Newsletter - February 2016

Introducing a New Specialized Registry - MiDR

February 06, 2016

A new Specialized Registry is launching in the State of Michigan, MiDR: Michigan’s Dental Registry. Monitoring pediatric oral health processes and outcomes and allowing for better coordination around patient treatment in the medical and dental setting, Physicians, Nurse Practitioners, Physician Assistants, and Dentists who treat patients under the age of 18 are encouraged to register now.

eCQM File Validation Prior to Upload

February 06, 2016

When submitting your CQM data during Meaningful Use attestation, you have the option to participate in eCQM reporting by uploading a QRDA III file to the Medicaid EHR Incentive Program eMIPP system (for Medicaid program participants) or the Physician and Other Health Care Professionals Quality Reporting Portal (for Medicare program participants). Should you choose to use this option, you are encouraged to test the integrity of your file prior to upload using the Submission Engine Validation Tool (SEVT) located on the Physician and Other Health Care Professionals Quality Reporting Portal. This PQRS SEVT User Guide provides the information necessary to effectively use the SEVT to validate the format of the data file. The file is validated against the most current published data submission specifications.

To access the PQRS SEVT, you must have a functional CMS Enterprise Identity Management (EIDM) account.

CMS Launches Important Changes to the Medicare EHR Incentive Program Hardship Exception Process

February 06, 2016

CMS has launched important changes to the Medicare EHR Incentive Program hardship exception process that will reduce burden on clinicians, hospitals, and critical access hospitals (CAHs). These changes are a result of recent Medicare legislation – the Patient Access and Medicare Protection Act (PAMPA), Pub. L. No. 114-115 – and ongoing efforts to improve the program.

CMS has posted new, streamlined hardship applications, reducing the amount of information that eligible professionals (EPs), eligible hospitals, and CAHs must submit to apply for an exception. The new applications and instructions for a hardship exception from the Medicare Electronic Health Records Incentive Program 2017 payment adjustment are available here.

This new, streamlined application process is the result of PAMPA, which established that the Secretary may consider hardship exceptions for “categories” of EPs, eligible hospitals, and CAHs that were identified on CMS’ website as of December 15, 2015. Prior to this law, CMS was required to review all applications on a “case-by-case” basis.

Importantly, EPs, eligible hospitals, and CAHs that wish to use the streamlined application must submit their application according to the timeline established in PAMPA:

  • Eligible Professionals: March 15, 2016
  • Eligible Hospitals & CAHs: April 1, 2016

Please note: CAHs should use the form specific for the CAH hardship exceptions related to an EHR reporting period in 2015. CAHs that have already submitted a form for 2015 are not required to resubmit.

In addition, CMS heard from stakeholders that they would like a more efficient approach for submitting applications from groups of providers. Following Congress’ efforts in PAMPA, CMS reviewed their administrative authorities and determined that groups of providers may apply for a hardship exception on a single application. Under the group application, multiple providers and provider types may apply together using a single submission. The hardship exception categories are the same as those applicable for the individual provider application.

Providers will have the option to submit an electronic file (in excel or csv formats) with all National Provider Identifiers (NPIs) or CMS Certification Numbers (CCNs) for providers within the group or use a multiple NPI or CCN form to submit their application. In addition, facilities which include both inpatient and outpatient settings may include both the individual NPIs for any eligible professionals and the CCN for the eligible hospitals and CAHs on the same single submission for their organization.