Illinois Medicaid EHR Incentive Program for EPs

Transcription

1 The Chicago HIT Regional Extension Center Bringing Chicago together through health IT Illinois Medicaid EHR Incentive Program for EPs A Guide to Attesting for the 2017 Program Year in the emipp System Milton F. Garrett III February 13 th, 2018 Moderator: Zaina Awad

2 Expected Audience Today Some familiarity with the MU program is expected Eligible Professionals MU Coordinators If you want help with any meaningful use questions, call or Monday-Friday, 8:30a.m.-5:00p.m.

3 Milton F. Garrett III Provider Support Specialist Staff at IL Medicaid EHR Incentive Help Desk (312)

4 About CHITREC The Chicago Health Information Technology Regional Extension Center (CHITREC) is a collaboration between Northwestern University the Alliance of Chicago Community Health Services and more than 40 local and national partners focused on HIT adoption and use within the city of Chicago. Illinois Department of Healthcare and Family Services (HFS) contracted with CHITREC to operate a Meaningful Use Help Desk (855-MU-HELP-1) for the Illinois Medicaid EHR Incentive Payment Program Proudly contracted by CMS for QPP, SURS and TCPI initiatives.

5 Agenda Logging into IMPACT; accessing emipp Searching for attestation by CMS ID Entering eligibility data Entering MU objectives and CQM data Uploading documents Submitting attestation Tracking attestation

6 IMPACT: Login Visit Enter user ID and password, click Login

7 IMPACT: Home Page Click IMPACT

8 IMPACT: Domain/Profile Select the individual provider for whom you are attesting from the first drop-down box Don t see the provider name? You re not administrator!

9 IMPACT: Domain/Profile Select Domain Administrator (or EHR Domain Administrator) profile from the second drop-down; click Go Don t see the right profile? You re not administrator!

10 IMPACT: Accessing emipp Click External Links

11 IMPACT: Accessing emipp Click EHR MIPP

12 emipp: Welcome Screen MIPP Registration Start registration for 2017 program year Click Start to access an existing attestation that has not been started or has not been submitted yet Track is only for reviewing previously submitted attestations

13 emipp: Search by CMS ID CMS ID is displayed upon initial CMS registration Can be found under Status tab at Must be the ID associated with the provider you selected Enter CMS ID and click Search

14 emipp: Federal Information Shows payment/program years for EP Click the icon for the program year 2017 row Active tab Additional tabs (click to open)

15 Federal Information: Review Review Personal Information, Address, Identifiers, Exclusions and Prior Payments (not shown) It is extremely important that the Phone, and Tax ID are correct Federal Information must be updated at When finished reviewing, click the Close button in the lower left to advance

16 emipp: Eligibility Tab Shows payment/program years for EP Click the icon for the program year 2017 row Active tab Additional tabs (click to open)

17 Eligibility: Main Screen Identifying Information EHR Certification Information Organization Encounters Reporting Period Medicaid Patient Volume

18 Eligibility: Volume Pre- Approval Medicaid patient volume should be pre-approval information by Mecky Lang at Visit for instructions Please be patient for a response before moving forward with attestation Attestations for providers who have not pre-approved are highly likely to be rejected

19 Eligibility: EHR Certification Information EHR Status will automatically select MU Ask your vendor for EHR and CQM Certification Number MU Reporting Choice: Stage 2 Modified or Stage 3 (if using 2015 CEHRT) pre-populated from initial CMS registration @ .com

20 Eligibility: Reporting Period Past 90 day period when provider met Medicaid volume: Prior Calendar Year (between 1/1/16 12/31/16) Prior Twelve Months (begins/ends within the 12 month period preceding attestation submission date) Different from MU or CQM reporting period Enter start date, end date will calculate automatically

21 Volume: Include Organization Encounters Select No if EP is reporting individual encounter volume from eligibility reporting period (provider-level data, ALL sites of practice) Select Yes if EP is reporting group volume (group-level data, only one site); select organization from drop-down list* Select Yes to Use Group ecqm Data if uploading QRDAIII for CQM

22 Volume: Include Organization Encounters For the 1 st EP selecting Yes to organization encounters, emipp will notify that eligibility data will be read-only (cannot be changed) for future attestations selecting the same organization NPI For all other EPs selecting Yes to organization encounters with the same organization NPI, emipp will notify that group eligibility data will be copied from 1 st EP (Notification for 1 st group member) (Notification for all other group members)

23 Volume: Pediatrician/PA/Hospital- Based EP Select Yes only if EP practices as a pediatrician, defined as board certified in pediatrics or 90%+ patient base under age 21 Select Yes only if EP practices as a physician assistant (check all that apply) To simplify the process, select No to Hospital Based Provider

24 Volume: Render Care in FQHC/RHC Select No if EP did not render any care in an FQHC/RHC Enter Total and Medicaid Encounters from eligibility reporting period Total Encounters = all encounters, all payers Medicaid Encounters = encounters with Medicaid program patients

25 Volume: Render Care in FQHC/RHC Select Yes if EP rendered any care in an FQHC/RHC Select FQHC or RHC and type name of health center

26 Volume: Render Care in FQHC/RHC Enter each type of encounter Total Encounters = all encounters occurring at FQHC/RHC Medicaid Encounters = number of total encounters with Illinois Medicaid patients Charity Care Encounters = number of total encounters provided free of charge Sliding Fee Scale Encounters = number of total encounters that were billed based on patient income If EP is reporting individual encounters, enter non-fqhc/rhc patient volume in the All Other Settings Encounters section

27 Volume: Nurse Practitioner If EP is a Nurse Practitioner, a Billing NPIs section will display: Enter NPI numbers of all providers under whom the EP bills If the EP does not bill under other provider NPI(s), just enter the NPI of the EP in the Billing NPI 1 box

28 Volume: No-Cost Encounters To simplify the process, select No to Did you include no-cost encounters ; these should have been included in your Medicaid encounters above Select Yes if you included encounters from outside Illinois in order to reach the 30% threshold Enter state(s) in which encounters included above occurred Will initiate audit verification check and delay payment

29 Eligibility: Main Screen After completing Eligibility Information section, click the button in the lower left corner to advance

30 emipp: Meaningful Use Tab Shows payment/program years for EP Click the icon for the program year 2017 row Active tab Additional tabs (click to open)

31 Meaningful Use: MU Overview 5 navigation tabs at top Meaningful Use Reporting Period (at least 90 days) CQM Reporting Period (at least 90 days) Location Information

32 MU Overview: Meaningful Use Reporting Period The MU reporting period can be any days from 2017 during which the EP achieved compliance with MU Not the same as eligibility reporting period Enter start and end date

33 MU Overview: CQM Reporting Period The CQM reporting period can be any days from 2017 Can be same as MU period, but does not have to be Enter start and end date

34 MU Overview: Location Information Enter the total number of outpatient locations where EP worked during MU and CQM period Enter number of these locations where EP has a certified EHR Enter the percentage of encounters occurring at locations where EP has a certified EHR (must be at least 80% to be eligible)

35 MU Overview: Submission and Upload PDF Select Online to enter Meaningful Use data through the emipp application (screen shots to follow) Select PDF to enter Meaningful Use data by uploading a pre-filled PDF of MU Objectives and CQM Select QRDA III to enter Meaningful Use data by uploading a QRDAIII file with CQM

36 Meaningful Use: MU Overview For those selecting Online submission, click the MU- Objectives tab at top to continue* For those selecting PDF and QRDA III submission, verify that all 3 items in the Meaningful Use Completion checklist are checked then click in the lower left to continue * You may click the Save button at any time to save your progress

37 Meaningful Use: MU Objectives Must report compliance on ALL 9 objectives to advance Report numerator/denominator or respond yes/no Some objectives ask for exclusions Click the title bar of an objective to open/close the reporting panel

38 Meaningful Use: MU Objective (Yes/No) 1. Complete measure measure compliance fields 2. Click the title bar for the next objective to advance

39 Meaningful Use: MU Objective (Num/Den) 1. Claim exclusion, if available 2. Attest to compliance (unless excluded) 3. Click the title bar for the next measure to advance

40 Meaningful Use: MU Public Health Measures You do not need to click the button after completing MU objectives- just click the MU- Public Health Measures tab to the at top to advance Click the title bar of a measure to open/close the reporting panel

41 Meaningful Use: MU Public Health Measures 1. Claim exclusion, if available 2. Attest to compliance and enter registry details (unless excluded) 3. Click the title bar for the next measure to advance

42 Meaningful Use: MU CQM You do not need to click the button after completing MU Public Health Measures, just click the MU- Clinical Quality Measures tab at top to advance Click the title bar of a domain to open/close the reporting panel

43 Meaningful Use: MU CQM Must report on minimum 6 Clinical Quality Measures to advance Report numerator/denominator/exclusions/exceptions Click the title bar for a CQM within the domain to open/close the reporting panel for that CQM Click the title bar for another domain to open the reporting panel

44 Meaningful Use: MU CQM 1. Attest to compliance (numerator, denominator, exclusions/exceptions) 2. Click the title bar for another CQM you want to attest for in this domain

45 Meaningful Use: Save After completing 9 MU objectives, 3 public health measures and 6 CQM, click the button to save your responses; or return to another tab by clicking at top

46 emipp: Upload Document Tab Attestations must include documentation supporting: Patient volume (e.g. billing report showing Total/Medicaid encounters) Public health measure achievement (confirmation of registry engagement) FQHC only: UDS Table 4 (patient characteristics) Encouraged to upload additional audit evidence Click the button to upload for the 2016 program year Active tab Additional tabs (click to open)

47 Upload Document: Browse for File Click Browse to locate the file on your computer and select File type must be Word, Excel or PDF Enter a file description (i.e. EHR receipt), click Upload

48 emipp: Attestation Tab Read the attestation statement, click the check box in the lower left to accept the terms and conditions Click the Register button to complete attestation with a digital signature

49 Attestation: Confirm Click OK to submit your EHR Registration for State Review (this is equivalent to attestation ) or Cancel to go back

50 emipp: Registration Confirmation You will receive an EHR Incentive Program Registration Confirmation (this indicates you ve completed attestation ) Click the PDF icon to download an attestation summary report

51 emipp: Track View Status of MIPP Registration Click Track to view eligibility, MU and payment information from previous program years Note: If you are re-submitting or editing an attestation you didn t finish, use the Start button. Track will NOT allow you to edit any information

52 Track Registration: Search by CMS ID CMS ID is displayed upon initial federal registration Can be found under Status tab at Must be an ID associated with a provider registered in MEDI Click Search to track your attestation status

53 Track Registration: Payment Information Tab Review program status and payment information for previous program years by clicking the Payment Information tab

54 Help Desk Information For any EHR Incentive related questions, please use the contact information below: Support Line: (855-MU-HELP-1)

55 CHITREC The Chicago HIT Regional Extension Center Collaboration Trust Leadership Service Community Bringing Chicago together through health IT Sam Ross CHITREC Implementation Manager 3/1/2016