Illinois Medicaid EHR Incentive Program for EPs

Illinois Medicaid

EHR Incentive

Program for EPs

A Guide to Attesting for the 2015 Program Year in the eMIPP System The Chicago HIT Regional Extension Center

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System Requirements

 In the 12/8/2015 Microsoft Windows update more Java versions were blocked. If you are getting the message that Microsoft Windows is blocking your Java, you can try to use the new version from www.java.com.

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eMIPP: Login

eMIPP: Application Portal

MEDI: Login

eMIPP: Domain/Profile

 Leave options as default

 Select a Domain: Provider

 Select a Profile: Provider Domain Admin

eMIPP: Welcome Screen

 MIPP Registration

 Start registration for 2015 program year (AIU, MU)  Click “Start” to access an open attestation

Find Registration: Search by

CMS ID

 CMS ID is displayed upon initial CMS registration

 Can be found under Status tab at https://ehrincentives.cms.gov  Must be an ID associated with a provider registered in MEDI

eMIPP: Federal Information

 Shows payment/program years for EP

 Click the icon for the program year 2015 row

Federal Information: Review

 Review Personal

Information, Address,

Identifiers, Exclusions and Prior Payments (not shown)

 If inaccurate, click the link

to access the federal CMS registration site and update

 When finished reviewing,

eMIPP: Eligibility Tab

 Shows payment/program years for EP

 Click the icon for the program year 2015 row

Active tab

Eligibility: Main Screen



Identifying Information



EHR Certification

Information



Reporting Period



Eligible Patient Volume

00000000 00000000

Eligibility: EHR Certification

Information

 EHR Status: EPs in program year one will see “Adopt,” “Implement,”

“Upgrade” or “MU”; EPs in later years will only have option for “MU”

 EHR Certification Number: must be accurate per the ONC Certified HIT

Product List (CHPL, http://oncchpl.force.com/ehrcert?q=chpl)

 Email: pre-populated from initial CMS registration

Volume: Reporting Tips

 Encounter = one patient, one provider, one day (regardless of number of

procedures/items billed)

 Medicaid Encounter = encounter with a patient enrolled in an Illinois Medicaid program on day of service

 Include encounters where Medicaid is primary, secondary or tertiary insurance (i.e.

encounters with dual-eligible patients where Medicare paid the bill)

 Include encounters with managed care patients (i.e. Harmony, Aetna, IlliniCare)

 Medicaid (plus “needy individual” for FQHC/RHC) encounters must be greater

than 30% of total encounters

 Pediatricians can receive 2/3 of the total incentive payment for a program year if Medicaid encounter volume is >20% but <30%

 Medicaid patient volume thresholds may be met at the individual level (by

Volume: Reporting Tips

 If EP is reporting individual volume, include encounters from ALL sites of

practice (inpatient, nursing home, physical therapy, etc.)

 If EP is reporting group volume:

 Limit to encounters associated with the practice

 Group volume must be appropriate methodology for individual EP  All EPs in group must use group volume

 Group volume is aggregate total of each group member EP encounters

 HFS validates the number of Medicaid encounters reported

 Within an acceptable range compared to claims per adjudicator

 Re-submit if rejected

 Maintain all evidence supporting your volume calculation, such as:

 Output from billing software

 Table 4 from UDS reports for FQHC/RHC

Volume: Individual

Pre-Approval

 EPs reporting individual encounter volume should submit the

following information in the body of an email to [email protected]:

 CMS Registration ID#:  Name:

 TIN:

 Encounter Date Range:

 # of Straight Medicaid Encounters (Primary, Secondary, Tertiary, even if Medicaid paid $0.00):

 # of Medicaid Managed Care encounters:  # of Total encounters for all payees:  Contact Name:

 Phone number:

 Please be patient for a response from Mecky Lang of the EHR

Incentive Program Adjudication Team before moving forward with attestation

Volume: Group Pre-Approval

 EPs reporting individual encounter volume should submit the following information in the body of an email to [email protected]:

 Group NPI:  Group Name:  Group TIN:

 Encounter Date Range:

 # of Straight Medicaid Encounters (Primary, Secondary, Tertiary, even if Medicaid paid $0.00):

 # of Medicaid Managed Care encounters:  # of Total encounters for all payees:

 Are you an FQHC? (if yes, then please submit Table 4: Selected Patient Characteristics from your UDS for that time period):

 Contact Name:  Phone number:

 Please be patient for a response from Mecky Lang of the EHR Incentive Program Adjudication Team before moving forward with attestation

 Attestations for providers who have not pre-approved are highly likely to be

rejected

Eligibility: Reporting Period

 Past 90 day period from which EPs must report encounter volume:

 Prior Calendar Year (begins/ends during 2014)

 Prior 12 Months (begins/ends within the 12 month period preceding

attestation submission date)

 Different from MU reporting period

Volume: Include

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; enter group NPI

Volume: Include

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

Volume:

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)

Volume: 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

Volume: Render Care in

FQHC/RHC

 Select “Yes” if EP rendered any care in an FQHC/RHC

 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 on patient income

 If EP is reporting individual encounters, enter non-FQHC/RHC patient volume

Volume: 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

Volume: No-Cost Encounters

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

(billed at $0); 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

Eligibility: Main Screen

 After completing Eligibility Information, click the button in the

eMIPP: Meaningful Use Tab

 First year participants reporting AIU will not see/use this tab  Shows payment/program years for EP

 Click the icon for the program year 2015 row

Meaningful Use: MU

Overview

5 navigation tabs at top Meaningful Use Reporting Period (exactly 90 days for all)

CQM Reporting Period (at least 90 days)

MU Overview: Meaningful

Use Reporting Period

 The MU reporting period is an exact 90-day period during 2015 in

which an EP achieved compliance with MU

 Not the same as eligibility reporting period

MU Overview: CQM Reporting

Period

 The CQM reporting period can be any 90-365 days from 2015;

does not have to be same as MU period

MU Overview: Location

Information

 Enter the total number of locations where EP works*

 Enter number of locations where EP has a certified EHR*

 Enter the percentage of patients seen at locations where EP has a

certified EHR (must be at least 50% to be eligible)

 Enter the percentage of encounters occurring at locations where EP

has a certified EHR (must be at least 50% to be eligible)

MU Overview: Submission

and Upload PDF

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

application (screen shots to follow)

 Select “PDF” to download a PDF reporting template which can be

filled out and uploaded to populate MU tabs

 Select “QRDA III” to download a PDF reporting template which can

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

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, alternate exclusions, or

alternate compliance

Meaningful Use: MU

Objective (Yes/No)

Meaningful Use: MU

Objective (Num/Den)

4. Click the title bar for the next

measure to advance

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

objectives- just click the “MU- Public Health Measures” tab to the at top to advance

Meaningful Use: MU Public

Health Measures

1. Claim exclusion, if available 2. Claim alternate exclusion, if available* 3. Attest to compliance and enter registry details, if not

excluded

1. Click the title bar for the next

measure to advance

 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

 Must report compliance on 9 Clinical Quality Measures to advance  Must report on at least one CQM from 3 different domains

 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

Meaningful Use: MU CQM

 After completing 9 MU CQM, click the button to save your

eMIPP: Upload Document

Tab

 AIU attestations must include documentation supporting the

adoption, implementation or upgrade to certified EHR technology (i.e. purchase order, contract, receipt)

 FQHC must upload UDS – Table 4 (Patient Characteristics)  Click the button to upload for the 2015 program year

Active tab Additional tabs _{(click to open)}

Upload Document: Browse

for File

 Click “Browse” to locate the file on your computer and select  File type must be Word, Excel or PDF

eMIPP: 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

Attestation: Confirm

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

eMIPP: Registration

Confirmation

 You will receive an

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

 Click the PDF icon

to download an attestation

eMIPP: Track

 View Status of MIPP Registration

 Click “Track” to view eligibility, MU and payment information from previous program years

Track Registration: Search

by CMS ID

 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

Track Registration: Payment

Information Tab

 Review program status and payment information for previous

Help Desk Information

For any EHR Incentive related questions,

please use the contact information below:

Meaningful Use Helpdesk



Support Line: 855-684-3571 (855-MU-HELP-1)



E-mail:

[email protected]

ILHITREC

CHITREC

The Chicago HIT Regional Extension Center

Collaboration | Trust | Leadership | Service | Community

Sam Ross

CHITREC Implementation Manager

www.CHITREC.org [email protected]

Bringing Chicago together through health IT

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Brenda Simms

ILHITREC Clinical Informatics Specialist