Today is Your Data Deadline: Your Data is Due through End of September
Please send your TCPI Measures Data for July 1 to September 30 to VCSQI today. Q3 2018 data for your selected TCPI quality metrics is due to Eddie Fonner at firstname.lastname@example.org. Please contact Eddie Fonner, Rick Koss, Ivan Berkel or Sherri White if you have questions about how to submit this data or need a few more days. It is aggregate data (numerators and denominators) for your selected measures, NOT patient-level data.
Today, October 15, 2018 is the Deadline for Submitting a MIPS Targeted Review Request
If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback is now available for review on the Quality Payment Program website. The payment adjustment you will receive in 2019 is based on this final score. MIPS eligible clinicians or groups (along with their designated support staff or authorized third-party intermediary), including those who are subject to the APM scoring standard may request for CMS to review their performance feedback and final score through a targeted reviewif you believe an error has been made in your 2019 MIPS payment adjustment calculation.
CMS May Have Miscalculated Your MIPS Payment Adjustments: 4 Things to Know
CMS recently disclosed it made an error when processing quality scores for physicians participating in the Merit-based Incentive Payment System.
- CMS recently released feedback for physicians included in MIPS during the 2017 performance year. The agency also launched the targeted review process, which allows providers to request a review of their MIPS payment adjustment factors if they believe there is an error with the 2019 MIPS payment adjustment calculation.
- “The requests that we received through targeted review caused us to take a closer look at a few prevailing concerns,” CMS said. “Those concerns included the application of the 2017 Advancing Care Information and Extreme and Uncontrollable Circumstances hardship exceptions, the awarding of Improvement Activity credit for successful participation in the Improvement Activities Burden Reduction Study, and the addition of the All-Cause Readmission measure to the MIPS final score.”
- CMS reviewed the concerns and identified “a few errors in the scoring logic and implemented solutions,” the agency said. Correcting the mistakes resulted in changes to the 2017 MIPS final score and associated 2019 MIPS payment adjustment for some clinicians. CMS did not disclose how many physicians were affected or how much providers were overpaid or underpaid as a result of the errors.
- CMS extended the targeted review deadline from Sept. 30 to Oct. 15 to give physicians more time to access and review their performance feedback.
Requests for Small Practice Hardship Exclusion from Promoting Interoperability Category
Small practices can request a hardship exclusion from the Promoting Interoperability category. Request is due by end of year but you should apply sooner to be safe! Your percent for the Promoting Interoperability Category gets moved to the Quality Category. Here is the link to learn more and apply: https://qpp.cms.gov/about/small-underserved-rural-practices
Special Message on Transition of Enrolled Practices to the Vizient Practice Transformation Network
As noted in VCSQI SAN 2.0 Project Director Debbie Nadzam Melnyk’s email to Leaders of practices participating in TCPI on August 20th, VCSQI has decided not to participate in the final year of CMS’s Transforming Clinical Practice Initiative (TCPI). We also told you that we would be working with CMS to identify another organization with the same CMS TCPI-related contract that we have had so that your practice can continue in the TCPI project and complete the 5 Phases of Transformation.
We have just confirmed that the Vizient Practice Transformation Network (PTN) has agreed to welcome the VCSQI practices into its network. Vizient has been working with all types of specialty practices across the nation and will most certainly provide expert assistance to your practice.
We are working with Vizient to plan how best to transition practices over the next few months. Please stay tuned for more information. In the meantime, we ask that you continue to attend scheduled calls you have with Sherri, Ivan or Debbie.
Thank you again for your commitment to the TCPI project. We look forward to our remaining work with you and your practice.
To Help You Accelerate Meeting TCPI Milestones and Progressing thru TCPI’s 5 Phases, Here are Previously Recorded Classes
To help your practice successfully meet the TCPI milestones, we held a series of web-based “classes” over the past several weeks. Each class addresses a group of milestones along common themes. The TCPI Project for primary care clinicians includes 27 milestones and for specialists, 22.
- Business Strategies: https://youtu.be/GLFZLVZRLYY
- Person and Family Centered Care: https://youtu.be/idhoQlRGJCc
- Coordinated Care & Population Management: https://youtu.be/X9wvuXtYR8o
- Streamlining Clinical & Office Work: https://youtu.be/g3FlXYUUTio
- Identifying Patient Risk and Using Best Practices: https://youtu.be/MVN9j5sKZs0
- Teamwork and Joy in Your Practice: https://youtu.be/DyW-vUs1L2g
- Setting Quality Improvement Goals: https://youtu.be/YcN5DJn2iVA
- Quality Improvement Processes & Data Capture/Analysis Best Practices: https://youtu.be/qypME-TaDM4
2018 MIPS Participation Information Webinar: In case you missed the recording held in April, here is a link for more information for a better understanding of MIPS for 2018 – Click Here.
The 2019 CMS QRDA III Implementation Guide, Schematron, and Sample Files Are Now Available
The Centers for Medicare & Medicaid Services (CMS) has published the 2019 CMS Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG), Schematron, and Sample files. The 2019 CMS QRDA III IG will help eligible clinicians and eligible professionals report electronic clinical quality measures (eCQMs), improvement activities, and/or promoting interoperability measures for the calendar year 2019 performance period.
The IG provides technical instructions for QRDA III reporting for the following programs:
- Quality Payment Program: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs)
- Comprehensive Primary Care Plus (CPC+)
- Promoting Interoperability (PI)
Additional QRDA-Related Resources:
- You can find additional QRDA related resources, as well as current and past IGs, on the Electronic Clinical Quality Improvement Resource Center.
- For questions related to the QRDA IGs and/or Schematrons, visit the ONC QRDA JIRA Issue Tracker.
Working Together We Can Achieve Our Goals