CMS Reporting May be Easier Than You Think
In addition, to information presented during the live webinar, this webinar has been expanded to include answers to other questions posed by orthopaedic practice managers. We would encourage you and your staff to take a listen.
Also, complying with the CMS reporting requirements may be easier than you think. As a result of the webinar, COA staff has had an opportunity to work more closely with CalHIPSO and HSAG in an effort to understand the reporting rules.
We now realize that individual physicians and groups can attest that they implemented “Improvement Measures” – only two measures are required of groups of 15 eligible providers or less – to meet the 2017 reporting requirements avoiding the 4% reduction in reimbursement for 2019. CMS is in the process of setting up a system for you to make the attestation, but it’s important to implement the “Improvement Measures” you select by October 2, 2017. No patient data needs to be submitted. The CMS system for accepting the attestations is expected to be available in early 2018.
Of course, individual physicians and groups have all of the other reporting options mentioned in the webinar available to them as well.
1. Use your NPI to verify that you are an eligible provider who must report – https://qpp.cms.gov/participation-lookup You may be required to report as an individual or as part of a group. If you treat less than 100 Medicare patients or bill for less than $30,000 of services for Medicare patients in 2017 – you are likely exempt.
2. Decide on your reporting method.
If you decide to report “Quality Measures,” we suggest that you report on more than the minimum one patient to make sure you are in compliance. Your EMR system should be able to help you submit your data correctly.
If you do not have an EMR, CalHIPSO will help you free of charge. If you decide to report “Improvement Measures” – no patient data reporting is required – you will need to attest that you implemented the selected Improvement Measures. Go to: https://qpp.cms.gov/mips/improvement-activities for more information and to see a list possible “Improvement Measures” that you can select from (bottom of the page). CMS has not yet opened up the system for you to make these attestations, but it is expected that the system will be available after 12/31/2017.
3. Whatever reporting method you choose must be implemented by October 2, 2017.
4. The deadline for reporting/attesting to CMS is March 31, 2018.
- Handout – Presentation
- Use your NPI to verify if you are eligible to participate https://qpp.cms.gov/participation-lookup
- Go to: https://qpp.cms.gov/mips/improvement-activities for more information and to see a list possible “Improvement Measures” (bottom of the page).
- AAOS – 2017 Orthopaedic Preferred Set of Specialty Measures (OPS List)
- QPP – https://qpp.cms.gov/
- QPP Quick Star Gide to MIPS https://coa.org/2017/presentations/Friday/Handouts/PageQPP_Quick_Start_Guide_to_MIPS.PDF
CalHIPSO contact information:
How to Avoid a 4% Reduction in your Medicare Reimbursement?