2017 MIPS Module - Quality

Transcription

1 Contents Introduction... 2 Accessing your Dashboard... 2 Dashboard Link and Log In Screen... 2 Two Factor Authentication... 2 One Time Password (OTP) Only Authentication... 3 Cell Phone Only Authentication and Cell Phone Authentication... 5 MIPS Dashboard... 5 Welcome Screen... 5 MIPS Provider Eligibility and Verification... 6 Individual Provider MIPS Dashboard Quality Section Help/Glossary...14 Note: Please press the control button on your computer keypad [Ctrl] and click the specific section listed above in the table of contents to jump right to the section you need. We highly suggest reviewing this guide prior to beginning your Reporting. [Ctrl + Click] 1

2 Introduction This Quick Reference Guide will give you an overview of the MIPS platform, help you to view your MIPS participation eligibility, and get MIPS ready. We will begin this document by assisting with instructions on how to access your Dashboard and the Authentication process for your data security. Please click on the specific title of the subject you are looking for in the Table of Contents, and it will take you to the exact location of the resource within this document. Accessing your Dashboard Dashboard Link and Log In Screen 1. Open any Web Browser (e.g. Google Chrome, Mozilla Firefox, etc.) 2. Click, type or copy the following URL: 3. Click Enter, and the Login Screen will display as such: 4. Enter in your AAD username and password 5. Select MIPS from the dropdown box, and press Log In Two Factor Authentication You are directed to the Two Factor Authentication screen if: You are a First-Time User or 2

3 There is a Change in IP Address of the device you are logging in from This Authentication is a security precaution to protect your data. It uses your Cell phone number and an as precaution from someone logging into your Dashboard who is unauthorized from a different location. You can enroll in Two Factor Authentication using: Only Cell Phone Only Both and Cell Phone One Time Password (OTP) Based on your selected preference(s) above, you will need to verify yourself prior to log in. The information that will be pre-filled is pulled directly from your Member Account. If you are an Administrator attempting to log in as a provider, please reach out to our Member Resource Center about changing the Provider s /password, or DataDerm to create an Administrators account. Only Authentication If you enrolled in Authentication using your only, the following screen will pop up: **The which is pre-filled is not editable. If the information is incorrect, please contact our Member Resource Center at SKIN (7546). 1. If the address is correct, click on the Submit Button. 2. You will receive an automated within a few minutes with a One Time Password (OTP). 3

4 3. You can type or copy and paste this OTP back into your log in page. Please type the OTP exactly as it appears in your Click Submit, and you will be taken to your MIPS Dashboard Cell Phone Only Authentication If you enrolled in Authentication using your Cell Phone only, the following screen will be displayed: 4

5 **The Cell Phone number which is pre-filled is not editable. If the information is incorrect, please contact our Member Resource Center at SKIN (7546). 1. If the cell phone number is correct, click the submit button 2. You will receive an automated text with your OTP 3. Type the OTP onto your log in page. Please type the OTP exactly as it appears in the message. 4. Click Submit, and you will be taken to your MIPS Dashboard and Cell Phone Authentication For both and Cell Phone Authentication, follow the directions for both steps above. **The Cell Phone number and s which are pre-filled are not editable. If the information is incorrect, please contact our Member Resource Center at SKIN (7546). MIPS Dashboard Welcome Screen The Welcome screen displays basic MIPS/QPP information from CMS. Select the blue Get Started button at the top right or bottom right of your screen to see your MIPS Dashboard Overview or all of your Providers. 5

6 MIPS Provider Eligibility and Verification If you have Administrator Credentials, you will be able to see all of your enrolled Providers. List of Providers You can: 1. Determine their MIPS Eligibility a. You can also do this by NPI lookup on the CMS Website: b. You can still choose to report for a provider if they are not eligible. i. They will not get a penalty or incentive in 2019 if individually reporting ii. Their encounters will count towards the GPRO TIN reporting 2. Validate their individual NPI 3. Validate the TIN you are reporting for this practice a. To validate all of your Providers with the same TIN, select the check box next to their names and click Bulk TIN. Then follow the instructions to validate the TIN. b. Put the entire year of 2017, as that is the year you are reporting for, regardless of circumstance: 1/1/ /31/ View their MIPS Category Scores 6

7 Individual Provider MIPS Dashboard From the screen above, select the specific Provider to view their MIPS Dashboard. Under the DataDerm Logo, you will be able to see which provider you are looking at. {E.g. MIPS > Provider > Provider Selection > Specific Provider} If you are logging in as a provider, you may not be able to select other Providers depending on your access. The below screen will be displayed, which shows your Providers MIPS information, inclusive of: Quality Category Score Advancing Care Information (ACI) Score o The ACI category is ONLY for practices that utilize a Certified EMR System. Improvement Activity (IA) Score Composite MIPS Score (All 3 Categories) via a speedometer and table 7

8 MIPS Dashboard The dashboard displays the following: 1. The various participation components of the 2017 MIPS program. 2. Performance Categories within each component. Participation Components For more details, refer to the DataDerm MIPS Dashboard Training Guide. Performance Categories This section of the dashboard displays: 1. The 3 MIPS categories (Quality, Advancing Care Information and the Improvement Activities) 2. Your practice s MIPS score (weight) assigned to each category. 8

9 Quality The new MIPS Quality Category replaces the PQRS and quality component of the Value Modifier program of CMS Legacy Programs. Additionally, you can score a maximum of 60 points for this category. To select measures pertaining to the Quality Category, click on the See More button of the Quality icon. After clicking See More, you should see a table like the one listed below which displays the applicable Quality measures. The table will also display your performance for each measure and the corresponding benchmarks for that measure. Measures Table displaying all the applicable Quality measures: Select the below filter criteria to view your performance: 1. Select the Duration of performance 2. Place a check mark in the box next to the corresponding measures you wish to have factored into your MIPS Quality Score. 3. Click on the Save button 9

10 The selection and performance of the measures determines and generates your Quality score which should be shown in a table similar to the one below: Note: The red X changes to a green check mark in the criteria section if the selected measures fulfil the measure criteria Values in the middle section get updated with the calculated scores. The contribution of the Quality Category to the overall MIPS score gets displayed on top right corner of the screen. Details of Measures Table Checkbox- it is present next to every measure. Check it to select the measure. Denotes zero performance measure System recommended best Performing measures Denotes null performance of the selected measure. (All denominators under exclusion) Black vertical line denotes the CMS benchmark for the selected measure Blue vertical line denotes the Registry Average for the selected measure 10

11 Indicates that performance of the selected measure is higher than the CMS and Registry benchmark Indicates that performance of the selected measure is 5% than the CMS and Registry benchmark. Indicates zero performance of the selected measure Hovering the mouse over the information icon displays the message whether higher or lower score is better for the measure Denotes that the measure is a high priority measure. Denotes that the measure does not meet the 20 case criteria Clicking on this button displays the details of the corresponding selected measure Last column in the table displays the score derived from the decile range for the selected measure. View your Performance To view your performance, navigate back to the Dashboard. This page displays your estimated MIPS score with the Quality category now being factored into the score. The Quality category performance score is displayed within the icon. 11

12 Tabular format displays your performance score, the MIPS weight, and overall MIPS score with the Quality category being factored into the total. This helps you to compare your performance against the pre-defined MIPS score. 12

13 Speedometer displays the performance score in points. Note: Data is displayed in the speedometer ONLY when the check box above the Quality Category is checked. Quality category contributes a total of 60 points in the overall MIPS score. To earn any score in the Quality category, you must choose one of the following levels of participation: Test participation: You must select a minimum of 1 case/patient pertaining to 1 measure. The Academy recommends that you report on a minimum of 20 patients on 1 quality measure. Partial participation: You must select 5 measures + 1 outcome/high priority measure (a total of 6 measures) with a 20 patient minimum per selected measure. You must report measures for a duration of 90 consecutive days. You must report on at least 50% of ALL your patients (not just Medicare). Important Notes You can select, or unselect measures as many times as you wish. The Quality category contributes a total of 60 points in the overall MIPS score. To earn any credit in the Quality category, you must follow the guidelines listed above for the Test and Partial participation. Warnings If data is not available for a Practice/Provider, then a message No data available for selected submission type and duration will be displayed. 13

14 Help Desk Should you encounter any issues navigating through your dashboard, please follow the instructions below to contact a member of the support team. Steps to contact Support Team 1. Click on the Send to Support team button. Note: The Send to Support Team button is located near the bottom right corner of every screen. 2. Enter the Subject and Message. 3. Click on the Send button. A message Your was sent, thanks we ll get back to you ASAP is displayed in the Send to support team window. The FIGmd Tech Support Team will communicate with you to resolve the issue. **If you need to contact the DataDerm team for non-technical issues please them at dataderm@aad.org or call the Member Resource Center (866) 503-SKIN (7546). Glossary Allows to access the MIPS dashboard Will skip the Welcome page and display the MIPS dashboard Sorts the records in the table in an ascending or descending order Saves the measures selected in the Measures Table. This concludes the quick reference guide for the MIPS Quality Dashboard. 14