Regulatory Reporting in 2017, Preparing for 2018

CMS and the Office of the National Coordinator for Health Information Technology (ONC) have established standards and other criteria for structured data that EHRs must meet in order to qualify as Certified EHR Technology (CEHRT) for use in the Medicare MIPS and Medicaid Meaningful Use Programs. There are currently two certification editions: 2014 and 2015. This certification, along with the program you are participating in, will determine what your reporting requirements are.  

  • eMDs Solution Series 8.0 is 2014 edition CEHRT. 
  • eMDs Solution Series 9.0 is 2015 edition CEHRT.  

Medicare MIPS 2017: The program allows for reporting under 2014, 2015 or a combination of Certifications.  For ACI measures, report on the 2017 Advancing Care Information Transition Objective and Measures.  To gather data for reporting use the Crystal report: ACI 2017 Dashboard.  Refer to the CMS website: https://qpp.cms.gov/

Medicaid Meaningful Use 2017: Regardless of the EHR Certification those reporting for Medicaid MU 2017 will report using the Modified Stage 2 requirements.   Please refer to: Medicaid Eligible Professionals EHR Incentive Program Modified Stage 2. Use the Crystal report, MU Dashboard, for reporting. Note:  there will be a Crystal report update for the Stage 2 MU Dashboard forthcoming.  

CPC+ : For the 2017 reporting period practices can use either 2014, 2015 or a combination of certification editions.  For 2017 reporting, eMDs customers will report using 2014 edition certification.

Quality Measures/Reporting 2017: All programs will use a qualified registry for reporting eCQMs.  Depending on the registry the quality measure may be reported under 2014 or 2015 certification. FIGmd is eMDs’ Quality Reporting vendor partner, and the FIGmd registry platform is 2015 certified.

What is going to happen in 2018?

Medicare MIPS 2018: CMS will allow MIPS-eligible clinicians to use either 2014 or 2015 edition CEHRT for MIPS’ Advancing Care Information (ACI) category in 2018.  As an incentive to make the change to 2015 edition CEHRT next year, providers who do use the 2015 edition would receive a 10 percent ACI bonus.  ACI and Improvement Activities will remain at a minimum 90 day reporting period. Cost will be measured on a 12 month calendar period.

Medicaid MU 2018: CMS will allow clinicians the ability to use 2014 edition CEHRT or 2015 edition CEHRT in 2018. Because CMS is allowing use of 2014 edition CEHRT in 2018, it also leads to the ability for MU participants to continue to attest to the Modified Stage 2 objectives and measures in 2018.

CPC+ 2018: Practices will need to have 2014 or 2015 CEHRT.  They must have 2015 edition CERHT by December 31, 2018 in order to meet quality reporting requirements.  

Refer to CMS website: https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus/

Quality Measures/Reporting 2018: all programs will use a qualified registry for reporting eCQMs for a full 12 month calendar period. Depending on the registry the quality measure may be reported under 2014 or 2015 certification. FIGmd is eMDs’ Quality Reporting vendor partner, and the FIGmd registry platform is 2015 certified.

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