Medicare Compliance & Reimbursement - 2019 Issue 1
Part B Payment: CMS Overhauls QPP's Promoting Interoperability ... Again
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Article Overview
This article reviews CMS’s Year 3 updates to the Quality Payment Program’s Promoting Interoperability performance category for Part B providers. It focuses on the broad policy changes that affect reporting, technology requirements, and objective structure, and explains why the update matters for clinicians and practices preparing for the new performance year.
Why This Topic Matters
The changes affect how Part B clinicians report, what certified EHR technology they must use, and how the PI category is organized for 2019. Practices that participate in MIPS need to understand the updated requirements to prepare their systems and reporting workflows.
Article Sections
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Check Out What’s Ahead
Introduces the major changes expected under the updated PI policy framework and the overall direction of the CMS revisions.
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New score system
Summarizes the revised approach to scoring within the MIPS PI performance category and the shift away from the prior structure.
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CEHRT requirement
Covers the updated certified EHR technology requirement and the implementation timing concerns discussed in the article.
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Objectives and measures
Outlines the broad objective categories and measure updates described for the 2019 performance year.
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Four objectives
Describes the core objective areas identified for reporting in the updated program year.
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CEHRT measures
Notes the addition of a measures set tied to the updated CEHRT requirement.
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Opioid add-in
Addresses new objectives related to prescription monitoring and opioid treatment documentation within the e-prescribing area.
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Risk analysis
Discusses the continuing risk analysis requirement and its place in the revised scoring approach.
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Caveat
Highlights concerns raised about terminology changes and the clarity of CMS guidance for one of the measures.
What You Will Learn
- How CMS changed the Promoting Interoperability scoring framework for the 2019 performance year.
- What technology requirement changes apply to certified EHR technology for Part B clinicians.
- Which broad objective areas and measure groupings are included in the updated PI category.
- What implementation and interpretation concerns the article raises about the revised CMS guidance.
Who Should Read This
- Part B providers
- MIPS-eligible clinicians
- Health information management professionals
- Medical coding and compliance staff
- EHR implementation teams
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