January 12, 2017 Submission of 2016 Reporting Data Updates and Deadlines This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy11SOW-QIN-D1-12/15/16-11918
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Submission of 2016 Reporting Data Updates and Deadlines · January 3, 2017 • Medicare returning providers can attest to meaningful use for the EHR reporting period in 2016 (Note:
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January 12, 2017
Submission of 2016 Reporting Data Updates and Deadlines
This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy11SOW-QIN-D1-12/15/16-11918
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• Telligen: Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Colorado, Illinois and Iowa
• Subject Matter Experts for CMS Quality Performance Initiatives
Telligen QIN QIO
Sandy Swallow, CMA Program Specialist Iowa
Linda Brewer Sr. QI Facilitator Illinois
Temaka Williams HIT Advisor Illinois
Courtnay Ryan QI Facilitator Colorado
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Physician Quality Reporting System
PQRS Updates
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Date Milestones
January 1, 2017 • First day to submit 2016 PQRS data using registry, EHR, or QCDR. • Payment adjustments begin for both group practices and individuals who did
not satisfactorily report quality data to CMS in 2015 • 2016 GPRO Web Interface submission will be in the first quarter, stay tuned for
exact dates. • First transitional performance year begins for the QPP program for both group
practices and individuals. (Note: 2017 program year data will determine the 2019 payment adjustment)
February 24, 2017 • Last day that 2016 claims will be processed to be counted for PQRS reporting to determine the 2018 payment adjustment
February 28, 2017 • Last day to submit 2016 CQMs for dual participation in PQRS and the Medicare EHR Incentive Program
• Last day for QCDRs (QRDA) and EHRs to submit 2016 data
March 31, 2017 • Last day for 2016 QCDRs (XML only) and registries to submit 2016 data
December 31, 2017 • Reporting for the 2017 QPP program year ends for both group practices and individuals. (Note: 2017 program year data will determine the 2019 payment adjustment)
Important PQRS Dates in 2017
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Medicare & Medicaid EHR Incentive
Programs
MU Updates
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Date Milestones
January 1, 2017 • Payment adjustments begin for providers who did not satisfactorily report data to CMS in 2015
• First transitional performance year begins for the QPP program for both group practices and individuals. (Note: 2017 program year data will determine the 2019 payment adjustment)
January 3, 2017 • Medicare returning providers can attest to meaningful use for the EHR reporting period in 2016 (Note: 2016 program year data will determine the 2018 payment adjustment)
• Illinois, Iowa Medicaid returning providers can attest to meaningful use for the EHR reporting period in 2016; refer to your state Medicaid agency in other states
February 28, 2017 • Medicare EHR reporting period ends
March 31, 2017 • Illinois, Iowa Medicaid EHR reporting period ends; refer to your state Medicaid agency in other states
January 1, 2018 • Payment adjustments begin for providers who did not satisfactorily report to CMS in 2016
Important MU Dates in 2017
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Reporting Period MU Changes for 2016 and 2017
Reporting period any continuous 90-day for all returning and new participants
From Jan. 1 to Dec. 31 in CY 2016 and 2017
Applicable to EP, eligible hospitals and CAHs
Report CQMs by attestation for any continuous 90-day period during calendar year 2016
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New MU Participant Changes for 2016, 2017 & 2018
New Medicare participants in 2017 who are transitioning to MIPS can apply for a significant hardship exemption for 2018 payment adjustment
New Medicare participants in 2018 will be allowed to attest to Modified Stage 2 Objectives
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EPs – 2016 MU Reporting Requirement Changes and Alternate Exclusions