Illinois Medicaid EHR Incentive

Program for EPs

A Guide to Attesting for the 2016 Program Year in the eMIPP System

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Agenda

Logging into IMPACT; accessing eMIPP

Searching for attestation by CMS ID

Entering eligibility data (AIU and MU attestations)

Entering MU objectives and CQM data (MU attestations only)

Uploading documents

Submitting attestation

Tracking attestation

IMPACT: Login

Visit https://impact.illinois.gov

Enter user ID and password, click Login

IMPACT: Login

Click “IMPACT”

IMPACT: Domain/Profile

Select the individual provider for whom you are attesting from the first drop-down box

IMPACT: Domain/Profile

Select Domain Administrator (or EHR Domain Administrator) profile from the second drop-down; click “Go”

IMPACT: Accessing eMIPP

Click “External Links”

IMPACT: Accessing eMIPP

Click “EHR MIPP”

eMIPP: Welcome Screen

MIPP Registration

Start registration for 2016 program year (AIU, MU)

Click “Start” to access an open attestation

“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 IMPACT domain

Enter CMS ID and click “Search”

eMIPP: Federal Information

Shows payment/program years for EP

Click the icon for the program year 2016 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)

If inaccurate, click the word “here” in red to access the federal CMS registration site and update

When finished reviewing, click the “Close” button in the lower left to advance

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eMIPP: Eligibility Tab

Shows payment/program years for EP

Click the icon for the program year 2016 row

Active tab

Additional tabs (click to open)

Eligibility: Main Screen

Identifying Information

EHR Certification Information

Reporting Period

Eligible Patient Volume

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email@email.com

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 (https://chpl.healthit.gov)

Email: pre-populated from initial CMS registration

email@email.com

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 provider NPI) or at the group practice level (by organizational NPI/TIN)

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 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

Spreadsheet for calculating organization volume

Volume: Pre-Approval

Pre-approval information will be sent to 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 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 2015)

Prior 12 Months (begins/ends within the 12 month period preceding attestation submission date)

Different from MU 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; select organization from drop-down list*

* Organization must be enrolled as group in IMPACT and set as associated billing provider for individual enrollment. Visit https://www.illinois.gov/hfs/impact/Documents/IMPACTGroup.pdf for instructions on enrolling a group and review step 3 at https://www.illinois.gov/hfs/impact/Documents/IMPACTTypicalRenderingServicing.pdf for associating group with individual provider enrollment.

Select - V

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

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” (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

Will initiate audit verification check and delay payment

Eligibility: Main Screen

After completing Eligibility Information, click the button in the lower left corner to advance

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 2016 row

Active tabAdditional tabs (click to open)

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

MU Overview: Meaningful Use Reporting Period

The MU reporting period can be any 90-366 days from 2016 (leap year) 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 90-366 days from 2016 (leap year)

Does not have to be same as MU period

Enter start and end date

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)

* Report details on all locations that applied at the start of the 90 day MU reporting period

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 be filled out and uploaded to populate CQM tabs

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, alternate exclusions, or alternate compliance

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. Claim alternate exclusion, if available*

3. Attest to compliance, if not excluded

4. Click the title bar for the next measure to advance

* Stage 1 EPs can claim alternate exclusions for objectives that were not part of the most recent Stage 1 rules; Stage 1 and 2 EPs can claim alternate exclusions for objectives that were “menu” measures they did not intend to select under the most recent rules

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. 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

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 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

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

Meaningful Use: Save

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 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 patient volume, 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: muhelpdesk@chitrec.org

CHITRECThe Chicago HIT Regional Extension Center

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Sam Ross

CHITREC Implementation Manager

3/1/2016

Bringing Chicago together through health IT

www.chitrec.org