2019 CMS Web Interface Quality Reporting for MIPS Groups and ACOs

CMS Web Interface Support Call

February 12, 2020

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.

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Announcements

• The following CMS Web Interface resources are now available on the Quality Payment Program Webinar Library:

- CMS Web Interface Weekly Support Call: Session 3 (Recorded 01/29/2020)

• Recording, Slides, Transcript

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Announcements

• CMS Web Interface Submission Period (January 2, 2020 - March 31, 2020)

- Submission Period

• The submission period for the CMS Web Interface aligns with other submission types, and closes promptly at 8:00pm Eastern Daylight Time (EDT) on March 31, 2020.

• Now, the CMS Web Interface submission period is longer and spans a three-month timeframe.

• The CMS Web Interface will automatically accept your submission at the end of the submission period.

• The CMS Web Interface is Accessible via the “Sign In” link on the Quality Payment Program website at https://qpp.cms.gov.

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CMS Web Interface Key Dates

Announcements

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Upcoming CMS Web Interface Support Calls

• Weekly Support Calls

- Please note: All weekly support calls listed below will be held on Wednesdays from 1:00pm to 2:00pm EST/*EDT.

• For more information on the support calls and links to register, review the 2019 CMS Web Interface Support Calls flyer.

• If you encounter any registration issues or audio issues during a support call, please send an e-mail to CMSQualityTeam@Ketchum.com.

February 19, 2020 March 11, 2020*

February 26, 2020 March 18, 2020*

March 4, 2020 March 25, 2020*

Reminders

• Other CMS Approved Reason skip requests must be submitted through the CMS Web Interface.

- A CMS Approved Reason is a way to skip a patient attributed to a measure during Denominator Confirmation.

• Reserved for circumstances that are unique, unusual, and not covered by any of the denominator exclusions or denominator exceptions identified in the measure specifications.

• Patients for whom a CMS Approved Reason is selected will be “skipped” and another patient must be reported in their place for the measure, if available.

• When a skip request is denied, the patient will remain incomplete and users must complete reporting on the patient.

• Submit requests for a “2019 CMS Approved Reason” as soon as possible during the submission period to allow for CMS review.

• Please review the 2019 measure specifications thoroughly before submitting a CMS Approved Reason request.

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Reminders

• 2019 CMS Web Interface Application Programming Interface (API) is available all year for testing in the Developer Preview Environment:

- For more information, please review:

• CMS Web Interface API Narrative Documents: https://cmsgov.github.io/beneficiary-reporting-api-docs/

• Swagger Documents: https://preview.qpp.cms.gov/api/submissions/web-interface/docs/

• Measures.json: https://preview.qpp.cms.gov/api/submissions/web-interface/metadata

• Schema.json: https://preview.qpp.cms.gov/api/submissions/web-interface/metadata/schema

• Google Group for the CMS Web Interface API: https://groups.google.com/forum/#!forum/cms-web-interface

• From February 1, 2020 to March 31, 2020, the Google Group will be accessible as read-only. Beginning April 1, 2020, this Google Group will no longer be accessible. Please visit qpp.cms.gov for information regarding Quality Payment Program requirements.

• For any support related issues, please contact the Quality Payment Program at qpp@cms.hhs.gov.

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FREQUENTLY ASKED MEASURE QUESTIONS

Presenter: Angela Stevenson, CMS Contractor

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Frequently Asked Measure Questions

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No. Question Answer

CARE-2 The specification states, “a clinician with appropriate skills and experience may perform the screening." Would a nurse outside of the office be considered a "clinician"?

Yes. A nurse with the appropriate skills and experience may perform the screening and the setting is not restricted to an office setting

HTN-2 Can a HTN diagnosis be found from an Urgent Care or emergency room record or does it need to be from a PCP office visit?

Yes. Medical record documentation from urgent care or emergency room may be used to confirm the diagnosis.

PREV-7 Can a clinician document patient refusal of the influenza vaccination by using the "Z28.21 Influenza Vaccination Declined" diagnosis code? It is not included in the CMS Web interface PREV Coding Document PREV 7 Denominator Exception Codes.

Yes. Although the particular code in question is not contained in the coding document, a patient refusal documented in the medical record would be appropriate documentation. Documentation should be during the measurement period and be specific to the flu season being reported.

PREV-10 Is the numerator met if a patient is identified as a smoker during the most recent screening, was not counseled, but had counseling previously within the reporting period?

Yes, as long as there is documentation that cessation intervention occurred within the 24-month look back period.

RESOURCES & WHERE TO GO FOR HELPPresenter: Sandra Adams Slaughter, CMS

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Resources

• 2019 QPP Resource Library

- Website: https://qpp.cms.gov/about/resource-library

- 2019 MIPS Quality Performance Category

- 2019 CMS Web Interface Fact Sheet

- 2019 CMS Web Interface Measure Specifications and Supporting Documents

- 2019 CMS Web Interface Sampling Methodology

- 2019 CMS Web Interface & CAHPS for MIPS Survey Assignment Methodology

- 2019 CMS Web Interface Excel Template

- 2019 CMS Web Interface Excel Template with Sample Data

- 2019 CMS Web Interface Data Dictionary

- 2019 CMS Web Interface User Guide

- 2019 CMS Web Interface FAQs

- 2019 CMS Web Interface User Demo Videos (Playlist)

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Resources

• 2019 QPP Webinar Library

- Website: https://qpp.cms.gov/about/webinars

- 2019 CMS Web Interface User Demonstration (Recorded 11/13/2019)

• Recording, Slides, Transcript

- CMS Web Interface Kick Off Call (Recorded 12/11/2019)

• Recording, Slides, Transcript

- CMS Web Interface Weekly Support Call: Session 1 (Recorded 1/15/2020)

• Recording, Slides, Transcript

- CMS Web Interface Weekly Support Call: Session 2 (Recorded 01/22/2020)

• Recording, Slides, Transcript

- CMS Web Interface Weekly Support Call: Session 3 (Recorded 01/29/2020)

• Recording, Slides, Transcript

• QPP Help and Support

- Website: https://qpp.cms.gov/about/help-and-support

- Materials: Videos, support calls, online courses, learning network, APM learning systems, and developer tools

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Resources

• Medicare Shared Savings Program ACO:- Website: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-

Payment/sharedsavingsprogram/index.html

- Quality Measures & Reporting Standards: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Quality-Measures-Standards.html

- Weekly ACO Spotlight Newsletter

• Next Generation ACO Model:- Website: https://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/

- Connect Site: https://app.innovation.cms.gov/NGACOConnect/

- Weekly Newsletter

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Medicare Shared Savings Program and Next Generation ACOs

Get Help from CMS

• Quality Payment Program:

- E-mail: QPP@cms.hhs.gov

- Phone: 1-866-288-8292 (TTY: 1-877-715-6222)

• Medicare Shared Savings Program ACO:

- E-mail: sharedsavingsprogram@cms.hhs.gov

• Next Generation ACO Model:

- E-mail: NextGenerationACOModel@cms.hhs.gov

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Help Us Improve the Quality Payment Program Experience!

We’re looking for participants to collaborate with us and provide feedback regarding the Quality Payment Program website (qpp.cms.gov), including the following:

The QPP Research Teams invite you to participate in our Human-Centered Design efforts.

Interested in participating?Email your name, title, topic of interest, and organization to:

QPPUserResearch@cms.hhs.gov

Our research sessions range from 30-60 minutes and you can join by phone or webinar.

• Educational Materials• Website Content • Website Design

• Reporting Design• Eligibility Content Layout• Performance Feedback Layout

Question and Answer Session

To ask a question over the phone line, please raise your hand and we

will unmute your line.

For those dialed in via phone, you must have your unique audio pin entered. If you’re listening through your

computer speakers and want to ask a question, you must have a working microphone.

You may also submit questions via the Questions tab for speakers to read aloud.

Speakers will address as many questions/comments as time allows.

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Get Help from CMS

• Quality Payment Program:

- E-mail: QPP@cms.hhs.gov

- Phone: 1-866-288-8292 (TTY: 1-877-715-6222)

• Medicare Shared Savings Program ACO:

- E-mail: sharedsavingsprogram@cms.hhs.gov

• Next Generation ACO Model:

- E-mail: NextGenerationACOModel@cms.hhs.gov

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