Top Three Reasons CEHRT Reporting Will Earn More Points and Maximize Reimbursements

Top Three Reasons CEHRT Reporting Will Earn More Points and Maximize Reimbursements

Guest Author: Sarah Reiter of Health eFilings

The Medicare Access and CHIP Reauthorization Act (MACRA) and the program designed to implement the law, Merit-based Incentive Payments Systems (MIPS), have raised the financial stakes and the complexity of regulatory compliance for all healthcare systems.  Simply put, healthcare organizations, like yours, have no choice but to engage and embrace the shift to value-based care to improve outcomes and therefore maximize your reimbursements.

And the method of reporting for the MIPS program can have a significant impact on your ability to earn points.  Not all reporting methodologies are the same. There are BIG differences between MIPS reporting methods and what you don’t know could result in a 7% penalty increasing to 9% penalty for the 2020 Reporting Period, not to mention lost bonuses! The most effective, and most efficient, reporting methodology is known as a Certified EHR Technology or CEHRT.   

But why is CEHRT reporting the superior method?  In this post, we will address the comparison of CEHRT reporting with the legacy “Registry” reporting method.  Here are the top three reasons that working with a CEHRT, like Health eFilings, is the superior approach:

1. The software does all the work

Health eFilings’ ONC certified software is an “end to end electronic solution”.  The software will extract, analyze and prepare the data in the most complete and accurate manner without requiring any administrative or IT support from you, the practice. 

In contrast, registry reporting is fully a manual process and simply is a combination of purchased forms and a submittal vehicle.  With a registry, the burden of all the administrative work is placed on staff and requires manual measure calculation and measure selection, all with no visibility to the measure benchmarks.

2. eCQMs earn more points

Health eFilings uses eCQMs (electronic Clinical Quality Measures) for purposes of reporting, and eCQMS offer more and better measures to optimize the points that can be earned.  Almost all eCQMs have benchmarks that provide a clearer and more concise way to determine your performance and earn more points. As a point of insight, think of how points are earned as grading on a curve, where your actual performance percentage is irrelevant but what is relevant is the way that percentage compares to your peers, and by peers it means all providers, regardless of specialty or geographic location, who submit data for that measure.

As a point of comparison, almost half of registry measures don’t have benchmarks which means no matter how well you do on that measure, your score (or points earned) will be significantly limited, resulting in few overall points.  

3. End-to-end electronic solution and earns bonus points

CMS has determined that the data submitted via technology is more complete and accurate, and because of this, CMS is incentivizing clinicians and practices by awarding them bonus points toward their MIPS score when they use a CEHRT like Health eFilings.

However, a registry is not a CEHRT and does not meet CMS’s definition of technology and as such does not provide verified accurate and complete data.  Therefore, a registry provides no opportunity for any bonus points for the practice.

So, when complying with MIPS, its critical to utilize the reporting method that optimizes the points that could be earned and leverages technology to facilitate the ease, accuracy, and completeness of tracking and reporting to maximize the score.   Reporting via a CEHRT like Health eFilings is the best approach because it optimizes the points that could be earned and therefore, maximizes Medicare reimbursements.

Beyond the inherent benefits of leveraging technology, working with Health eFilings has many advantages versus any other reporting methodology:

  • Seamless integration with any EHR or billing system
  • No IT or Administrative resources needed from the practice
  • Tracks and reports for all MIPS categories 
  • Earn bonus points because Health eFilings is an “end to end electronic solution”
  • A proprietary algorithm evaluates 9 million combinations to select best quality measures to optimize the score
  • Electronically submits all data to CMS

Is there anything I can still do for 2019 reporting?

Even though the end of the 2019 reporting period is quickly approaching, you do not need to accept that you must take the automatic penalty for this year.  Health eFilings can support you with reporting for the 2019 reporting period and also advise you on your situation to set you up to be ready for the start of the 2020 reporting so you are able to optimize your score.

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The Importance of Selecting the Right Reporting Methodology

2019 MIPS Reporting2019 MIPS Reporting

2019 MIPS Reporting – Guest Author: Sarah Reiter of Health eFilings

The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law on April 16, 2015, and is driving the transition in healthcare from a volume to a value-based care model. CMS programs such as MIPS require providers to transition to a value-based care model or else face significant financial risks and even reputational harm. The stakes have been raised every year and it is even more complex than it has been in the past, further increasing the stress, burden and financial risk to providers. For a provider, it is critical to understand the impact that the reporting methodology has on one’s MIPS score and to choose the best methodology and reporting partner.

Within this new framework of the MIPS program, all healthcare practices regardless of size or specialty must evolve their approach to reporting to assure their financial viability. However, most do not understand or have awareness of, the different reporting methods available to them. Many providers erroneously still think that a registry is the only reporting option available to them or that they are required to use a registry. Or, they think that their EHR covers their reporting obligation. This misperception and general lack of awareness of the other reporting methodology is detrimental to the financial interests of any practice. And, furthermore, for the 2019 Reporting Period, it is likely the first time that traditional, legacy reporting systems (registry or EHR) may be unable to fulfill enough of the reporting criteria to avoid the minimum score penalty.

The other reporting methodology, known as a Certified EHR Technology or CEHRT, has emerged as the superior reporting methodology. Reporting through a CEHRT dramatically improves the efficiency and effectiveness of the MIPS reporting process especially when done using ONC certified software. Also, a CEHRT utilizes eCQMs (electronic Clinical Quality Measures), which are a better way to optimize the points that can be earned.  When the process utilizes ONC certified software and is, therefore, an end-to-end electronic solution, CMS awards significant bonus points toward the provider’s MIPS score.

Health eFilings, a CEHRT, is the best choice for a reporting partner. Our cloud-based ONC certified software fully automates the process and does all the work with no IT resources, administrative support, and workflow changes. Health eFilings’ service is an end to end electronic solution that will save significant time, be a turn-key submission process and maximize the financial upside for providers.

And, finally, an important and timely addendum: While the 2019 reporting period is quickly coming to a close, Health eFilings can support you with reporting for 2019 so that you will avoid the automatic 7% penalty for not complying. But, time is of the essence, reach out NOW to connect with Health eFilings.

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If you would like to stay up to date with recent happenings at EZClaim and more interesting articles, please click here to visit our blog page!