If clinics are already running EHR software certified for Meaningful Use Stage 2 or Stage 3, they were will be qualified from a systems standpoint for MACRA MIPS.
In fact the Promoting Interoperability category has some adjustments for EHRs certified for Stage 2 only, enabling the ACI score to be strong even without the Stage 3 features. You will need to be able to send Transitions of Care electronically. Additionally, you will need to have a portal in place, and electronic prescriptions. All of these items play into the ACI category.
The quality category has more flexibility, as long as you can get to the data. It can be reported by registry which makes the submission process more approachable. Clinics will need to decide whether to report as a group or by provider. Group Reporting can greatly ease the burden on the organization’s support staff.
A HIPAA Security Risk Analysis is a requirement component of the Promoting Interoperability category. The easiest way to conduct and complete this is with the Medcurity.com platform, to ensure the requirement is met and action items are tracked year round. There is a lot involved, but Medcurity provides support and very clear guidance. The promo code of “MIPS” saves you 30% when you sign up on their site.
Additionally, a registry will need to be selected. Some EHRs have a submission process without needing a 3rd party contractor. However, each registry vendors certifies specific CQM reports with CMS, so clinics will need to be aware of the reports that have been certified.
If a selected CQM is not included in the EHR vendor’s list, the CQM will need to be dropped, or the clinic will need to do all quality reporting via another mechanism. The MACRA legislation allows one reporting mechanism per performance category.
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