PPS: Reporting 2017 Data for MIPS

This article applies to the Private Practice Suite


In this article you can find steps for reporting your 2017 data for MIPS:

1. Check Your Participation Status – Eligible clinicians who have billed Medicare Part B more than $30,000 in allowable charges AND have more than 100 Part B-enrolled patients are included in MIPS in 2017. 

To see if you’re included in MIPS in 2017, enter your National Provider Identifier (NPI) here.

Clinicians who are not included in MIPS in 2017 are exempt from reporting, and don’t need to take additional action for MIPS. Clinical psychologists and licensed clinical social workers (LCSWs) are exempt from MIPS in 2017 and 2018.

2. Report as an Individual or Group – If you’re included in MIPS 2017 reporting, decide whether to participate as an individual, or as part of a group. Valant Meaningful Use and CQM reports provide results per individual clinician; groups will need to consolidate the data for reporting purposes.

  • Under MIPS, a group is defined as a single Taxpayer Identification Number (TIN) with two or more eligible clinicians (including at least one MIPS eligible clinician), as identified by their NPIs, who have assigned their Medicare billing rights to the TIN.

3. How Much Data Will You Submit, or What Pace Did You Pick? 
a. Not Participating in 2017 – Eligible Providers who do not submit the minimum amount of 2017 data to Medicare will receive a 4% negative payment adjustment in 2019.

  • Check here to see if you are an eligible provider for MIPS in 2017!

b. Test Year – Submit a minimum amount of data to avoid the payment penalty.

i. One Quality Measure, or

ii. One Improvement Activity 


c. Partial Year – Submit data for at least a 90-day period that begins between January 1, 2017 and October 2, 2017.


d. Full Year – Submit data for the full calendar year of 2017.


4. How to Submit Your 2017 MIPS Data – the deadline is April 3, 2018

 

Performance Category Individual Group
Quality  - Qualified Registry
- Qualified Clinical Data Registry (QCDR)
 - Administrative Claims
 - Qualified Registry
- QCDR
- CMS Web Interface (25 or more
clinicians)
- Consumer Assessment of Healthcare Providers and System (CAHPS) for
MIPS Survey (2 or more eligible clinicians)

 

Advancing Care Information and Improvement Activities


- Qualified Registry

 - QCDR

 - Attestation through the QPP Portal


- Qualified Registry
 - QCDR

 - Attestation through the QPP Portal

Cost

No data submission required for 2017

 

No data submission required for 2017


The Valant EHR will not submit data directly to Medicare. We have partnered with the APA so they can submit data on your behalf through the QCDR PsychPRO. Sign up with PsychPRO here!


The CMS QPP portal will be available January 2018.

5. Choosing a Qualified Clinical Data Registry – Those reporting more than the minimum Test Year data will need to partner with a Qualified Registry or Qualified Clinical Data Registry (QCDR) to report measures from the Quality performance category.

Valant has established a relationship with the American Psychiatric Association’s (APA) PsychPro Registry, and is the only EHR vendor designated by the APA as “Registry Ready”. Participation in the PsychPRO registry is free to APA members – more details and a sign up portal can be found at the APA website.

You can review a list of all the MIPS 2017 CMS-Approved QCDRs here.

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