Reporting MIPS: Advancing Care Information Category

Note: The Centers for Medicare & Medicaid Services (CMS) announced this week it is re-naming the Meaningful Use program “Promoting Interoperability.” To learn more, read the announcement.

Practices may have already chosen their measures to report for the 2018 performance year (to be submitted to CMS in early 2019), and hopefully understand all the implications of changes from the previous year. This article will focus on the Advancing Care Information category in MIPS reporting. Advancing Care activities represent 25 of the possible 100 total points overall.

Advancing Care Information promotes patient engagement and the electronic exchange of health information using certified electronic health record technology (CEHRT).1 This category replaced the Medicare EHR Incentive Program, or Meaningful Use. Updates for 2018 include:

Certified EHR:

While you can use a 2014 Edition CEHRT to report Transitions measures, if your practice is reporting only under a 2015 certified CEHRT eligible clinicians can earn up to a 10 percent bonus in the category.

Calendar Year Reporting:

Under the Advancing Care Information category practices can report a minimum of 90 days. It has been proposed that this option will continue for 2019 reporting, but CMS continues to encourage a full calendar year of reporting.

Public Health:

If you report immunizations, you can receive the full 10 performance points for the measure. If you do not collect immunizations, you do not have to report and you are not required to choose alternate public health reporting.

If you have an alternate registry (i.e., Cancer Registry or Specialized Registry), you can receive the full 10 performance points for the category. And if you report to two or more different registries, you can earn an additional five bonus points.

ePrescribing:

There is an exclusion in this category if you prescribe less than 100 times during the reporting period.

Health Information Exchange/Summary of Care:

There is an exclusion in this category if you transition less than 100 patients during the reporting period.

Request/Accept Summary of Care:

There is an exclusion in this category if you receive less than 100 transitions/new patients during the reporting period.

For help understanding your measures, making sure you are collecting the correct data and reviewing the data on a regular basis, providers can reach out to the Quality Reporting Engagement Group for answers to questions and guidance.

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