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2018 MIPS REPORTING

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Now you can complete your 2018 MIPS reporting in just minutes. Get started now to avoid penalization with the easiest, lowest-cost option in the industry.

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Tell us about your practice.

Please select the choice that best describes your practice

The clinician has 100 or fewer Medicare Part B patient-facing encounters (including Medicare telehealth services) during the non-patient-facing determination period, during one of the segments of the 24-month non-patient-facing determination period (September 1, 2016 - August 31, 2017 or September 1, 2017 - August 31, 2018).

The clinician is associated with a practice that is in a zip code designated as rural, using the most recent Health Resources and Services Administration (HRSA) Area Health Resource File data or an area designated under section 332(a)(1)(A) of the Public Health Service Act.

50% of the practice sites within the TIN are recognized or accredited as a patient-centered medical home from 1 of 4 nationally-recognized accreditation organizations; a Medicaid Medical Home Model or Medical Home Model; NCQA patient-centered specialty recognition; and certification from other payer, state or regional programs as a patient-centered medical home if the certifying body has 500 or more certified member practices.

Eligible Clinicians (ECs)

How many MIPS Eligible Clinicians are registered with CMS for your Tax Identification Number (TIN)?

For the 2017 and 2018 MIPS performance periods, the following clinician types can participate in MIPS:

  • Physicians, which includes doctors of medicine, doctors of osteopathy (including osteopathic practitioners), doctors of dental surgery, doctors of dental medicine, doctors of podiatric medicine, doctors of optometry, and chiropractors;
  • Physician assistants (PAs);
  • Nurse practitioners (NPs);
  • Clinical nurse specialists;
  • Certified registered nurse anesthetists; and
  • Any clinician group that includes one of the professionals listed above.

Submission Choices

To avoid the 2018 MIPS penalty, please complete Option A or Option B

Option A (no EHR required)

Choose ONE of the following sets of Improvement Activities covering a continuous 90-day period in 2018.

Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.

Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.

Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:

  • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);
  • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or
  • Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance.

Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:

  • Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;
  • Integrate a pharmacist into the care team; and/or
  • Conduct periodic, structured medication reviews.

Implement regular care coordination training within practice, e.g., availability of care coordination training curriculum/training materials and attendance or training certification registers/documents.

Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as:

  • Multi-Source Feedback;
  • Train all staff in quality improvement methods;
  • Integrate practice change/quality improvement into staff duties;
  • Engage all staff in identifying and testing practices changes;
  • Designate regular team meetings to review data and plan improvement cycles;
  • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or
  • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.

Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following:

  • Make responsibility for guidance of practice change a component of clinical and administrative leadership roles;
  • Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/or
  • Incorporate population health, quality and patient experience metrics in regular reviews of practice performance.

Option A (no EHR required)

Choose ONE of the following sets of Improvement Activities covering a continuous 90-day period in 2018.

Select TWO of the following High-Weighted Improvement Activities to attest to having completed them for a continuous 90-day period in 2018

Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.

Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.

Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:

  • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);
  • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or
  • Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance.

Select ONE of the following High-Weighted Improvement Activities to attest to having completed it for a continuous 90-day period in 2018

Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.

Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.

Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:

  • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);
  • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or
  • Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance.

AND

Select TWO of the following Medium-Weighted Improvement Activities to attest to having completed them for a continuous 90-day period in 2018

Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:

  • Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;
  • Integrate a pharmacist into the care team; and/or
  • Conduct periodic, structured medication reviews.

Implement regular care coordination training within practice, e.g., availability of care coordination training curriculum/training materials and attendance or training certification registers/documents.

Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as:

  • Multi-Source Feedback;
  • Train all staff in quality improvement methods;
  • Integrate practice change/quality improvement into staff duties;
  • Engage all staff in identifying and testing practices changes;
  • Designate regular team meetings to review data and plan improvement cycles;
  • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or
  • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.

Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following:

  • Make responsibility for guidance of practice change a component of clinical and administrative leadership roles;
  • Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/or
  • Incorporate population health, quality and patient experience metrics in regular reviews of practice performance.

Select the following FOUR Medium-Weighted Improvement Activities to attest to having completed them for a continuous 90-day period in 2018

Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:

  • Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;
  • Integrate a pharmacist into the care team; and/or conduct periodic, structured medication reviews.

Implement regular care coordination training within practice, e.g., availability of care coordination training curriculum/training materials and attendance or training certification registers/documents.

Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as:

  • Multi-Source Feedback;
  • Train all staff in quality improvement methods;
  • Integrate practice change/quality improvement into staff duties;
  • Engage all staff in identifying and testing practices changes;
  • Designate regular team meetings to review data and plan improvement cycles;
  • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or
  • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.

Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following:

  • Make responsibility for guidance of practice change a component of clinical and administrative leadership roles;
  • Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/or
  • Incorporate population health, quality and patient experience metrics in regular reviews of practice performance.

Option B (CEHRT required)

Submit one Improvement Activity and attest to all Promoting Interoperability measures.

To avoid a Medicare payment adjustment or receive a Medicaid incentive payment, health care providers must use an EHR that is certified specifically for the PI Programs. CEHRT gives assurance to purchasers and other users that an EHR system or module offers the necessary technological capability, functionality, and security to help them meet the meaningful use criteria. Certification also helps health care providers and patients be confident that the electronic health IT products and systems they use are secure, can maintain data confidentially, and can work with other systems to share information.

Improvement Activity

Select ONE of the following Improvement Activities to attest to having completed it for a continuous 90-day period in 2018

Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.

Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.

Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:

  • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);
  • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or
  • Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.

Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance.

Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:

  • Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;
  • Integrate a pharmacist into the care team; and/or
  • Conduct periodic, structured medication reviews.

Implement regular care coordination training within practice, e.g., availability of care coordination training curriculum/training materials and attendance or training certification registers/documents.

Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as:

  • Multi-Source Feedback;
  • Train all staff in quality improvement methods;
  • Integrate practice change/quality improvement into staff duties;
  • Engage all staff in identifying and testing practices changes;
  • Designate regular team meetings to review data and plan improvement cycles;
  • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or
  • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.

Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following:

  • Make responsibility for guidance of practice change a component of clinical and administrative leadership roles;
  • Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/or
  • Incorporate population health, quality and patient experience metrics in regular reviews of practice performance.
Attest to ALL the following PI Measures

Select ALL of the following PI Measures to attest to having completed them for a continuous 90-day period in 2018

I have not knowingly and willfully taken action to limit or restrict the interoperability of certified EHR technology. I have responded to requests to retrieve or exchange information—including requests from patients and other health care providers regardless of the requestor's affiliation or technology. I have implemented appropriate standards and processes to ensure that its certified EHR technology was connected in accordance with applicable law and standards, allowed patients timely access to their electronic health information; and supported exchange of electronic health information with other health care providers.

I have (1) acknowledged the requirement to cooperate in good faith with ONC direct review health information technology certified under the ONC Health IT Certification Program if a request to assist in ONC direct review is received; AND (2) If requested, cooperated in good faith with ONC direct review of his or her health information technology certified under the ONC Health IT Certification Program as authorized by 45 CFR part 170, subpart E, to the extent that such technology meets (or can be used to meet) the definition of CEHRT, including by permitting timely access to such technology and demonstrating its capabilities as implemented and used by the MIPS eligible clinician in the field.

Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician’s risk management process.

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician’s discretion to withhold certain information.

Please select ONE of the below options

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified electronic health record technology (CEHRT).

Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period.

Please select ONE of the below options

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider (1) uses certified electronic health record technology (CEHRT) to create a summary of care record; and (2) electronically transmits such summary to a receiving health care provider for at least one transition of care or referral

Any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period.

Final Step...

Based on the information you have provided, you have successfully avoided the 2018 MIPS penalty.

To complete your reporting, please review your selected activities and/or measures, then enter your billing information. We will complete your submission of 2018 MIPS data to CMS and you will receive an email confirmation.

Please review your selections

Measures Reported

You have attested to completing the following:

    Congratulations!

    You have successfully finished MIPSinMinutes and avoided the 2018 CMS reporting penalties. We will prepare your data for submission to CMS in January 2019.

    We have sent you an email with the information you entered for your records, as well as a confirmation of payment.

    Thank you for using MIPSinMinutes. We hope that your experience was enjoyable. We welcome your feedback, as we continually strive to improve our products. Click to share with us.

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    Total fee: $249

    The FASTEST MIPS solution in the industry

    Use MIPSinMinutes to earn the minimum point value necessary to avoid penalization for the 2018 reporting year - all by answering a few questions. Here’s how it works:

    • Enter your individual National Provider Identifier (NPI)
    • Select a few measures you've completed in 2018
    • Review and confirm selections
    • Checkout and Pay

    "The new MIPSinMinutes offering from American Health IT is the fastest, easiest way to report to CMS Quality Reporting Program. It allows small practices like mine to simply and quickly report without the headache of full reporting and without sacrificing full penalties for not reporting. I recommend it to any physician or practice looking to ease the reporting burden of MIPS.""

    -Dr. Michael Banks
    OrthoWest Ltd.

    Who We Are

    In 2008, we became the first vendor qualified by the Centers for Medicare and Medicaid Services (CMS) to report quality data for providers in the quality program originally known as the Physicians Quality Reporting Initiative (PQRI), then later as the Physicians Quality Reporting System (PQRS), and finally today as the Merit-Based Incentive Performance System (MIPS). Our continued work with CMS and our expertise in quality measurement and reporting has enabled us to create MIPSinMinutes, an innovative first-of-its-kind product designed to save clinicians and their practices time and money.

    Frequently Asked Questions

    American Health IT is proud to introduce an innovative new product to help individual MIPS Eligible Clinicians whose goal is simply to avoid a negative payment adjustment by CMS.

    With MIPSinMinutes, you earn the minimum point value necessary to avoid penalties for the 2018 reporting year, all by answering just a few simple questions.

    An EHR is not required to be in use during 2018 to avoid the negative payment adjustment.

    MIPS Eligible Clinicians whose goal is to simply avoid the 5% MIPS penalty in 2020 will also attain the following benefits from using MIPSinMinutes:

    • Lowest Cost Option
    • Ultimate Time Savings
    • Guaranteed Submission Success

    With MIPSinMinutes, to avoid the negative payment adjustment, you simply attest to completing:

    ONE high-weighted Improvement Activity for at least a 90-day period during 2018

    or

    TWO medium-weighted Improvement Activities for at least a 90-day period during 2018

    With MIPSinMinutes, to avoid the negative payment adjustment, you simply attest to completing:

    Up to FOUR Improvement Activities for a minimum 90-day period during 2018

    or

    For those who utilize an EHR, attest to completing the 6 required Promoting Interoperability measures AND

    At least ONE Improvement Activity for a minimum a 90-day period during 2018

    Looking to earn a MIPS incentive up to 5% or need to report for a group of clinicians?