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Illinois Medicaid EHR Incentive
Program for EPs
A Guide to Attesting for the 2016 Program Year in the eMIPP System
The Chicago HIT Regional Extension CenterBringing Chicago together through health IT
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Agenda
Logging into IMPACT; accessing eMIPP
Searching for attestation by CMS ID
Entering eligibility data (AIU and MU attestations)
Entering MU objectives and CQM data (MU attestations only)
Uploading documents
Submitting attestation
Tracking attestation
IMPACT: Login
Visit https://impact.illinois.gov
Enter user ID and password, click Login
IMPACT: Login
Click “IMPACT”
IMPACT: Domain/Profile
Select the individual provider for whom you are attesting from the first drop-down box
IMPACT: Domain/Profile
Select Domain Administrator (or EHR Domain Administrator) profile from the second drop-down; click “Go”
IMPACT: Accessing eMIPP
Click “External Links”
IMPACT: Accessing eMIPP
Click “EHR MIPP”
eMIPP: Welcome Screen
MIPP Registration
Start registration for 2016 program year (AIU, MU)
Click “Start” to access an open attestation
“Track” is only for reviewing previously submitted attestations
eMIPP: Search by CMS ID
CMS ID is displayed upon initial CMS registration
Can be found under Status tab at https://ehrincentives.cms.gov
Must be the ID associated with IMPACT domain
Enter CMS ID and click “Search”
eMIPP: Federal Information
Shows payment/program years for EP
Click the icon for the program year 2016 row
Additional tabs (click to open)
Active tab
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Federal Information: Review
Review Personal Information, Address, Identifiers, Exclusions and Prior Payments (not shown)
If inaccurate, click the word “here” in red to access the federal CMS registration site and update
When finished reviewing, click the “Close” button in the lower left to advance
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eMIPP: Eligibility Tab
Shows payment/program years for EP
Click the icon for the program year 2016 row
Active tab
Additional tabs (click to open)
Eligibility: Main Screen
Identifying Information
EHR Certification Information
Reporting Period
Eligible Patient Volume
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Eligibility: EHR Certification Information EHR Status: EPs in program year one will see “Adopt,” “Implement,”
“Upgrade” or “MU”; EPs in later years will only have option for “MU”
EHR Certification Number: must be accurate per the ONC Certified HIT Product List (https://chpl.healthit.gov)
Email: pre-populated from initial CMS registration
Volume: Reporting Tips
Encounter = one patient, one provider, one day (regardless of number of procedures/items billed)
Medicaid Encounter = encounter with a patient enrolled in an Illinois Medicaid program on day of service
Include encounters where Medicaid is primary, secondary or tertiary insurance (i.e. encounters with dual-eligible patients where Medicare paid the bill)
Include encounters with managed care patients (i.e. Harmony, Aetna, IlliniCare)
Medicaid (plus “needy individual” for FQHC/RHC) encounters must be greater than 30% of total encounters
Pediatricians can receive 2/3 of the total incentive payment for a program year if Medicaid encounter volume is >20% but <30%
Medicaid patient volume thresholds may be met at the individual level (by provider NPI) or at the group practice level (by organizational NPI/TIN)
Volume: Reporting Tips
If EP is reporting individual volume, include encounters from ALL sites of practice (inpatient, nursing home, physical therapy, etc.)
If EP is reporting group volume:
Limit to encounters associated with the practice
Group volume must be appropriate methodology for individual EP
All EPs in group must use group volume
Group volume is aggregate total of each group member encounters
HFS validates the number of Medicaid encounters reported
Within an acceptable range compared to claims per adjudicator
Re-submit if rejected
Maintain all evidence supporting your volume calculation, such as:
Output from billing software
Table 4 from UDS reports for FQHC/RHC
Spreadsheet for calculating organization volume
Volume: Pre-Approval
Pre-approval information will be sent to [email protected]
Visit http://chitrec.org/blog/2016/12/09/pre-approval-open-for-volume-data-required-for-meaningful-use/ for instructions
Please be patient for a response from Mecky Lang of the EHR Incentive Program Adjudication Team before moving forward with attestation
Attestations for providers who have not pre-approved are highly likely to be rejected
Eligibility: Reporting Period
Past 90 day period from which EPs must report encounter volume:
Prior Calendar Year (begins/ends during 2015)
Prior 12 Months (begins/ends within the 12 month period preceding attestation submission date)
Different from MU reporting period
Enter start date, end date will calculate automatically
Volume: Include Organization Encounters
Select “No” if EP is reporting individual encounter volume from eligibility reporting period (provider-level data, ALL sites of practice)
Select “Yes” if EP is reporting group volume; select organization from drop-down list*
* Organization must be enrolled as group in IMPACT and set as associated billing provider for individual enrollment. Visit https://www.illinois.gov/hfs/impact/Documents/IMPACTGroup.pdf for instructions on enrolling a group and review step 3 at https://www.illinois.gov/hfs/impact/Documents/IMPACTTypicalRenderingServicing.pdf for associating group with individual provider enrollment.
Select - V
Volume: Include Organization Encounters
For the 1st EP selecting “Yes” to organization encounters, eMIPP will notify that eligibility data will be “read-only” (cannot be changed) for future attestations selecting the same organization NPI
For all other EPs selecting “Yes” to organization encounters with the same organization NPI, eMIPP will notify that group eligibility data will be copied from 1st EP
(Notification for 1st group member) (Notification for all other group members)
Volume: Pediatrician/PA/Hospital-Based EP Select “Yes” only if EP practices as a pediatrician, defined as board certified in
pediatrics or 90%+ patient base under age 21
Select “Yes” only if EP practices as a physician assistant (check all that apply)
To simplify the process, select “No” to “Hospital Based Provider”
Volume: Render Care in FQHC/RHC
Select “No” if EP did not render any care in an FQHC/RHC
Enter Total and Medicaid Encounters from eligibility reporting period
Total Encounters = all encounters, all payers
Medicaid Encounters = encounters with Medicaid program patients
Volume: Render Care in FQHC/RHC
Select “Yes” if EP rendered any care in an FQHC/RHC
Total Encounters = all encounters occurring at FQHC/RHC
Medicaid Encounters = number of total encounters with Illinois Medicaid patients
Charity Care Encounters = number of total encounters provided free of charge
Sliding Fee Scale Encounters = number of total encounters that were billed based on patient income
If EP is reporting individual encounters, enter non-FQHC/RHC patient volume in the “All Other Settings Encounters” section
Volume: Nurse Practitioner
If EP is a Nurse Practitioner, a “Billing NPIs” section will display:
Enter NPI numbers of all providers under whom the EP bills
If the EP does not bill under other provider NPI(s), just enter the NPI of the EP in the “Billing NPI 1” box
Volume: No-Cost Encounters
To simplify the process, select “No” to “Did you include no-cost encounters” (billed at $0); these should have been included in your Medicaid encounters above
Select “Yes” if you included encounters from outside Illinois in order to reach the 30% threshold
Enter state(s) in which encounters included above occurred
Will initiate audit verification check and delay payment
Eligibility: Main Screen
After completing Eligibility Information, click the button in the lower left corner to advance
eMIPP: Meaningful Use Tab
First year participants reporting AIU will not see/use this tab
Shows payment/program years for EP
Click the icon for the program year 2016 row
Active tabAdditional tabs (click to open)
Meaningful Use: MU Overview
5 navigation tabs at top
Meaningful Use Reporting Period (at least 90 days)
CQM Reporting Period (at least 90 days)
Location Information
MU Overview: Meaningful Use Reporting Period
The MU reporting period can be any 90-366 days from 2016 (leap year) during which the EP achieved compliance with MU
Not the same as eligibility reporting period
Enter start and end date
MU Overview: CQM Reporting Period
The CQM reporting period can be any 90-366 days from 2016 (leap year)
Does not have to be same as MU period
Enter start and end date
MU Overview: Location Information
Enter the total number of locations where EP works*
Enter number of locations where EP has a certified EHR*
Enter the percentage of patients seen at locations where EP has a certified EHR (must be at least 50% to be eligible)
Enter the percentage of encounters occurring at locations where EP has a certified EHR (must be at least 50% to be eligible)
* Report details on all locations that applied at the start of the 90 day MU reporting period
MU Overview: Submission and Upload PDF
Select “Online” to enter Meaningful Use data through the eMIPP application (screen shots to follow)
Select “PDF” to download a PDF reporting template which can be filled out and uploaded to populate MU tabs
Select “QRDA III” to download a PDF reporting template which can be filled out and uploaded to populate CQM tabs
Meaningful Use: MU Overview For those selecting
“Online” submission, click the “MU- Objectives” tab at top to continue*
For those selecting “PDF” and “QRDA III” submission, verify that all 3 items in the “Meaningful Use Completion” checklist are checked then click
in the lower left to continue
* You may click the “Save” button at any time to save your progress
Meaningful Use: MU Objectives
Must report compliance on ALL 9 objectives to advance
Report numerator/denominator or respond yes/no
Some objectives ask for exclusions, alternate exclusions, or alternate compliance
Click the title bar of an objective to open/close the reporting panel
Meaningful Use: MU Objective (Yes/No)
1. Complete measure measure compliance fields
2. Click the title bar for the next objective to advance
Meaningful Use: MU Objective (Num/Den)
1. Claim exclusion, if available
2. Claim alternate exclusion, if available*
3. Attest to compliance, if not excluded
4. Click the title bar for the next measure to advance
* Stage 1 EPs can claim alternate exclusions for objectives that were not part of the most recent Stage 1 rules; Stage 1 and 2 EPs can claim alternate exclusions for objectives that were “menu” measures they did not intend to select under the most recent rules
You do not need to click the button after completing MU objectives- just click the “MU- Public Health Measures” tab to the at top to advance
Meaningful Use: MU Public Health Measures
Click the title bar of a measure to open/close the reporting panel
1. Claim exclusion, if available
2. Claim alternate exclusion, if available*
3. Attest to compliance and enter registry details, if not excluded
1. Click the title bar for the next measure to advance
Meaningful Use: MU Public Health Measures
You do not need to click the button after completing MU Public Health Measures, just click the “MU- Clinical Quality Measures” tab at top to advance
Meaningful Use: MU CQM
Click the title bar of a domain to open/close the reporting panel
Must report on minimum 9 Clinical Quality Measures to advance
Must report on at least one CQM from 3 different domains
Report numerator/denominator/exclusions/exceptions
Meaningful Use: MU CQM
Click the title bar for a CQM within the domain to open/close the reporting panel for that CQM
Click the title bar for another domain to open the reporting panel
Meaningful Use: MU CQM
1. Attest to compliance (numerator, denominator, exclusions/exceptions)
2. Click the title bar for another CQM you want to attest for in this domain
After completing 9 MU CQM, click the button to save your responses; or return to another tab by clicking at top
Meaningful Use: Save
eMIPP: Upload Document Tab
AIU attestations must include documentation supporting the adoption, implementation or upgrade to certified EHR technology (i.e. purchase order, contract, receipt)
FQHC must upload UDS – Table 4 (Patient Characteristics)
Click the button to upload for the 2016 program year
Active tabAdditional tabs (click to open)
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Upload Document: Browse for File
Click “Browse” to locate the file on your computer and select
File type must be Word, Excel or PDF
Enter a file description (i.e. EHR receipt), click “Upload”
eMIPP: Attestation Tab
Read the attestation statement, click the check box in the lower left to accept the terms and conditions
Click the “Register” button to complete attestation with a digital signature
Attestation: Confirm
Click “OK” to submit your EHR Registration for State Review (this is equivalent to “attestation”) or “Cancel” to go back
eMIPP: Registration Confirmation
You will receive an “EHR Incentive Program Registration Confirmation” (this indicates you’ve completed “attestation”)
Click the PDF icon to download an attestation summary report
eMIPP: Track
View Status of MIPP Registration Click “Track” to view eligibility, MU and payment information from previous
program years
Note: If you are re-submitting patient volume, use the “Start” button. “Track” will NOT allow you to edit any information
Track Registration: Search by CMS ID
CMS ID is displayed upon initial federal registration
Can be found under Status tab at https://ehrincentives.cms.gov
Must be an ID associated with a provider registered in MEDI
Click “Search” to track your attestation status
Track Registration: Payment Information Tab
Review program status and payment information for previous program years by clicking the “Payment Information” tab
Help Desk Information
For any EHR Incentive related questions, please use the contact information below:
Support Line: 855-684-3571 (855-MU-HELP-1)
E-mail: [email protected]
CHITRECThe Chicago HIT Regional Extension Center
Collaboration | Trust | Leadership | Service | Community
Sam Ross
CHITREC Implementation Manager
3/1/2016
Bringing Chicago together through health IT
www.chitrec.org