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Illinois Medicaid EHR Incentive
Program for EPsA Guide to Attesting for the 2017
Program Year in the eMIPP System
The Chicago HIT Regional Extension CenterBringing Chicago together through health IT
Milton F. Garrett IIIFebruary 13th, 2018
Moderator: Zaina Awad
Expected Audience Today
Some familiarity with the MU program is expected Eligible Professionals
MU Coordinators If you want help with any meaningful use questions, call 855 684 3571 or email [email protected]
Monday-Friday, 8:30a.m.-5:00p.m.
Milton F. Garrett III
Provider Support Specialist
Staff at IL Medicaid EHR Incentive Help Desk
(312) [email protected]
About CHITREC
The Chicago Health Information Technology Regional Extension Center (CHITREC) 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.
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
IMPACT: Login
Visit https://impact.illinois.gov
Enter user ID and password, click Login
IMPACT: Home Page
Click “IMPACT”
IMPACT: Domain/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!
IMPACT: Domain/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!
IMPACT: Accessing eMIPP
Click “External Links”
IMPACT: Accessing eMIPP
Click “EHR MIPP”
eMIPP: Welcome Screen
MIPP Registration Start registration for 2017 program year Click “Start” to access an existing attestation that has not been started
or has not been submitted yet “Track” is only for reviewing previously submitted attestations
eMIPP: 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 the ID associated with the provider you selected Enter CMS ID and click “Search”
eMIPP: Federal Information
Shows payment/program years for EP Click the icon for the program year 2017 row
Additional tabs (click to open)
Active tab
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Federal Information: Review
Review Personal Information, Address, Identifiers, Exclusions and Prior Payments (not shown)
It is extremely important that the Phone, E-Mail and Tax IDare correct
Federal Information must be updated at https://ehrincentives.cms.gov
When finished reviewing, click the “Close” button in the lower left to advance
eMIPP: Eligibility Tab
Shows payment/program years for EP Click the icon for the program year 2017 row
Active tabAdditional tabs (click to open)
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Eligibility: Main Screen
Identifying Information
EHR Certification Information
Organization Encounters
Reporting Period
Medicaid Patient Volume
Eligibility: Volume Pre-Approval Medicaid patient volume should be pre-approval information by
Mecky Lang at [email protected]
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
Eligibility: EHR Certification Information 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
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
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 (group-level data, only one site); select organization from drop-down list*
Select “Yes” to “Use Group eCQM Data” if uploading QRDAIII for CQM
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
For all other EPs selecting “Yes” to organization encounters with the same organization 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)
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)
To simplify the process, select “No” to “Hospital Based Provider”
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 Medicaid Encounters = encounters with Medicaid program patients
Volume: 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
Volume: 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
on patient income
If EP is reporting individual encounters, enter non-FQHC/RHC patient volume in the “All Other Settings Encounters” section
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 If the EP does not bill under other provider NPI(s), just enter the NPI of
the EP in the “Billing NPI 1” box
Volume: 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
Eligibility: Main Screen
After completing Eligibility Information section , click the button in the lower left corner to advance
eMIPP: Meaningful Use Tab
Shows payment/program years for EP Click the icon for the program year 2017 row
Active tabAdditional tabs (click to open)
Meaningful Use: MU Overview5 navigation tabs at top
Meaningful Use Reporting Period (at least 90 days)
CQM Reporting Period (at least 90 days)
Location Information
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
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
MU Overview: Location Information 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)
MU Overview: Submission 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
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
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 objective to open/close the reporting panel
Meaningful Use: MU Objective (Yes/No)
1. Complete measure measure compliance fields
2. Click the title bar for the next objective to advance
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
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
Click the title bar of a measure to open/close the reporting panel
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
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
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
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
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
eMIPP: Upload Document 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 tabAdditional tabs (click to open)
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Upload Document: Browse 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”
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 signature
Attestation: Confirm
Click “OK” to submit your EHR Registration for State Review (this is equivalent to “attestation”) or “Cancel” to go back
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 summary report
eMIPP: 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
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 Click “Search” to track your attestation status
Track Registration: Payment Information Tab Review program status and payment information for previous
program years by clicking the “Payment Information” tab
Help Desk Information
For any EHR Incentive related questions, please use the contact information below:
Support Line: 855-684-3571 (855-MU-HELP-1) E-mail: [email protected]
CHITRECThe Chicago HIT Regional Extension Center
Collaboration | Trust | Leadership | Service | Community
Sam RossCHITREC Implementation Manager
3/1/2016
Bringing Chicago together through health IT
www.chitrec.org
