ExamWRITER MIPS 2019 Resources

Under MACRA (Medicare Access and CHIP Reauthorization Act of 2015), Merit-based Incentive Payment System (MIPS) is a Medicare payment program focused on quality of care, rather than quantity of care. MIPS streamlines and combines meaningful use and PQRS.

The resources on this page provide an overview of MIPS requirements and describe step-by-step instructions for completing individual measures. For more MIPS information, visit the Eyefinity Support Community or the CMS Quality Payment Programs web site.

Preparation

To participate in MIPS in 2019, there are software requirements you must meet by prior to beginning your promoting interoperability performance.

 

Action

 

Topic

Get OfficeMate / ExamWRITER 15

 

First, upgrade your software to ExamWRITER 15.0, which is a 2015 Edition Certified EHR.

ExamWRITER MIPS Promoting Interoperability Setup

 

Additionally, you’ll need to upgrade your secure messaging and patient portal platform.

Understanding the New Secure Messaging, Portal, and Quality Platforms

Check out the following resources to learn more about the new secure messaging, patient portal, and quality reporting modules.

Video Document Topic

Video

  Performing Transitions of Care

Video

  Sending and Receiving Secure Messages

Video

  Viewing Secure Message Attachments and Audit Logs

Video

  Opting Patients Out of Secure Message Email Notifications
  Document

Sending Secure Messages (2019 and Beyond)

  Document

Reporting MIPS Quality Performance (2019 and Beyond)

Tracking and Reporting MIPS Performance

Learn how to track your progress throughout the year and report your MIPS performance to CMS.

Video

Document

Topic

 

Tracking and Reporting Quality Performance with ExamWRITER

 

Navigating and Reporting with the QPP Provider Portal (CMS Video)

Documenting Promoting Interoperability

Promoting Interoperability (PI) is worth 25% of your total MIPS score.

2019 Promoting Interoperability Objectives and Measures

Promoting interoperability (PI) is worth 25% of your total MIPS score. You must complete 90-days of promoting interoperability using a 2015-edition certified EHR, like ExamWRITER 15.0 or later.

Video

Document

Topic

  2019 Promoting Interoperability Overview

 

Promoting interoperability has changed in 2019. There are no longer base and performance scores; but rather, there is one set of measures that you must report. You must report the required measures satisfactorily to receive a PI score. You may report optional measures to move your PI score closer to 100%.

Video Document Measure Req'd Max
Points
Objective
  Security Risk Analysis Required 0 Security
  e-Prescribing Required 10 e-Prescribing
  coming
soon
Query of Prescription Drug Monitoring Program   5 bonus
  coming
soon
Verify Opioid Treatment Agreement   5 bonus
  Support Electronic Referral Loops by Sending Health Information Required 20 Health Information Exchange
  Support Electronic Referral Loops by Receiving and Incorporating Health Information Required 20
  Provide Patients Electronic Access to Their Health Information Required 40 Provider to Patient Exchange
  Immunization Registry Reporting Required 10 Public Health and Clinical Data Exchange
(choose two measures)
  Electronic Case Reporting
  Public Health Registry Reporting
  Clinical Data Registry Reporting
  Syndromic Surveillance Reporting

 

Documenting Quality Measures

Quality accounts for 45% of your MIPS score. the quality performance period is the full calendar year. To qualify for an incentive payment in 2019, you must report six quality measures. The value of each measure and reporting method varies according to benchmarks established by CMS. Review the following resources to learn which measures and reporting methods earn the most value for your effort.

Video

Document

Topic

  2019 Quality Scoring and Benchmarking

 

Choose quality measures that fit best into your patient workflow and the focus of your practice.

Video

Document

Topic

Claims EHR IRIS
Registry
 

Read document

001 Diabetes-Hemoglobin A1c Poor Control

 
 

Read document

012 POAG-Optic Nerve Evaluation

 

Read document

014 AMD-Dilated Macular Exam

   
 

Read document

019 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

 

Read document

117 Diabetes-Eye Exam

  Read document 128 Preventive Care and Screening: Body Mass Index (BMI)
 

Read document

130 Documentation of Current Medications

 

Read document

141 POAG-Reduction of IOP

   
 

Read document

226 Preventive Care and Screening-Tobacco Use

 

Read document

236 Controlling High Blood Pressure

 

Read document

317 Preventive Care and Screening-High Blood Pressure

 
  Read document

374 Closing the Referral Loop: Receipt of Specialist Report

 

 

Measure contributes up to 10 points based on performance.

Measure is capped at a maximum of 7 points based on performance.

Documenting Clinical Practice Improvement Activities

The Improvement Activities category is worth 15% of your total MIPS score. In this new performance category for 2018, you’re rewarded for care focused on care coordination, beneficiary engagement, and patient safety.

Video

Document

Topic

 

2018 MIPS Improvement Activities

Reporting to Local Health Information Exchanges (HIE)

Many local HIEs accept QRDA files. Some HIEs, however, require additional setup.

Video Document Topic

 

Submitting Syndromic Surveillance Data to the Kentucky HIE

 

Submitting Public Health Data to the Oklahoma HIE

 

Sending Clinical Data from ExamWRITER to OneHealthPort

 

 

This Health IT Module is 2015 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services.  This certification does not represent an endorsement by the U.S. Department of Health and Human Services.