[PPT] - I llinois Medicaid EHR I ncentive Program for EPs A Guide to PowerPoint Presentation

SLIDE 1

I llinois Medicaid EHR I ncentive Program for EPs

A Guide to Attesting for the 2017 Program Year in the eMIPP System

The Chicago HIT Regional Extension Center

Bringing Chicago together through health IT

Milton F. Garrett III February 13th, 2018

Moderator: Zaina Awad

SLIDE 2

Expected Audience Today

Some familiarity with the MU program is expected

Eligible Professionals
MU Coordinators

I f you w ant help w ith any m eaningful use questions, call 8 5 5 6 8 4 3 5 7 1 or em ail hfs.ehrincentive@I llinois.gov Monday-Friday, 8 :3 0 a.m .-5 :0 0 p.m .

SLIDE 3

Milton F. Garrett I I I

Provider Support Specialist
Staff at IL Medicaid EHR Incentive Help

Desk (312) 503-4278 mgarrett@chitrec.org

SLIDE 4

About CHI TREC

The Chicago Health I nform ation Technology Regional Extension Center ( CHI TREC) is a collaboration between Northwestern University the Alliance of Chicago Community Health Services and more than 40 local and national partners focused on HIT adoption and use within the city of Chicago.

Illinois Department of Healthcare and Family Services (HFS) contracted

with CHITREC to operate a Meaningful Use Help Desk (855-MU-HELP-1) for the Illinois Medicaid EHR Incentive Payment Program

Proudly contracted by CMS for QPP

, SURS and TCPI initiatives.

SLIDE 5

Agenda

Logging into IMPACT; accessing eMIPP
Searching for attestation by CMS ID
Entering eligibility data
Entering MU objectives and CQM data
Uploading documents
Submitting attestation
Tracking attestation

SLIDE 6

I MPACT: Login

Visit https: / / impact.illinois.gov
Enter user ID and password, click Login

SLIDE 7

I MPACT: Hom e Page

Click “IMPACT”

SLIDE 8

I MPACT: Dom ain/ Profile

Select the individual provider for whom you are attesting from

the first drop-down box

Don’t see the provider name? You’re not administrator!

SLIDE 9

I MPACT: Dom ain/ Profile

Select Domain Administrator (or EHR Domain Administrator)

profile from the second drop-down; click “Go”

Don’t see the right profile? You’re not administrator!

SLIDE 10

I MPACT: Accessing eMI PP

Click “External Links”

SLIDE 11

I MPACT: Accessing eMI PP

Click “EHR MIPP”

SLIDE 12

eMI PP: W elcom e Screen

MIPP Registration
Start registration for 2017 program year
Click “Start” to access an existing attestation that has not been started
r has not been submitted yet
“Track” is only for reviewing previously submitted attestations

SLIDE 13

eMI PP: Search by CMS I D

CMS ID is displayed upon initial CMS registration
Can be found under Status tab at https: / / ehrincentives.cms.gov
Must be the ID associated with the provider you selected
Enter CMS ID and click “Search”

SLIDE 14

eMI PP: Federal I nform ation

Shows payment/ program years for EP
Click the icon for the program year 2017 row

Additional tabs (click to open) Active tab

000000000 000000000 000000000

SLIDE 15

Federal I nform ation: Review

Review Personal Information,

Address, Identifiers, Exclusions and Prior Payments (not shown)

It is extremely important that

the Phone, E-Mail and Tax ID are correct

Federal Information must be

updated at https: / / ehrincentives.cms.gov

When finished reviewing, click

the “Close” button in the lower left to advance

SLIDE 16

eMI PP: Eligibility Tab

Shows payment/ program years for EP
Click the icon for the program year 2017 row

Active tab Additional tabs (click to open)

SLIDE 17

00000000 00000000

email@email.com

Eligibility: Main Screen

Identifying Information
EHR Certification

Information

Organization Encounters
Reporting Period
Medicaid Patient Volume

SLIDE 18

Eligibility: Volum e Pre- Approval

Medicaid patient volume should be pre-approval information by

Mecky Lang at hfs.ehrincentive@illinois.gov

Visit http: / / chitrec.org/ blog/ 2016/ 12/ 09/ pre-approval-open-for-

volume-data-required-for-meaningful-use/ for instructions

Please be patient for a response before moving forward with

attestation

Attestations for providers who have not pre-approved are highly

likely to be rejected

SLIDE 19

Eligibility: EHR Certification I nform ation

EHR Status will automatically select “MU”
Ask your vendor for EHR and CQM Certification Number
MU Reporting Choice: Stage 2 Modified or Stage 3 (if using 2015 CEHRT)
Email: pre-populated from initial CMS registration

email@email.com

SLIDE 20

Eligibility: Reporting Period

Past 90 day period when provider met Medicaid volume:
Prior Calendar Year (between 1/ 1/ 16 – 12/ 31/ 16)
Prior Twelve Months (begins/ ends within the 12 month period preceding

attestation submission date)

Different from MU or CQM reporting period
Enter start date, end date will calculate automatically

SLIDE 21

Volum e: I nclude Organization Encounters

Select “No” if EP is reporting individual encounter volume from

eligibility reporting period (provider-level data, ALL sites of practice)

Select “Yes” if EP is reporting group volume (group-level data, only
ne site); select organization from drop-down list*
Select “Yes” to “Use Group eCQM Data” if uploading QRDAIII for CQM

SLIDE 22

Volum e: I nclude Organization Encounters

For the 1st EP selecting “Yes” to organization encounters, eMIPP will notify

that eligibility data will be “read-only” (cannot be changed) for future attestations selecting the same organization NPI

For all other EPs selecting “Yes” to organization encounters with the same
rganization NPI, eMIPP will notify that group eligibility data will be copied

from 1st EP

(Notification for 1st group member) (Notification for all other group members)

SLIDE 23

Volum e: Pediatrician/ PA/ Hospital- Based EP

Select “Yes” only if EP practices as a pediatrician, defined as board certified in

pediatrics or 90% + patient base under age 21

Select “Yes” only if EP practices as a physician assistant (check all that apply)
To simplify the process, select “No” to “Hospital Based Provider”

SLIDE 24

Volum e: Render Care in FQHC/ RHC

Select “No” if EP did not render any care in an FQHC/ RHC
Enter Total and Medicaid Encounters from eligibility reporting period
Total Encounters = all encounters, all payers
Medicaid Encounters = encounters with Medicaid program patients

SLIDE 25

Volum e: Render Care in FQHC/ RHC

Select “Yes” if EP rendered any care in an FQHC/ RHC
Select FQHC or RHC and type name of health center

SLIDE 26

Volum e: Render Care in FQHC/ RHC

Enter each type of encounter
Total Encounters = all encounters occurring at FQHC/ RHC
Medicaid Encounters = number of total encounters with Illinois Medicaid patients
Charity Care Encounters = number of total encounters provided free of charge
Sliding Fee Scale Encounters = number of total encounters that were billed based
n patient income
If EP is reporting individual encounters, enter non-FQHC/ RHC patient volume

in the “All Other Settings Encounters” section

SLIDE 27

Volum e: Nurse Practitioner

If EP is a Nurse Practitioner, a “Billing NPIs” section will display:
Enter NPI numbers of all providers under whom the EP bills
If the EP does not bill under other provider NPI(s), just enter the NPI of

the EP in the “Billing NPI 1” box

SLIDE 28

Volum e: No-Cost Encounters

To simplify the process, select “No” to “Did you include no-cost encounters”;

these should have been included in your Medicaid encounters above

Select “Yes” if you included encounters from outside Illinois in order to reach

the 30% threshold

Enter state(s) in which encounters included above occurred
Will initiate audit verification check and delay payment

SLIDE 29

Eligibility: Main Screen

After completing Eligibility Information section , click the

button in the lower left corner to advance

SLIDE 30

eMI PP: Meaningful Use Tab

Shows payment/ program years for EP
Click the icon for the program year 2017 row

Active tab Additional tabs (click to open)

SLIDE 31

Meaningful Use: MU Overview

5 navigation tabs at top Meaningful Use Reporting Period (at least 90 days) CQM Reporting Period (at least 90 days) Location Information

SLIDE 32

MU Overview : Meaningful Use Reporting Period

The MU reporting period can be any 90-365 days from 2017 during

which the EP achieved compliance with MU

Not the same as eligibility reporting period
Enter start and end date

SLIDE 33

MU Overview : CQM Reporting Period

The CQM reporting period can be any 90-365 days from 2017
Can be same as MU period, but does not have to be
Enter start and end date

SLIDE 34

MU Overview : Location I nform ation

Enter the total number of outpatient locations where EP worked

during MU and CQM period

Enter number of these locations where EP has a certified EHR
Enter the percentage of encounters occurring at locations where EP

has a certified EHR (must be at least 80% to be eligible)

SLIDE 35

MU Overview : Subm ission and Upload PDF

Select “Online” to enter Meaningful Use data through the eMIPP

application (screen shots to follow)

Select “PDF” to enter Meaningful Use data by uploading a pre-filled

PDF of MU Objectives and CQM

Select “QRDA III” to enter Meaningful Use data by uploading a

QRDAIII file with CQM

SLIDE 36

Meaningful Use: MU Overview

For those selecting

“Online” submission, click the “MU- Objectives” tab at top to continue*

For those selecting “PDF”

and “QRDA III” submission, verify that all 3 items in the “Meaningful Use Completion” checklist are checked then click in the lower left to continue * You may click the “Save” button at any time to save your progress

SLIDE 37

Meaningful Use: MU Objectives

Must report compliance on ALL 9 objectives to advance
Report numerator/ denominator or respond yes/ no
Some objectives ask for exclusions

Click the title bar of an

bjective to
pen/ close the

reporting panel

SLIDE 38

Meaningful Use: MU Objective ( Yes/ No)

1. Complete measure measure compliance fields
2. Click the title bar for the next objective to advance

SLIDE 39

Meaningful Use: MU Objective ( Num / Den)

1. Claim exclusion, if available 2. Attest to compliance (unless excluded) 3. Click the title bar for the next measure to advance

SLIDE 40

You do not need to click the button after completing MU
bjectives- just click the “MU- Public Health Measures” tab to the

at top to advance

Meaningful Use: MU Public Health Measures

Click the title bar of a measure to open/ close the reporting panel

SLIDE 41

1. Claim exclusion, if available 2. Attest to compliance and enter registry details (unless excluded) 3. Click the title bar for the next measure to advance

Meaningful Use: MU Public Health Measures

SLIDE 42

You do not need to click the button after completing MU Public

Health Measures, just click the “MU- Clinical Quality Measures” tab at top to advance

Meaningful Use: MU CQM

Click the title bar of a domain to open/ close the reporting panel

SLIDE 43

Must report on minimum 6 Clinical Quality Measures to advance
Report numerator/ denominator/ exclusions/ exceptions

Meaningful Use: MU CQM

Click the title bar for a CQM within the domain to open/ close the reporting panel for that CQM Click the title bar for another domain to open the reporting panel

SLIDE 44

Meaningful Use: MU CQM

1. Attest to compliance (numerator, denominator, exclusions/ exceptions)
2. Click the title bar for another CQM you want to attest for in this domain

SLIDE 45

After completing 9 MU objectives, 3 public health measures and 6

CQM, click the button to save your responses; or return to another tab by clicking at top

Meaningful Use: Save

SLIDE 46

eMI PP: Upload Docum ent Tab

Attestations must include documentation supporting:
Patient volume (e.g. billing report showing Total/ Medicaid encounters)
Public health measure achievement (confirmation of registry engagement)
FQHC only: UDS – Table 4 (patient characteristics)
Encouraged to upload additional audit evidence
Click the button to upload for the 2016 program year

Active tab Additional tabs (click to open)

000000000 000000000 000000000 000000000 000000000

SLIDE 47

Upload Docum ent: Brow se for File

Click “Browse” to locate the file on your computer and select
File type must be Word, Excel or PDF
Enter a file description (i.e. EHR receipt), click “Upload”

SLIDE 48

eMI PP: Attestation Tab

Read the attestation statement, click the check box in the lower

left to accept the terms and conditions

Click the “Register” button to complete attestation with a digital

signature

SLIDE 49

Attestation: Confirm

Click “OK” to submit your EHR Registration for State Review (this

is equivalent to “attestation”) or “Cancel” to go back

SLIDE 50

eMI PP: Registration Confirm ation

You will receive an

“EHR Incentive Program Registration Confirmation” (this indicates you’ve completed “attestation”)

Click the PDF icon

to download an attestation summary report

SLIDE 51

eMI PP: Track

View Status of MIPP Registration
Click “Track” to view eligibility, MU and payment information from previous

program years

Note: If you are re-submitting or editing an attestation you didn’t finish, use the

“Start” button. “Track” will NOT allow you to edit any information

SLIDE 52

Track Registration: Search by CMS I D

CMS ID is displayed upon initial federal registration
Can be found under Status tab at https: / / ehrincentives.cms.gov
Must be an ID associated with a provider registered in MEDI
Click “Search” to track your attestation status

SLIDE 53

Track Registration: Paym ent I nform ation Tab

Review program status and payment information for previous

program years by clicking the “Payment Information” tab

SLIDE 54

Help Desk I nform ation

For any EHR Incentive related questions, please use the contact information below:

Support Line: 855-684-3571 (855-MU-HELP-1)
E-mail: muhelpdesk@chitrec.org

SLIDE 55

CHI TREC

The Chicago HI T Regional Extension Center

Collaboration | Trust | Leadership | Service | Community

Sam Ross CHITREC Implementation Manager 3/ 1/ 2016

Bringing Chicago together through health IT

w w w .chitrec.org