Under MIPS, eligible clinicians will be required to report up to 6 quality measures, including at least one outcome measure or high-priority measure, for a minimum of 90 days during the 2017 performance year. Practice Fusion currently supports 23 eCQMs that can be reported for MIPS for the 2017 performance year.
|eCQM:||Functional Status Assessments for Congestive Heart Failure|
|CMS ID:||CMS 90v6|
|NQS Domain:||Person and Caregiver-Centered Experience and Outcomes|
|MIPS High Priority Measure:||Yes|
|Eligible for Quality Programs:||
Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period</br>
Numerator: Patients with patient reported functional status assessment results (e.g., VR-12; VR-36; MLHF-Q; KCCQ; PROMIS-10 Global Health, PROMIS-29) present in the EHR within two weeks before or during the initial encounter and within two weeks before or during the follow-up encounter during the measurement year.
Denominator: Patients 65 years of age and older who had two eligible outpatient encounters (defined as a signed chart note with one of the following encounter types: Office Visit, Nurse Visit, Home Visit or Nursing Home Visit) during the measurement year and a diagnosis of congestive heart failure.
- Denominator Exclusions: Patients with severe cognitive impairment or patients with a diagnosis of cancer.
- Denominator Exceptions: None
Performance Benchmark for MIPS: No historic benchmark exists for this measure.
For measures with no historic benchmark, MIPS will attempt to calculate benchmarks based on 2017 performance data. If no historic benchmark exists and no benchmark can be calculated, the measure will receive 3 points if performance data is submitted.
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.