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MIPS >> Advancing Care Information >> Specialized Registry Reporting

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 bonus score measure can contribute an additional 5% to a clinician’s total ACI score, but the completion of this measure is not required in order to earn the full 100% ACI score. For more information on ACI scoring methodology, please click here.

Objective: Public Health Reporting
Measure: Specialized Registry Reporting

The MIPS eligible clinician is in active engagement to submit data to a specialized registry.

Scoring information:
  • Required for Base Score (50%): No
  • Percentage of Performance Score (up to 90%): 0%
  • Eligible for Bonus Score: Yes, 5%


Reporting Requirements

  • YES/NO : To meet this measure, MIPS eligible clinicians must attest YES to being in active engagement to submit data to a specialized registry. Note: Eligible clinicians must earn the full base score in order to earn additional credit through the ACI bonus score.

Additional Measure Information
CMS has indicated that active engagement may be demonstrated in one of the following ways:

  1. Completed Registration to Submit Data : The MIPS eligible clinician registered to submit data with the PHA or, where applicable, the CDR to which the information is being submitted; registration was completed within 60 days after the start of the MIPS performance period; and the MIPS eligible 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. MIPS eligible clinicians who have registered in previous years do not need to submit an additional registration to meet this requirement for each MIPS performance period.
  2. Testing and Validation : The MIPS eligible clinician is in the process of testing and validation of the electronic submission of data. MIPS eligible 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 measure.
  3. 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.

More information

  • Review the CMS measure specifications for more information about the requirements for this measure.
  • For more information on the Merit-based Incentive Payment System (MIPS) program, you can visit Practice Fusion’s Quality Payment Program Center.
  • CMS also provides further resources about the Quality Payment Program here.

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

Learn more >>

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).

Learn more >>

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.

Learn more >>