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2018 CMS Web Interface Quality Reporting for MIPS Groups and ACOs CMS Web Interface Kick Off December 12, 2018 Disclaimer This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes frequently,


  1. 2018 CMS Web Interface Quality Reporting for MIPS Groups and ACOs CMS Web Interface Kick Off December 12, 2018

  2. Disclaimer This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes frequently, so links to the source documents have been provided within the document for your reference. This presentation was prepared as a service to the public and is not intended to grant rights or impose obligations. This presentation may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents. 2

  3. Announcements New Web Interface Resources • CMS Web Interface resources are now available on Quality Payment Program Resource Library: - 2018 CMS Web Interface Excel Template - 2018 CMS Web Interface Excel Template User Guide - 2018 CMS Web Interface Excel Template with Sample Data - 2018 CMS Web Interface Excel to XML Mapping - 2018 CMS Web Interface Data Dictionary (rev. 12/10/2018) - 2018 CMS Web Interface FAQs • CMS Web Interface webinar materials are now available on Quality Payment Program Webinar Library: CMS Web Interface User Demonstration (11/14/2018) - • Recording, slides, transcript 3

  4. Reminders CMS Web Interface Key Dates • CMS Web Interface Application Programming Interface (API) Trial Period (September 11, 2018 – January 4, 2019) - API Trial Period in Production Preview • Log into the CMS API production preview environmen t. • Use the API to programmatically retrieve a production-like beneficiary sample, map it to your electronic health record (EHR) data, and submit your responses for end- to-end testing . For more information, please review the following: - • 2018 CMS Web Interface API Narrative Documents https://cmsgov.github.io/beneficiary-reporting-api-docs/ • Swagger Documents https://qpp.cms.gov/api/preview/submissions/web-interface/docs - For direct support, please refer to the CMS Web Interface Google Group: • Developer Group for CMS Web Interface API (Google Group) https://groups.google.com/forum/#!forum/cms-web-interface 4

  5. Reminders CMS Web Interface Key Dates • CMS Web Interface Test Period (January 7, 2019 – January 18, 2019) Test Period: Download Your Sample & Test Mode - • Log into the CMS Web Interface in test mode. • Download your sample. • Review your sample. • Work on filling in your data in the Excel template offline. • Upload your data to test out the CMS Web Interface. • Manually enter data by beneficiary or by measure into the CMS Web Interface. • Review the Data Confirmation, Measure Rates, Data Irregularities, and Activity Log Reports. • Use the Web Interface API to programmatically retrieve your beneficiary sample, map it to your EHR data, and submit your responses for end-to- end testing. • NOTE: Any test data you upload or enter will be removed at the close of the test period. 5

  6. Reminders CMS Web Interface Key Dates • CMS Web Interface Submission Period (January 22, 2019 - March 22, 2019) Submission Period - • The CMS Web Interface closes promptly at 7:59pm Eastern Daylight Time (EDT) on March 22, 2019. • The CMS Web Interface will automatically accept your submission at the end of the submission period. • Accessible via the “Sign In” link on the Quality Payment Program website at https://qpp.cms.gov. 6

  7. Reminders Upcoming CMS Web Interface Webinars • Weekly Support Webinars - Please note: All weekly support webinars listed below will be held on Wednesdays from 1:00PM to 2:00pm EST/*EDT. January 9, 2019 February 20, 2019 January 16, 2019 February 27, 2019 January 23, 2019 March 6, 2019 January 30, 2019 March 13, 2019* February 6, 2019 March 20, 2019* February 13, 2019 • For more information on the webinars and links to register, review 2018 CMS Web Interface Support Webinars flyer. - If you encounter any issues with registration or audio issues with your computer during a webinar, please send an e-mail to CMSQualityTeam@Ketchum.com. 7

  8. Presenter: Sandra Adams, CMS REPORTING REQUIREMENTS 8

  9. Reporting Requirements • Organizations must completely report quality data on the required number of beneficiaries in order to satisfactorily report: - Minimum of 248 consecutively confirmed and completed beneficiaries for each measure; OR - 100 percent of beneficiaries if there are fewer than 248 beneficiaries available in the sample. • Avoiding the 2020 MIPS downward payment adjustment - Complete reporting of all 15 CMS Web Interface quality measures will meet requirements for the quality performance category, for the 2018 performance year. - MIPS groups and eligible clinicians participating in an ACO must meet MIPS reporting requirements for all performance categories to avoid the downward adjustment. 9

  10. Reporting Requirements • Shared Savings Program/Next Generation: ACOs who fail to satisfactorily report all measures will not meet the quality performance standard and will be ineligible to share in savings, if earned. - TINs who participate in a Shared Savings Program ACO that fails to satisfactorily report the CMS Web Interface measures and CAHPS for ACOs will get a MIPS quality performance score of zero unless they report separately from the ACO either as a group or solo practitioner TIN. - For details regarding the interactions between the Shared Savings Program and MIPS please review the guide available on the Quality Payment Program Resource Library: 2018 Medicare Shared Savings Program & MIPS Interactions. 10

  11. Presenter: Chris Reinartz, CMS ENTERPRISE IDENTITY DATA MANAGEMENT (EIDM) RESOURCES 11

  12. CMS Identity Management System Announcement • CMS will soon transition from EIDM to a more streamlined system for creating identity management accounts and requesting access to the Quality Payment Program website. - The new identity management system will be accessible via the Quality Payment Program Sign In page. - CMS has been working with the clinician community to test the new identity management system prior to going live to ensure that system changes will be beneficial for end users. • Anyone with an EIDM account will be automatically transitioned to the new identity management system. • Additional information regarding this transition will be released shortly. - Click “Subscribe to Updates” at the bottom of the Quality Payment Program website to receive important program information. 12

  13. EIDM Reminders • In order to submit data via the CMS Web Interface, you need: - An active EIDM account, and - The Web Interface Submitter role for your organization (MIPS group or Shared Savings Program/Next Generation ACO). • Before you can request the Web Interface Submitter role, there must be a user in your organization with: - An approved Security Official role (MIPS Groups) , or An approved ACO Security Official role (Shared Savings Program/Next Generation - ACOs) . 13

  14. EIDM Reminders • These roles (Web Interface Submitter, Security Official, ACO Security Official) are requested through the ‘Physician Quality and Value Programs’ application accessible via the Sign In link on the Quality Payment Program website. • The first Security Official or ACO Security Official will need to create the organization (MIPS group or ACO) as part of their role request. • Once the Security Official or ACO Security Official role has been approved, other users can request the Web Interface Submitter role for that organization. • To avoid delays in accessing the system, make sure your EIDM account is active (change password at least every 60 days). 14

  15. EIDM User Guides • EIDM user guides provide step-by-step instructions with screenshots for requesting an EIDM Account and a role to access the ‘Physician Quality and Value Programs’ application in the CMS Enterprise Portal. • MIPS Groups - 2018 Enterprise Identity Data Management (EIDM) User Guide is available on the Quality Payment Program Resource Library. • Shared Savings Program ACOs - 2018 Enterprise Identity Data Management (EIDM) ACO User Guide is available on the Quality Payment Program Resource Library. • Next Generation ACO Model ACOs - Reference the following documents on the NGACO Connect Library, available at https://app.innovation.cms.gov/NGACOConnect, for additional guidance: • “2018 NGACO EIDM Webinar 10.17.2018” document • “EIDM Account and Role Setup Webinar Recording 10 -17- 2018” 15

  16. Help with EIDM Quality Payment Program Monday through Friday 8:00 AM – 8:00pm (ET) E-mail: qpp@cms.hhs.gov Phone: 866-288-8292 TTY: 877-715-6222 16

  17. Presenter: Ozlem Tasel, CMS Contractor ACCESSING CMS WEB INTERFACE 17

  18. Logging In Step 1: Sign In to Quality Payment Program Note: The screenshots provided in this presentation are from a test environment and may not display exactly what you will see on your screen at the time of 18 submission.

  19. Logging In Step 2: Enter Your Credentials Note: The screenshots provided in this presentation are from a test environment and may not display exactly what you will see on your screen at the time of 19 submission.

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