1. What if I don’t have an electronic health record Physicians and practices can still participate in the program without certified electronic health record technology (CEHRT), except for the Promoting Interoperability (PI) performance measures which requires CEHRT reporting mechanisms. The reporting mechanisms that can be used to submit your MIPS data depend on (1) the reporting options designated for that category and (2) whether you participate as an individual, group, or Virtual Group. Moreover, you can report different categories using different reporting mechanisms; you are not required to submit MIPS data using one reporting mechanism across all the categories. The table below details the alternative reporting mechanisms available: Category Reporting Options Quality Individual (themselves or working with a Qualified Registry, QCDR, or CEHRT Medicare Part B Claims; Direct; Log-In and Upload Group or Virtual Group (themselves or working with a Qualified Registry, QCDR, or CEHRT Medicare Part B Claims (only for those with small practice designation); Direct; Log-In and Upload; CMS Web Interface (for 25 or more ECs); CAHPS for MIPS Survey; Administrative Claims Improvement Activities Individual, Groups, Virtual Groups, and Third-Party Intermediaries (e.g., Qualified Registry, QCDR, CEHRT, CMS-approved survey vendor) Direct; Log-In and Upload; Log-In and Attest (via qpp.cms.gov) Promoting Interoperability Individual, Groups, Virtual Groups, and Third-Party Intermediaries (e.g., Qualified Registry, QCDR, CEHRT,) Log-In and Upload; Log-In and Attest (via qpp.cms.gov) Third-Party Intermediaries Direct Cost Individual No submission required. CMS will use administrative claims data. Group or Virtual Group To learn more about the reporting mechanisms at the individual, group, or Virtual Group level for each category, please see the MIPS Reporting Mechanism resource. Pages MIPS Reporting1. What if I don’t have an electronic health record2. Is it possible for those practices without CEHRT to apply for a hardship exemption?3. My CEHRT vendor said I have to submit all MIPS data through its product and pay additional fees to submit data for each MIPS category too. Is this true?4. What are the price ranges if I decide to use a 3rd party vendor to report data on my behalf for each MIPS category?5. If I use a 3rd party vendor, does CMS guarantee that all MIPS-related vendors will be successful in submitting data to MIPS? 6. Will a 3rd party vendor reimburse my fees for errors committed by its product (registry, QCDR, EHR, other)? What about lost Medicare Part B revenue resulting from a MIPS payment penalty?7. What are no/low cost ways to report data for each MIPS category?8. When is the earliest an eligible clinician can report, and does the answer change depending on category they elect?9. What is the difference between a qualified registry and a qualified clinical data registry?10. Can I report data for the different categories using different reporting mechanisms? Comments are closed.
