Mips

Management and Administration
#1

hope to use this thread to learn and track how OpenEMR can help practitioners participate in the new payment model which will take effect in 2019 based on this year’s performance, https://qpp.cms.gov/mips/overview

#3

@stephenwaite, Lou,

This is now linked in the core roadmap:

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For reference, you may structure the top post like this: Intelligent Chart Summarization so that folks can understand the goal, who is involved, and the work that is left :slight_smile:

#4

qpp reporting for 2017 has been extended til Tuesday, April 3 so it’s not a bad time if you’re an eligible professional to log in to qpp.cms.gov with your eidm credentials and check out your score and/or report on quality measures, advancing care information and improvement activities

#5

preparing for 2018 reporting? here’s a nice doc from cms which includes info on the small practice bonus, https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2018-MIPS-bonus-overview-fact-sheet.pdf

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#6

here’s the updated link for the above https://qpp-cm-prod-content.s3.amazonaws.com/uploads/144/2018%20MIPS%20Bonus%20Overview%20Fact%20Sheet_2018%2007%2011.pdf

#7

Hi Stephen,

I’ve just realized the deadline for 2018 reporting is on March 31 to avoid 5% payment reduction from Medicare. I am signing up with MIPS and start the reporting process. I need to upload to MIPS the files from OpenEMR that contain the “Quality measures, and/or Promoting Interoperability measures, and/or Improvement Activities”.

Would you show me how to download the files from OpenEMR? Thank you.

#8

they’d be under Reports->Clinic->CQM, haven’t used these but will play around and give some tips hopefully

you might be better served to reach out to a vendor like https://suncoastrhio.com/services/ who has experience pulling data from OpenEMR for MIPS

#9

Thank you Stephen for the information. I am contacting SunCoast to see what they can do to help.

In the mean time, if anyone else has experience with this, please let me know.

Thank you.

#10

sure, you could first try to see what you get by running the report by selecting 2014 in the rule set dropdown

it’s the qrda III file you can upload in MIPS/eligibility& reporting

#11

When I download the qrda III file, it generates an xml file, is this the one?

#12

hi @2017, yes that’s it

#13

That is perfect! Thank you very, very much.

#14

A lot of work went into get 2014 certification, glad you’ve found it useful, keep us posted. We’re going to need to rally to make 2015 certification a reality :slight_smile:

#15

Over the weekend, I have found that the deadline to submit the xml file to MIPS for 2018 had passed. I will not submit for the 2018 but will submit for the 2019 this year. Thank you for helping Stephen.

#16

hi @2017, don’t be fooled by the confusing CMS Web Interface terminology, you can still submit data qpp faq

#17

Hi @stephenwaite, thanks for the information. I will look into this and try to work on it in a few days this week. It is surely confusing !

#18

Hi @pandi_paramasivan, here’s your post:

Generated the QRDA III 2014 using CQM report with rule set 2014 and try to validate through cypressvalidator.healthit.gov before submission to MIPS

It shows the following errors. Any help would be appreciated.

  1. The NPI should have 10 digits. (CONF: CMS_0115)

  2. The NPI should have a correct checksum, using the Luhn algorithm. (CONF: CMS_0117)

  3. This document SHALL contain exactly one QRDA Category IIII Report - CMS templateId (@root=‘2.16.840.1.113883.10.20.27.1.2’) with appropriate @extension (version) of the form ‘yyyy-mm-dd’.

  4. SHALL contain exactly one [1…1] templateId (CONF:2233-17208) such that it SHALL contain exactly one [1…1] @root=“2.16.840.1.113883.10.20.27.1.1” (CONF:2233-17209). SHALL contain exactly one [1…1] @extension=“2017-06-01” (CONF:2226-21168).

  5. SHALL contain exactly one [1…1] informationRecipient (CONF:CMS_7).

  6. SHALL contain exactly one [1…1] templateId (CONF:3338-17208) such that it SHALL contain exactly one [1…1] @root=“2.16.840.1.113883.10.20.27.1.1” (CONF:3338-17209). SHALL contain exactly one [1…1] @extension=“2017-06-01” (CONF:3338-21319).

  7. Expected to find program ‘MIPS_GROUP’ but no program code was found.

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#19

hi @pandi_paramasivan, @brady.miller, emailed Ensoftek to see if something is amiss here.

#20

hi @pandi_paramasivan, if testing CQM in a dev version will need this fix @brady.miller just brought in, fix for issue #2337. reported by stephenwaite (#2338) · openemr/openemr@65dda50 · GitHub