Your payment might depend on the quality of your EHR.
Despite the almost nonstop cyber chatter devoted to MACRA, many providers are unaware of the changes with the shift to quality-based, patient-centered care. With a big portion of your MIPS score under the new QPP compiled from your adoption of new technical standards under ACI, you’ll want to ensure that your software is up-to-date and user- and patient-friendly.
Background. Long before MACRA’s bipartisan ideologies were at the forefront of the industry, practitioners had complained that healthcare had become more about the paperwork and less about the patient. The QPP and its options under MIPS and advanced Alternative Payment Models (APMs) aim to revitalize the doctor-patient relationship, putting the care of people first while making the process of practicing medicine more efficient.
Possible sanctions. Unfortunately, quite a few Medicare providers are in the dark or haven’t been closely following the changes that originated with the QPP introduction in April 2016. Many of those late to the MU table are the same ECs lagging behind on the mandates under MACRA’s final rule.
This is a problem, and those not participating will be financially penalized. “If you don’t send in any 2017 data, then you receive a negative 4 percent payment adjustment [for your 2019 pay],” CMS’s QPP website states.
“A recent survey performed by The Physicians Foundation found that only 20 percent of physicians are familiar with MACRA,” says Sarah Warden, Esq of Greenspoon Marder in Ft. Lauderdale, Florida. “That statistic is troubling considering the amount of money at stake.”
Since 25 percent of your MIPS composite score comes from the measures you report under ACI, utilizing CEHRT from approved vendors is essential to maximizing your profits. The ONC offers providers a valuable resource with its Certified Health IT Product List (CHPL).
What exactly is the CHPL? It is defined as “a comprehensive and authoritative listing of all certified Health Information Technology which has been successfully tested and certified by the ONC Health IT Certification program,” the ONC website states. But, the CHPL portal offers much more than just a list of available certified EHRs for physicians to look at. There is easy access to helpful tools through various links that the HHS offers, ensuring that the products you use and vendors you utilize are certified and up-to-date.
For example, the CHPL site lets providers compare the EHRs they use with others to see if they are using the correct software for their practice size and specialty in addition to managing costs. Here is a short list of what you can do on the CHPL resource site:
“MACRA is an opportunity to move the focus away from paperwork and reporting and towards paying for what works,” Andy Slavitt, CMS acting administrator. “The technology community must be held accountable by their customers and make room for new innovators and to give clinicians more freedom and more flexibility to focus on their patients, to practice medicine, and deliver better care. We worked alongside physicians to design technology tools and a support center that allows physicians to learn about, access, and even design their involvement in the Quality Payment Program.”
To learn more how your EHR aligns with MACRA—and to stay on track for optimum reimbursement with strategies to avoid payment cuts in the coming years—pick up your copy of Guidebook to Medicare Access and CHIP Reauthorization Act of 2015.