Provides Participants with More Opportunities to Take Advantage of Performance-based Payments
The Centers for Medicare & Medicaid Services (CMS) has accepted Reliance’s application to provide Qualified Clinical Data Registry (QCDR) for the 2018 performance period of the Merit-based Incentive Payment System (MIPS). As the only authorized QCDR in Oregon, Reliance provides you with additional opportunities to optimize your EHR interface with Reliance and maximize your revenue.
Reliance is authorized to support 8 clinical quality measures/eCQMs on behalf of participants who wish to use Reliance to submit MIPS reporting. These measures include:
MIPS is part of the Quality Payment Program, which helps providers focus on care quality. If you participate in Medicare Part B, meet eligibility requirements and decide to take part in MIPS, you will earn a performance-based payment adjustment. Visit https://qpp.cms.gov/ to learn more about the Quality Payment Program and MIPS.
Who’s in the Quality Payment Program?
According to CMS, you werre a part of the Quality Payment Program in 2017 if you were in an Advanced Alternative Payment Model or if you bill Medicare more than $30,000 in Part B allowed charges a year and provide care for more than 100 Medicare patients a year. You must meet both the minimum billing and the number of patients to be in the program. For MIPS, you must also be a licensed:
- Physician Assistant
- Nurse practitioner
- Clinical nurse specialist
- Certified registered nurse anesthetist
MIPS includes four performance categories: quality, cost, improvement activities, and advancing care information (ACI). The quality performance category requires clinicians to report on six measures, including at least one outcome measure. It is important you select measures appropriate for your practice needs and capabilities.
What is a QCDR?
As a QCDR, Reliance collects medical and/or clinical data for efficient patient and disease tracking, ultimately fostering improvement in the quality of patient care. The quality measures (including preventive care and screenings) cover multiple payers and are not limited to Medicare beneficiaries.
Why Use Reliance for QCDR Services?
As a QCDR Reliance reduces the burden on billing and reporting staff, provides direct assistance with compiling data, and enables participating practices to report one set of data to fulfill Medicare quality reporting program and specialty organizations requirements.
When your EHR is connected with Reliance to submit patient data, Reliance Insight normalizes and standardizes the data and aggregates it with information from other providers in the community. That means that MIPS reporting using Reliance takes into account the care transitions that affect your reporting. For example, if a colorectal screening is ordered by another provider caring for your patient, that can be included in your reporting metrics; thereby enhancing your quality scores and improving your QPP revenue.
To engage with Reliance’s QCDR services team, contact support@RelianceHIE.org