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MIPS Fall Housekeeping Checklist

The Merit-based Incentive Payment System (MIPS) reporting season is just around the corner. MIPS data can be submitted through the Quality Payment Program (QPP) portal from January 1 – March 31, 2019. Make sure your practice is preparing to report MIPS by taking a moment to run through this checklist:

1. Log in to your Enterprise Identity Data Management (EIDM) account

  • Create your EIDM account if you don’t already have one or log in to your existing account to make sure there are no issues with your credentials. If you have not logged in to the QPP Portal in 60 days, you will have to reset your EIDM password
  • Your EIDM credentials will allow you to log in to the QPP Portal, view your connected clinicians and report MIPS data when the submission window opens on January 1, 2019
  • For more information on how to create an EIDM account or select the proper EIDM role, view the EIDM user guide

2. Check if your practice is eligible for a hardship exception

  • Some practices may qualify for a hardship exception that eases their MIPS reporting requirements. You may qualify for a Promoting Interoperability Hardship Exception (which would reweight your promoting interoperability (PI) category score to 0) for the following reasons:
    • MIPS-eligible clinicians in small practices
    • MIPS-eligible clinicians using decertified electronic health records (EHR) technology
    • Insufficient internet connectivity
    • Extreme and uncontrollable circumstances
    • Lack of control over the availability of certified EHR technology (CEHRT)
  • You may also qualify for an Extreme and Uncontrollable Circumstances Exception if you were impacted by rare events outside of your control.  You must provide a start and end date of when the circumstance (i.e. a natural disaster in which the CEHRT was damaged or destroyed) occurred to qualify
  • If you think you qualify for a hardship exception, submit your application by December 31, 2018

3. Prepare your data collection

  • The last 90 days reporting period for Improvement Activities and Promoting Interoperability began on October 2
  • Determine your reporting mechanism and speak with vendors if necessary
  • Gather and retain audit documentation

4. Conduct your Security Risk Analysis (SRA)

  • SRAs must be completed before December 31, 2018
  • You perform your 2018 SRA during the calendar year to pass the 50 percent base score for the PI category

5. Check your 2017 feedback reports

  • Log in to the QPP portal to see how you performed in 2017 and learn where you can improve
  • View your 2017 payment adjustment that will be applied in 2019
  • If you have concerns with your score, you have until October 15, 2018 to submit a targeted review

For more MIPS reporting tips, see HQI’s MIPS Nine Step Guide.

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