Quality Reporting Office Hours
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1 Quality Reporting Office Hours Annette Antos, AQI Registry Manager Toni Kaye, ASA Quality Manager Leslie Kociemba, ASA Senior Quality Associate Erika Kalb, AQI Registry Services Associate March 13, 2018 aqihq.org
2 Agenda AQI Update CMS Data Submission Deadlines Dashboard Lockdown Registration Process 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 2
3 Agenda - QRA Update o 2018 QPP Requirements o Reporting Mechanisms 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 3
4 Purpose of 2017 MIPS Reporting Deadlines 2017 NACOR Quality Reporting Deadlines 12/15/2017 Enrollment in Merging and/or Formatting Services AQI differs from CMS deadlines in order to allow practices to ensure all requirements are met and data is corrected before CMS final submission 01/31/2018 January November 2017 Data Submission 02/01/2018 Fully Executed Participation Agreement for 2017 Pick Your Pace Limited Service (i.e., NACOR Quality Concierge 90-day or 1 measure/1 case option, determined on a case-by-case basis depending on the complexity of the practice) 02/19/2018 All Data Submissions; In NACOR Dashboard: CMS Opt-Out TIN/NPI Reconciliation 02/28/2018 Individual Quality Reporting Consent Submission Improvement Activity Attestation 03/16/2018 If a practice does not pay its final invoice in full by this date, the practice s data may not be submitted to CMS AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 4
5 NACOR Dashboard Update In order to prepare the final submission to CMS, AQI has locked the dashboard o Users will no longer be able to make any changes to their data, improvement activities or practices The dashboard will be unlocked on April 1, 2018 in preparation for 2018 MIPS Reporting Practices may still submit data, however, the NACOR dashboards will be unavailable until then 2014 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 5
6 2018 Registration Process In order to renew your practice s quality reporting with AQI, all practices will need to complete an order form. o Participation Agreements auto-renew Once order form is completed, practice will receive an invoice (if applicable) from ASA billing Upon payment, the practice champion will be contacted confirming the registration is complete If a practice does not owe an invoice to AQI, after completion of the order form the practice champion will receive confirmation of the quality reporting registration 2016 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 6
7 2018 MIPS Eligibility - Not first year enrolled in Medicare - Not significantly participating in Advanced APMs - Exceeds low-volume threshold Increased for 2018 o Bills at least $90,000 Medicare Part B allowed charges AND o Sees 200 Medicare Part B patients per year - QPP Participation Tool update coming soon 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 7
8 2018 MIPS Special Status - Non-patient facing - Hospital-based - Small Practice - Rural Practice - Health Professional Shortage Area - Ambulatory Surgical Center-based NEW in 2018 CMS special status definitions/calculations: AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 8
9 2018 MIPS Performance Period - There are no Pick-Your-Pace option for 2018 o Quality: 12 months o Cost: 12 months o Improvement Activities: 90 days o Advancing Care Information: 90 days 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 9
10 2018 MIPS Quality Component - Eligible clinician/group must report six (6) measures including one outcome or high-priority measure if an outcome does not apply o If fewer than 6 measures apply, the EC/group must report all applicable measures - Anesthesiology Specialty Measure Set Measure Added o MIPS #463: Prevention of Post-Operative Vomiting (POV) Combination Therapy (Pediatrics)* - Data Completeness Requirements Increase for 2018 o Report at least 60% of denominator-eligible cases for each measure 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 10
11 2018 MIPS Cost Component - MIPS ECs/groups will be evaluated on two cost measures in 2018: o Medicare Spending per Beneficiary o Total Per Capita Cost - Calculated automatically by CMS, using administrative claims data o If data minimums are not met and no Cost component score can be calculated, Cost component will be reweighted to Quality - Weighted at 10% of total MIPS score 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 11
12 2018 MIPS Improvement Activities - ECs/groups must complete activities worth 40 points - Special reweighting for the following providers: o Small, rural, HPSA and non patient-facing ECs/groups - Perform activities for 90 days - Yes/No attestation through AQI - Maintain documentation for six years - Activities supported by AQI: o nt_activities_for_anesthesiology.pdf 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 12
13 2018 MIPS Advancing Care Information - In 2018, new exemptions were added in addition to the current exemptions (nonpatient facing, hospital-based): o Ambulatory Surgery Center (ASC) based ECs automatic Retroactively applied for 2017 performance year o Small practices (15 or under ECs) application required Only applies for 2018 and beyond - Apply for hardship exemption by December 31: - AQI NACOR is not supporting ACI Component in AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 13
14 2018 MIPS Threshold and Payment Adjustment - Minimum threshold at 15 points o Submit at least 5 quality measures that meet data completeness criteria o Report required Improvement Activities o Meet ACI base score measures and one Improvement Activity - Exceptional performer threshold at 70 points - Payment adjustment at +/- 5% 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 14
15 Reporting Mechanisms - Qualified Registry o Report MIPS measures only - Qualified Clinical Data Registry (QCDR) o Report any combination of MIPS and QCDR measures - If an EC/group cannot find six measures and reports via Qualified Registry they will go through the Eligible Measures Applicability (EMA) - QCDR participants that do not have six measures are not subject to EMA 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 15
16 Check out ASA s 2018 MACRA Modules AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 16
17 Quality and Regulatory Affairs (QRA) Update (March 2018) Questions and comments on quality measures and regulatory information (e.g. reporting requirements, CMS regulation) should be sent to Quality and Regulatory Affairs staff. ***** Quality and Regulatory Affairs ***** ASA MACRA Webpage: ***** CMS Quality Payment Program Website: AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 17
18 Next Quality Reporting Office Hours Tuesday, April 10 th 11am CST 11am: AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 18
19 Q&A 2017 AMERICAN SOCIETY OF ANESTHESIOLOGISTS. 19
Quality Reporting Office Hours
Quality Reporting Office Hours Annette Antos, AQI Registry Manager Erika Kalb, AQI Registry Services Associate Toni Kaye, Quality Program Manager December 12, 2017 aqihq.org Agenda QRA Update 2018 MIPS
Quality Reporting Office Hours
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