Note: Practice Fusion is committed to supporting our customers participating in MIPS in 2017. As a MIPS participant in 2017, you can use the Practice Fusion EHR and other tools to help you monitor your MIPS performance during your chosen 2017 reporting period. We are also continuing to actively work to further enhance our product functionality for MIPS and we will be giving further updates as they become available.
Under the Merit-based Incentive Payment System (MIPS) pathway of the MACRA Quality Payment Program, the Advancing Care Information (ACI) category replaces the Medicare EHR Incentive Program (Meaningful Use). ACI is one of the three performance categories that will be considered and weighted for scoring an eligible clinician’s performance under MIPS (four categories will be included starting in 2018). A clinician’s score for the Electronic Prescribing measure is dependent on the clinician meeting the measure’s base score requirements. For more information on ACI scoring methodology, please click here.
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology (CEHRT).
- Numerator: The number of prescriptions in the denominator generated, queried for a drug formulary, and transmitted electronically using CEHRT.
- Denominator: A) Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or B) number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period.
*Note: When reporting on the e-Prescribing measure, an eligible clinician will have the option to include or not include controlled substances that can be electronically prescribed in the denominator for the e-Prescribing measure calculation.
Additional Measure Information
To earn base score credit for this measure, a MIPS eligible clinician will be required to meet the numerator requirements for at least one denominator eligible prescription. Prescriptions are added to the denominator when they are recorded, printed, or e-prescribed in the patient’s chart. For information on earning numerator credit for this measure, see the Practice Fusion Suggested Workflow section below.
A drug formulary is a list of preferred medications based on a patient’s insurance and allows providers to save prescription costs for patients. Practice Fusion automatically enables drug formulary query functionality for all clinicians who are enabled for e-prescribing through the Practice Fusion EHR.
- Review the CMS specifications for more information about this measure.
- Practice Fusion Suggested Workflow
- For more information on the Merit-based Incentive Payment System (MIPS) program, you can visit Practice Fusion’s Quality Payment Program Knowledge Base.
- CMS also provides further resources about the Quality Payment Programhere.
What is the Quality Payment Program?
Quality Payment Program is the name given to the new Medicare value-based reimbursement system. The program has two tracks for participation: MIPS and APM
What are APMs?
MACRA allows providers who take further steps towards transforming healthcare to be exempt from MIPS and participate in Advanced Alternative Payment Models (APMs).
How to prepare
Individual eligible providers can prepare to meet all MIPS measures and be ready to avoid penalties and earn bonuses on January 1, 2017.