Health eFilings Will Fully Support You with MIPS Compliance
The transition from volume to value-based care is a major shift with significant financial implications for health systems and provider groups. With MACRA, clinicians are now paid for the value and quality of care they provide. Up to 38% of your annual Medicare reimbursements is at risk for providers who don’t effectively comply with MIPS, but we have the solution. Health eFilings is a Certified EHR Technology (CEHRT) and is certified in all 55 eCQMs. Our cloud based software seamlessly integrates with any 2014 certified or higher EHR to ensure you successfully transition to the value based care model and your practice meets all CMS reporting requirements and achieves your highest possible CPS.
Benchmarking is Critical with MIPS
Points are earned based on which decile each Quality measure falls into versus your peers, not the absolute percentage of the measure. So, based on CMS benchmarking, a 29% measure score can earn your more MIPS points than a 95% measure score.
Here is an Example Based on Actual CMS Benchmarks:
For CMS 160v7, a 31% performance, as benchmarked versus your peers, puts you in the 9th decile, earning you 9 points. In comparison, a 89% performance for CMS 133v7 only puts you in the 3rd decile based on benchmarking, earning you only 3 points. If you were doing this on your own or using a registry, there is a very good chance that you would have submitted CMS 133v7 because normally an 89% is significantly better than a 31%. However, you would have earned less points, hurting your chance to maximize your reimbursements or become bonus eligible.
In comparison, you would have earned the most points by using Health eFilings' MIPS Accelerator:
Proprietary algorithm selects your best performing Quality measures based on how you benchmark against your peers
It benchmarks your performance using the same database as CMS
Our electronic solution earns you one decile bonus for every measure
Deciles Differ By Reporting Method
eCQM Deciles Result in Significantly More Points than Registry Deciles
eCQMs and registry measures have different deciles, which result in a higher score when filing eCQMs with Health eFilings than with registry measures.
Using a Registry Puts You at a Significant Disadvantage
The same score for the same measure will earn you significantly less points filing via a Registry compared to filing eCQM’s via Health eFilings
Almost half of registry measures don't have a benchmark which means the most points a measure can earn is 3 points, regardless of performance
Can't benchmark before selecting and submitting measures
Won't earn any bonus points
MIPS Accelerator Does What a Registry Can't
No software to download and no workflow changes
No data entry or chart abstraction
No expensive consultants
Only service to integrate data across multiple EHRs to create a single, comprehensive patient record
Seamless integration with any 2014 certified or higher EHR
Proprietary algorithm selects your best quality measures as benchmarked versus your peers to maximize your CPS and eligibility for the Exceptional Performance Bonus
eCQM deciles result in significantly more points than registry deciles
Satisfies reporting requirements for three MIPS Categories: Quality, PI, and IA
A single, comprehensive electronic file submitted directly to CMS on your behalf
Use of our service results in the points needed to avoid the MIPS negative payment adjustment
CMS awards you a bonus of one decile for every Measure in the Quality category
Earn a 10% bonus in the Promoting Interoperability category
Automatically satisfies the 4 Activities in the Improvement Activity category, earning you the full 15 points