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MIPS Submissions

Submit MIPS data to CMS with ease via Registry and EHR with MyMipsScore

MyMipsScore supports submission of MIPS data to CMS via both the Registry and EHR submission methods. We encourage you to evaluate both the submission options before finalizing the submission method. 

 2018 Qualified Registry


Include Registry reporting with your current offerings

1

All Performance Categories

MyMipsScore Registry supports all three performance categories that require MIPS data submission -
Quality
Advancing Care Information (ACI)
Improvement Activities (IA)

2

All Quality Measures

MyMipsScore Registry also supports all the MIPS Quality measures that include all the registry measures and all the 53 eCQMs to give you full flexibility of analysis and reporting.

3

End-to-End Reporting Bonus

MyMipsScore Registry is equipped to enable end-to-end reporting and help you earn the CEHRT bonus for all the measures that amounts to 10% of your Quality score. 

2015 ONC HIT Certification 


Reap the benefits of a 2015 Certified solution with simple integration options

MyMipsScore has been certified as a 2015 Edition c1, c2, c3, c4 modules and all the 53 eCQMs to enable recording, exporting, importing, calculating, filtering and reporting of all the eCQMs. It has also been certified for d1, d2, d3, and d5 modules to help with access, control, safety, and audit of the data. 

MyMipsScore certified module can plug in to your EHR and easily extend its capability to support all the required eCQMs for your clients.

Contact Us for EHR Integration Options

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Comparing Registry and EHR Submission Methods


5 Factors to consider before picking the submission method

1.  MIPS and Non-MIPS Quality Measures 

The Registry submission method includes Qualified Registries (QRs) as well as Qualified Clinical Data Registries (QCDRs). The QRs support all the MIPS measures, while QCDRs can also support the non-MIPS measures that have been approved by CMS. On the other hand, EHRs can support only the measures approved under MIPS (eCQMs). 


2.  Bonus Points Available

Registry submission method supports all the measure specific bonus points that are available under EHR submission methods, namely bonus points for reporting additional outcome measures, high priority measures, and patient experience measures. There ia another bonus defined for the manner of reporting called as the Certified EHR Technology (CEHRT) bonus or End-to-End reporting bonus. This bonus too is available for both EHR and Registry submission methods. This bonus is capped at 10% of the maximum quality category points. 


What is End-to-End Reporting Bonus? 

Although this bonus is called CEHRT bonus, using certified EHR during some part of patient care, data capture, and reporting process is not enough. To earn this bonus (1 point for each measure), data for a quality measure must be gathered and reported electronically without any manual intervention.

If you manually abstract data from a certified EHR, and enter it into a web portal or an input app offered by your registry, your clients will lose the end-to-end reporting bonus.

They will also lose this bonus even after gathering data using CEHRT and transmitting it to a third-party using appropriate data standards (QRDA, CCDA, API). If the third-party intermediary reports for MIPS by performaing manual manipulation of the file to upload data into a web portal, it is no longer end-to-end reporting, and thus doesn't qualify for the bonus. 

If your client has to report 6 measures, that could be a direct 6 point hit to their MIPS score. Given that every point of MIPS score will impact their payment adjustment, it is worth paying close attention. Ensure that the registry your clients are using offers a seamless electronic reporting with no manual intervention. 

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3.  Number of Measures Available

There are 240+ measures avaialbe under registry submission method for Quality category which is far greater than 53 measures available for reporting under EHR submission method. Despite the higher number of measures available, the decision of picking a submission method should not be driven solely by the number of measures available. You need to consider the measure benchmarks which determine the MIPS score, compare the reporting cost for EHR and Registry methods, and examine your clients' preparedness for reporting MIPS data using each submission method. 

4.  Measure Benchmarks

The score for each quality measure is a sum of the score for that measure and the bonus points. The max points that can be earned for a measure depends on five criteria:

1. Data completion criteria met – report on 60% of your patients for all payers that satisfy the denominator criteria for the measure

2. Minimum case volume of 20 met

3. Eligible bonus points

4. Performance rate (Numerator/Denominator)

5. Measure benchmark


All other criteria being met, the maximum points that can be earned for a measure can significantly vary by the measure’s benchmark – its presence as well as its absence.

Benchmark Present: Each measure has a different benchmark for every eligible submission method. So the points earned for the exact same performance rate could vary significantly for Registry and EHR submission methods. 


Topped Out Measures: You must also check if the measures your clients have short-listed to report are topped-out as that would substantially limit the number of points they can earn for a given performance. Learn more about Quality benchmarks 


According to MACRA 2018 Final Rule the following percentage of measures are topped out for Claims, Registry, and EHR submission methods:

SUBMISSION METHODMEASURES AVAILABLETOPPED OUT
Claims7470%
Registry (QR & QCDRs)24345%
EHR5310%

Benchmark Absent: Although registries have some innovative quality measures to offer, which might be a perfect fit for a practice, some measures might not have benchmarks yet. If there is no existing benchmark for a measure, that measure can yield only 3 points + the bonus points despite the 100% performance and satisfying data completeness and minimum case volume criteria. That doesn’t mean these measures shouldn't be reported. Actually, reporting them will work in favor of the practices in the long term as the data they submit will help in benchmark creation. Even if they report more than 6 measures, CMS will use the six measures that work best in favor of a practice (reporting entity) to determine the MIPS Score. Neverthless, your clients would be better off reporting the 6 measures which do have the benchmarks because then they can be sure what their MIPS score is going to be. Additionally, as the scores for all the MIPS measures reported by a provider will be published on Physician Compare website, it is better if the provider knows what the score would be. Learn more about Quality benchmark creation process


5.  Evaluate the Measures Before Finalizing the Submission Method

You can’t tell which measures will turn out to be the best ones without comparing more than six measures. MyMipsScore helps you do exactly that. You can plug in the numbers for all the measures that make sense for a practice and analyze them to figure out which measures earn the highest score. The best measures for a practice can change over the course of year with changes in the performance rate. MyMipsScore enables you to monitor the performance improvement on all the measures and the MIPS score throughout the year so you can help your clients figure out where they stand at all times. 

Evaluate Measures and Submission Methods to Make Informed Submission Decisions.