To dos prior to 2018 submission

To dos prior to 2018 submission

  1. Know your deadline: you can submit up until April 2, 2019, 8 pm EDT

  2. Validate the information on file in the PECOS system:

    • Make sure that the NPIs affiliated with your Tax ID Number are current.

    • Verify your financial information to  ensure your bank and account numbers are correct. This can hold up your payment.

  3. Think about whether you meet the Data Completeness definition for your 2018 data

    • Data completeness means that you are reporting on a high percentage of the patients that meet the denominator criteria. This is currently set at 60% for 2018.

    • If you have lots of charts for which the billing level has not been assigned, typically unsigned encounters, then these patients and their clinical data may not be pulled in the ETL and may not be included in your AAP reports. This impacts your data completeness.

  4. Save all supporting data in a secure location, this could be electronically or on paper.

    • Quality reports including the initial patient population (IPP), denominator, numerator, exclusion, and exception numbers.

    • Your performance feedback report for 2017.

    • Supporting documentation of your Improvement Activities.

    • Your Security Risk Assessment from the 2018 calendar year.

    • Reports reflecting your Promoting Interoperability measures, including evidence of Active Engagement with public health registries.

MIPS in 2019

If you are using Allscripts Professional EHR, you will need different things dependent upon the method of submission you choose.

  • EHR Submission – You need both the 2015 certification package and the MIPS reporting package

  • Registry Submission – You need only the 2015 certification package

  • ACO Submission – You need only the 2015 certification package

  • QRDA upload to CMS website – You need both the 2015 certification package and the MIPS reporting package

Here is the difference based on what we have learned from Allscripts:

  • The 2015 CEHRT package provides all needed elements to attest that you are using a 2015 CEHRT EHR. It also gives you access to your Quality and PI reports through AAP. If you are part of the Quality Payment Monitoring program and submitting through the registry, this is all you need.

  • The 2015 MIPS package provides the 2015 CEHRT package in addition to the ability to view your dashboard, create QRDA files, and have access to Allscripts services and submission on your behalf.