:

  • Claims Based
  • eCW PQRS Registry/Data Submission Vendor
  • Third Party Registry/Data Submission Vendor

If you want to learn more, please contact Curas Support. Your Curas Account Manager would be happy to run through the options and help you select the right one for you.

QRURs, October 2016

QRUR stands for Quality and Resource Use Reports, released annually by CMS. These are feedback reports for your performance in Medicare’s PQRS and Value-Based Modifier (VBM) programs for calendar year 2015. The reports detail possible adjustments to your CMS reimbursement in 2017 based on your performance. This lays the groundwork for MACRA/MIPS in 2017 for quality measure reporting and utilization.

Informal reviews are now open! eClinicalWorks will help all clients who reported through the certified registry in 2015 for the PQRS program.

To locate your QRUR, you must log in to your Enterprise Identity Management (EIDM) account through CMS. EIDM accounts are required for participants to obtain 2015 PQRD feedback reports and 2015 Annual QRURs. Please click here to register for an account. A quick reference guide can also be accessed which includes additional resources.

For any questions you may have, or if you would like support with this process, please contact Curas Support.

Carequality is Live, October 2016

eClinicalWorks is now live with Carequality, which provides a seamless exchange of clinical data between the eClinicalWorks EHR and external EMRs. This eliminates the need for multiple connections, include to state/regional HIEs with centralized data repositories. eClinicalWorks has partnered with Surescripts’ nationwide network, National Record Locator Service (NRLs), to match patients and to obtain records of locations patients have visited. Curas clients should contact support@curas.net to join now!

Meaningful Use Highlights

Medicaid MU

The last year that an EP can begin participation in the Medicaid EHR incentive program is 2016. Incentive payments for Medicaid are up to $63,750 over six years. EPs can receive an incentive payment for adopting, implementing or upgrading their certified EHR technology in their first year of participation. In subsequent years, EPs can receive incentive payments for successfully demonstrating Meaningful Use. Medicaid-eligible professionals who also treat Medicare patients will see a payment adjustment to Medicare reimbursements beginning in 2015 if they do not successfully demonstrate Meaningful Use. Click here for more information.

Proposed 90-day Reporting Period

CMS has proposed changing the 2016 Meaningful Use reporting period from a calendar year to any consecutive 90 days within the calendar year. This proposal is intended to ease the reporting burden on EPs. Confirmation on this proposal is expected later this fall. Until then, we must consider the reporting period to be a full year.

Curas Client Testimonials

Curas Optimizing Your eClinicalWorks

Curas, Inc talks about their solutions for optimizing your eClinicalWorkds software.

Jones & Sciortino Orthopedics

Curas implements eClinicalWorks for an Orthopedic practice, successfully achieves Meaningful Use.
 

St. Anthony’s Physicians Office eClinicalWorks Upgrade

On updgrading eClinicalWorks with Curas, Inc.