With just two months left until implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Program (QPP), ACMSS has been studying the just-released, nearly 2,400-page document. ACMSS is helping clinicians and practices get ready for reporting during the first reporting period, which begins Jan. 1, 2017 and closes Dec. 31, 2017. To avoid penalties, eligible clinicians should plan to report some data in 2017. Whether you choose to report only 90 days of data or the entire year, you need to do some planning.

In this article we will talk about some of the ways that Certified Medical Scribe Specialists and ACMSS can help providers report one of the key categories— Advancing Care Information—which is weighted at 25% of QPP consideration. Advancing Care Information replaces the Medicare EHR incentive program formerly referred to as Meaningful Use of Computerized Provider Order Entry (CPOE), or simply Meaningful Use.

In this category, to potentially earn a positive payment adjustment beginning on Jan. 1, 2019 under the Merit-based Incentive Program (MIPS), clinicians must send in data to MIPS about how their practices used technology in 2017 by the deadline of March 31, 2018. (Those who are using an Advanced Alternative Payment Model, or APM, will report through that model by the same date and may earn a 5% incentive payment in 2019.) There may be some crossover in reporting on this category for the Clinical Improvement category, and bonus credit may be available for reporting in both.

For full participation in the advancing care information performance category, MIPS eligible clinicians will report on five required measures:

Security Risk Analysis
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician’s risk management process.
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient’s health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician’s certified EHR technology.
Send Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record.
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient’s record an electronic summary of care document.
Eligible clinicians can choose to submit up to 9 measures for a minimum of 90 days for additional credit. For bonus credit, you can report public health and clinical data registry reporting measures, and/or use certified EHR technology to complete certain improvement activities in the improvement activities performance category. (We will address this category in an article next week.)
Other measures under Advancing Care Information (Option 1) include:

  • Clinical Data Registry Reporting
  • Clinical Information Reconciliation
  • Electronic Case Reporting
  • Immunization Registry Reporting
  • Patient-Generated Health Data
  • Patient-Specific Education
  • Provide Patient Access
  • Public Health Registry Reporting
  • Secure Messaging
  • Syndromic Surveillance Reporting
  • View, Download and Transmit (VDT)

For more details on the Quality Payment Program, click here (https://qpp.cms.gov)

In 2017, there are two measure set options for reporting. The option you use to submit your data is based on your electronic health record edition.

Option 1: Advancing Care Information Objectives and Measures
Option 2: 2017 Advancing Care Information Transition Objectives and Measures

For more information about Advancing Care Information and to identify your EHR edition, go to https://qpp.cms.gov/measures/aci

The ACMSS certification program meets current and proposed CMS certification requirements toward meaningful use of electronic health records. ACMSS is independent from all scribe companies and organizations and works in compliance with the Centers for Medicare and Medicaid Services to meet national goals and initiatives of MIPS, MACRA, and Meaningful Use of computerized provider order entry. Certified medical scribes also meet the “qualified people” standard in Certified Electronic Health Record Technology (CEHRT).

The American College of Medical Scribe Specialists offers several pathways for Certified Medical Scribe Specialists and a growing list of customized, one-on-one consulting solutions. Please contact ACMSS directly at info@theacmss.org or 657-888-2158 if you have any questions regarding the ACMSS program and consulting services.