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Now Available: 2019 MIPS Performance Feedback and Final Score

The Centers for Medicare and Medicare Services (CMS) has released 2019 Merit-based Incentive Payment System (MIPS) performance feedback and final scores. To access your 2019 MIPS performance feedback and final score:
• Go to your QPP account 
• Log in using your HCQIS Access Roles and Profile (HARP) system user name and password. These are the same log-in credentials that allowed you to submit your 2019 MIPS data

To learn more about performance feedback, review the 2019 MIPS Performance Feedback Resources

MIPS-Eligible Clinicians Participating in MIPS Alternative Payment Model (APM) Entities

If you participated as a MIPS APM in 2019 your MIPS performance feedback now is available on the Quality Payment Program website.
Individual clinicians and representatives of the APM entity can access performance feedback directly on the Quality Payment Program website using a HARP account.

Now Available: 2019 MIPS Targeted Review

If you believe an error has been made in your MIPS payment adjustment factor(s) calculation, you can request a targeted review until Oct. 5, 2020. To access your 2019 MIPS performance feedback and final score:
• Go to your QPP account 
• Log in using your HCQIS Access Roles and Profile (HARP) system user name and password. These are the same log-in credentials that allowed you to submit your 2019 MIPS data.

Please refer to the QPP Access Guide for additional details.

For more information about how to request a targeted review, please refer to the 2019 Targeted Review User Guide. For more information on payment adjustments please refer to the 2021 MIPS Payment Adjustment Fact Sheet.

Questions?

Contact the Quality Payment Program at (866) 288-8292 or by e-mail.

Program Year 2020 Go Live

The Kentucky Medicaid EHR Incentive Program (Promoting Interoperability) will begin accepting program year (PY) 2020 attestations July 22, 2020. The application temporarily will be unavailable from 10 a.m. until 1 p.m. to release and verify the changes. The deadline to submit an attestation for PY 2020 is 11:59 p.m., March 31, 2021. Any attestation not submitted will be closed out and not eligible for participation for that program year. To assist with your attestation, the EP User Manual is located on the Resources page. For questions or concerns, please contact the EHR team by e-mail.

CMS Releases 2018 Quality Payment Program Experience Report

The Centers for Medicare and Medicaid Services released the 2018 Quality Payment Program (QPP) Experience Report to provide insights into participation during the 2018 performance year. The report includes data regarding participation and performance in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) tracks of QPP during the 2018 performance year. Key 2018 findings include:

  • 98 percent of MIPS-eligible clinicians participated in the program and avoided a negative payment adjustment, a one-year increase of 3 percentage points.
  • 84 percent of clinicians earned an exceptional performance designation by earning 70 points or more.
  • 356,353 MIPS-eligible clinicians participated in MIPS through a MIPS APM, a 15,000-clinician increase from the 2017 performance year.
  • The number of clinicians achieving qualifying APM participant status nearly doubled in one year, from 99,076 to 183,306 clinicians. This, along with the increase in MIPS APM participation, indicates a desire by clinicians and practices to transition toward value-based arrangements.
  • 84 perccent of small practices earned a positive payment adjustment, up 10 percentage points from the year prior.
  • Rural practices earning positive payment adjustments increased from 93 percent in 2017 to 97 percent in 2018.

For More Information:
Contact the Quality Payment Program at (866) 288-8292 by e-mail.

Guidance on Allowance of Telehealth Encounters in eCQMs Now Available

The Centers for Medicare and Medicaid Services (CMS) has posted guidance on the use of telehealth encounters for the eligible professional and eligible clinician electronic clinical quality measures (eCQMs) used in CMS quality reporting programs for the 2020 and 2021 performance periods. Guidance applies to eCQMs used in each of the following programs:

  • Quality Payment Program: The Merit-based Incentive Payment
  • System and Advanced Alternative Payment Models (Advanced APMs)
  • APM: Comprehensive Primary Care Plus
  • APM: Primary Care First
  • Medicaid Promoting Interoperability Program for Eligible Professionals

For the 2020 performance period, the majority of the eligible professional/eligible clinician eCQMs include Current Procedural Terminology and Healthcare Common Procedure Coding System encounter codes appropriate for either in-person or telehealth encounters based on the list of services payable under the Medicare Physician Fee Schedule.

The guidance is available on the eCQI Resource Center in the following locations:

KY REC Presents Week of Webinars (WoW)

In light of the continued need for social distancing, the KY REC team and our partners at KHIE have decided to go virtual with our planned Aug. conferences. Please join us for WoW events Aug. 10-14. WoW is a full week of free virtual learning and interactive sessions welcoming clinicians, administrators, clinic staff and all healthcare professional to remotely connect and discuss the following subjects and more:

  • Quality improvement
  • Telehealth
  • Promoting interoperability for EHs
  • Patient-centered medical home and specialty practice
  • HIPAA
  • KHIE services
  • The Quality Payment Program
  • Promoting interoperability for EPs

Participants can choose individual sessions on a variety of useful topics to help address the challenges of today’s healthcare landscape. The full agenda and registration information will be available in July. Please call (859) 323-3090 or email Kentucky REC to find out more.

Provider Assistance Program

The Kentucky Health Information Exchange (KHIE) is excited to announce the launch of our Provider Assistance Program incentive opportunity. The Provider Assistance Program was created to help pharmacies, eligible providers (EP), eligible hospitals (EH) and critical access hospitals (CAH) mitigate the challenges associated with interoperability. EHs and CAHs will be awarded up to $15,000 and EPs and pharmacies will be awarded up to $8,000.  Incentives will be awarded on a first-come, first-served basis until all funds are depleted. Applications can be found on the KHIE website under Hot Topics. 
Applications will be accepted through June 30, 2021.

CMS Announces Relief for Clinicians Participating in the Quality Payment Program in 2020

In response to the COVID-19 public health emergency, the Centers for Medicare an Medicaid Services (CMS) has extended hardship flexibility to clinicians participating in the Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS) in 2020. Clinicians significantly impacted by the public health emergency may submit an Extreme and Uncontrollable Circumstances Application to reweight any or all of the MIPS performance categories. The application for PY 2020 currently is open and will close Dec. 31, 2020. Those requesting relief via the application will need to provide evidence of significant impact to their practice as a result of the public health emergency.

For more information:

Important URL Change for the Kentucky Medicaid EHR Incentive Program (Promoting Interoperability)

Effective June 22, 2020, the web address to attest for the Kentucky Medicaid EHR Incentive Program (Promoting Interoperability) has changed. Please update your bookmarks/favorites to this new website address. Email us for further information and assistance.

The Deadline for Eligible Hospitals to Submit Medicare Promoting Interoperability Program Hardship Exception Applications is Tuesday, Sept. 1

Eligible hospitals may be exempt from Medicare penalties if they can show that compliance with the requirement for being a meaningful EHR user would result in a significant hardship. To be considered for an exemption, eligible hospitals must complete a hardship exception application and provide proof of hardship.

Hardship exception application details

  • You now may submit hardship applications electronically.

  • If an electronic submission is not possible, you may verbally submit your application over the phone by calling the QualityNet Help Desk at (866) 288-8912.

  • The deadline for eligible hospitals to submit an application is Sept. 1, 2020. Please note: This deadline has been extended from the original July 1, 2020 date due to COVID-19.

For more information about payment adjustments and hardship information, visit the CMS website.

For more information on the Promoting Interoperability Programs, visit the Promoting Interoperability Programs website.

Kentucky Health Information Exchange Grant Opportunity Announced

In collaboration with the Department for Medicaid Services and the Kentucky Health Information Exchange (KHIE), Anthem Blue Cross and Blue Shield Medicaid is offering participating Anthem providers the opportunity to apply for a grant to help offset the costs associated with connecting to KHIE.

If approved, providers may be awarded up to $2,000, per tax identification number and/or business entity, until all grant funds up to $100,000 are depleted. Approved providers will be notified using the email address provided on the application.

2020 Public Health Guidance for MU Stage 3

The Kentucky Health Information Exchange (KHIE) is the public health authority for meaningful use (MU) reporting in Kentucky. In program year 2020 all EPs are required to attest successfully to two public health measures and all EHs/CAHs are required to attest successfully to four public health measures. Kentucky Medicaid EHR Incentive Program (Promoting Interoperability) participants who claim an exclusion for public health reporting are responsible for ensuring they meet the qualifications and retain any documentation that fully supports their attestation choice.

Guidance for Meaningful Use (Promoting Interoperability) Stage 3 public health reporting has been finalized for 2020 and is applicable only for the public health measures that are reported through KHIE. All EPs, EHs and CAHs who attest to any of the public health measures supported by KHIE must have a signed Participation Agreement and signed addendum(a) on file with KHIE for each public health measure selected for attestation. The agreements and their associated addenda must be signed within 60 days of the beginning of the EHR reporting period for the public health measures attested. The addenda include Immunization Registry Authorization, Bidirectional Immunization Registry Authorization, Syndromic Surveillance Authorization, Kentucky Cancer Registry Authorization, Disease Surveillance Authorization (electronic laboratory results reporting), KHIE Advance Directive Registry Authorization, and Exhibit B on the KHIE Participation Agreement.

Providers have the option to submit to additional registries outside of those supported by KHIE. If you choose this option, you are responsible for obtaining any documentation to support your attestation. Information is available at the Centers for Disease Control and Prevention Public Health and Promoting Interoperability Programs website

KHIE Declaration of Readiness: Program Year 2020

The Kentucky Health Information Exchange (KHIE) is the Public Health Authority for Meaningful Use (Promoting Interoperability) reporting in Kentucky. Kentucky Eligible Professionals (EPs) and Eligible Hospitals/Critical Access Hospitals (EH/CAHs) who wish to submit to any of the following registries must do so through KHIE.

For meaningful use (Promoting Interoperability), KHIE provides support for the following public health and clinical data registry reporting measures:

  • Kentucky Immunization Registry 
    Any EP or EH/CAH that administers any type of immunization (influenza, pneumococcal, HPV, chickenpox, shingles, etc.) during the EHR reporting period, can submit to or query the immunization registry.
  • CDC BioSense Syndromic Surveillance 
    In Kentucky, all EPs or EH/CAHs collect Syndromic Surveillance data.
  • Kentucky Cancer Registry
    Any EP that diagnoses and/or treats cancer patients is eligible to submit to the Kentucky Cancer Registry.
  • KHIE Advance Directive Registry
    In Kentucky, any EP or EH/CAH is eligible to submit advance directive documents to the KHIE Advance Directive Registry.
  • Kentucky National Electronic Disease Surveillance System 
    Kentucky recently adopted legislation, 902 KAR 2:020, requiring laboratory results to be reported electronically to KHIE.
  • Kentucky Health Information Exchange (Platinum Service) 
    Any EP or EH/CAH is eligible to use KHIE as a public health measure.
  • Electronic Case Reporting 
    In Kentucky, any EP or EH/CAH is eligible to submit case reporting of reportable conditions to the Electronic Case Reporting Registry.

KHIE supports public health reporting data submission from ONC 2014 certified electronic health record technology (CEHRT) and ONC 2015 CEHRT.

To register your intent to submit to any of these registries, contact the KHIE outreach coordinator for your region.

Patient Education Tip Sheet

Do you have questions about objective 5 measure 2? Are you struggling to meet the patient education measure? For help with the patient education objective, suggested audit documentation guidance and submitting data during attestation, please visit our Resources page and view the Patient Education Tip Sheet.

Immunization Registry Reporting for Stage 3 Meaningful Use

All providers currently in any level of active engagement with the Kentucky Immunization Registry will receive an email with a new bidirectional immunization registry authorization from their Kentucky Health Information Exchange (KHIE) outreach coordinator. This email will provide information regarding bidirectional immunization reporting attestation requirements for Objective 8, Measure 1: Immunization Registry Reporting for Stage 3 of Meaningful Use (Promoting Interoperability). 

CMS now permits eligible providers (EPs), eligible hospitals (EHs) and critical access hospitals (CAHs) to revert to Option 1 (complete registration to submit data) of active engagement. However, a new bidirectional immunization registry authorization must be signed and submitted to KHIE within 60 days of the beginning of the EHR reporting period. If the EP, EH or CAH fails to sign and return the new bidirectional immunization registry authorization, it no longer will be considered inactive engagement and, therefore, unable to attest to Objective 8, Measure 1: Immunization Registry Reporting.

Please contact your KHIE outreach coordinator with any questions or concerns.

KHIE Outreach Coordinators

Region 1  (West)
Laura A. Shonk
Phone: (502) 229-2533

Region 2  (Central/West/Passport)
Teresa A. Poff
Phone: (502) 229-8591

Region 3 (Northern and Northeastern)
Ann M. O'Hara
Phone: (502) 229-3123

Region 4 (South Eastern)
Tiffany Pierson
Phone: (502) 229-3406

KHIE Declaration of Readiness: Program Year 2019

(July 2, 2018) The Kentucky Health Information Exchange (KHIE) is the public health authority for meaningful use (MU) reporting in Kentucky. Kentucky eligible professionals (EPs) and eligible hospitals/critical access hospitals (EH/CAHs) wishing to submit to any of the following registries must do so through KHIE.

For MU, KHIE provides support for the following public health reporting measures:
  • Kentucky Immunization Registry - Any EP or EH/CAH that administers any type of immunization (influenza, pneumococcal, HPV, chickenpox, shingles, etc.) during the EHR reporting period, can submit to or query the immunization registry.
  • CDC BioSense Syndromic Surveillance - In Kentucky, all EPs or EH/CAHs collect syndromic surveillance data.
  • Kentucky Cancer Registry - Any EP that diagnoses and/or treats cancer patients is eligible to submit to the Kentucky Cancer Registry.
  • KHIE Advance Directive Registry - In Kentucky, any EP or EH/CAH is eligible to submit advance directive documents to the KHIE Advance Directive Registry.
  • Kentucky National Electronic Disease Surveillance System - Kentucky recently adopted legislation, 902 KAR 2:020 requiring laboratory results to be reported electronically to KHIE.
  • Kentucky Health Information Exchange - Any EP or EH/CAH is eligible to use KHIE as a public health measure. KHIE supports public health reporting data submission from ONC 2014 certified electronic health record technology and ONC 2015 CEHRT.

To register your intent to submit to any of these registries, contact the KHIE outreach coordinator for your region.

Have you completed participation in the Kentucky Medicaid EHR Incentive Program?

(Feb. 1, 2018) Are you wondering what to do next? Eligible hospitals (EHs) and critical access hospitals (CAHs) are eligible to participate in the Kentucky Medicaid EHR Incentive Program a maximum of three years. While eligible professionals (EPs) are eligible to participate a maximum of six years. Once a provider has completed all eligible years of participation, you are no longer required to submit an attestation to the Kentucky Medicaid EHR Incentive Program. However, providers are encouraged to participate in other programs available.

The Quality Payment Program (QPP) helps providers focus on care quality and making patients healthier. QPP also ends the sustainable growth rate formula and gives the provider new tools, models and resources to help give their patients the best possible care. Providers may select to participate in the advanced alternative payment models (APMs) or the merit-based incentive payment system (MIPS). If you participate in an advanced APM, through Medicare Part B you may earn an incentive payment for participating in an innovative payment model. If you participate in MIPS, you will earn a performance-based payment adjustment. To check your participation status and for more information, providers can visit the CMS website.

Help Stop Information Blocking

(Aug. 11, 2016) -The Department of Health and Human Services is working to identify and stop instances of information blocking. Information blocking (or data blocking) occurs when individuals or entities (healthcare providers or IT vendors as an example) knowingly and unreasonably interfere with the exchange or use of electronic health information. Read more information regarding helping to stop information blocking. Help stop information blocking by reporting information blocking.
 

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