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.

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
		Performing Transitions of Care
		Sending and Receiving Secure Messages
		Viewing Secure Message Attachments and Audit Logs
		Opting Patients Out of Secure Message Email Notifications
		Sending Secure Messages (2019 and Beyond)
		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.

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.

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%.

Document	Measure	Req'd	Max Points	Objective
	Security Risk Analysis		0	Security
	e-Prescribing		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		20	Health Information Exchange
	Support Electronic Referral Loops by Receiving and Incorporating Health Information		20
	Provide Patients Electronic Access to Their Health Information		40	Provider to Patient Exchange
	Immunization Registry Reporting		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.

Document	Topic
	2019 Quality Scoring and Benchmarking

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

Document	Topic	Claims	EHR	AOA MORE	AAO IRIS
	001 Diabetes-Hemoglobin A1c Poor Control
	012 POAG-Optic Nerve Evaluation
	014 AMD-Dilated Macular Exam
	019 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
	117 Diabetes-Eye Exam
	128 Preventive Care and Screening: Body Mass Index (BMI)
	130 Documentation of Current Medications
	141 POAG-Reduction of IOP
	226 Preventive Care and Screening-Tobacco Use
	236 Controlling High Blood Pressure
	317 Preventive Care and Screening-High Blood Pressure
	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.

Reporting to Local Health Information Exchanges (HIE)

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

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.