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). This measure is not required to achieve the ACI base score, but may be selected to earn additional performance score credit. For more information on ACI scoring methodology, please click here.
|Objective:||Public Health Reporting|
|Measure:||Immunization Registry Reporting
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
- YES/NO : To meet this measure, MIPS eligible clinicians must attest YES to being in active engagement with a public health agency (PHA) to submit immunization data. In order to meet this objective and measure, a MIPS eligible clinician must use the capabilities and standards of certified EHR technology (CEHRT), including electronically recording and accessing immunization information in the EHR and electronically creating immunization information for electronic transmission in the EHR.
Visit your local immunization registry’s website and register your intent to submit immunization data within 60 days after the start of your performance period. If your registry does not have the capability to receive HL7 2.5.1 data electronically, the requirements cannot be fulfilled to gain credit for this measure.
For more information about the immunization submission process to certain state registries, view the relevant links below:
New York City
How is active engagement defined? (Learn more for general CMS guidance)
CMS has indicated that active engagement may be demonstrated using any of the three options listed below:
- Completed Registration to Submit Data : The MIPS eligible clinician registered to submit data with the public health agency (PHA) or, where applicable, the clinical data repository (CDR) to which the information is being submitted; registration was completed within 60 days after the start of the MIPS performance period; and the clinician is awaiting an invitation from the PHA or CDR to begin testing and validation. This option allows MIPS eligible clinicians to meet the measure when the PHA or the CDR has limited resources to initiate the testing and validation process. Clinicians who have registered in previous years do not need to submit an additional registration to meet this requirement for each MIPS performance period.
- Testing and Validation : The MIPS eligible clinician is in the process of testing and validation of the electronic submission of data. Clinicians must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a MIPS performance period would result in that MIPS eligible clinician not meeting the requirements for the measure.
- Production : The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.
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.