2017 ACI Transition Measure: Medication Reconciliation

Under the Merit-based Incentive Payment System (MIPS) pathway of the MACRA Quality Payment Program, the Advancing Care Information (ACI) category replaces the Medicare EHR Incentive Program (Meaningful Use). ACI is one of the four performance categories that will be considered and weighted for scoring an eligible clinician’s performance under MIPS. This measure is not required to achieve the ACI base score, but may be selected to earn additional performance score credit. For more information on ACI scoring methodology, please click here.

Objective:

Medication Reconciliation

Measure:

Medication Reconciliation                   

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

Scoring Information:

  • Required for Base Score (50%): No
  • Percentage of Performance Score (up to 90%): Up to 10%
  • No bonus points available

Reporting Requirements

  • Numerator: The number of transitions of care or referrals in the denominator where medication reconciliations were performed.
  • Denominator: Number of transitions of care or referrals during the performance period for which the MIPS eligible clinician was the recipient of the transition or referral or has never before encountered the patient.

Practice Fusion Suggested Workflow
Practice Fusion suggests the following workflow to help ensure that you meet the numerator and denominator requirements for this measure within the Practice Fusion EHR.

  1. Determine whether the patient is a new patient or an incoming transition of care (e.g. referred from another provider, transitioned from another clinical facility, etc.).

  2. New patients are defined as patients with no prior signed chart notes with the MIPS eligible clinician. You do not need to follow Step 3 for new patients.

  3. If the patient is an incoming transition of care from another provider or clinical facility, indicate this by checking the "Transition of Care - incoming" box under Quality of Care in the encounter note. .

  4. Execute medication reconciliation for the patient.

    1. Medication reconciliation is generally considered the process of maintaining the most accurate and up-to-date list of all medications your patient is taking, including name, dosage, frequency and route, by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider. (Learn more about medication reconciliation from CMS)

  5. Once medication reconciliation is complete, check the Medication Reconciliation box under Quality of Care in the encounter note.

Additional Measure Information

  • To earn performance score credit with this measure under the ACI performance category, a MIPS eligible clinician should meet the numerator requirements for as many denominator eligible patients as the clinician deems appropriate during his or her selected 2017 performance period.
  • Any patient seen during the performance period who is an incoming transition of care or referral and all new patients will count towards the measure denominator.
  • Patients are considered as “seen during the period period” when they have a signed chart note during the performance period that has an encounter type of Office Visit, Home Visit, Nursing Home Visit, or Telemedicine Visit (Note: Only the MIPS eligible clinician who signs the note receives credit).
Data Validation
CMS has published guidance to help providers better understand the documentation they should retain around meeting MIPS requirements. CMS calls this guidance "MIPS Data Validation Criteria" because it describes the types of documentation that would validate the data the provider submits to CMS at the end of the performance period. You can learn more about this by reviewing CMS’ MIPS Data Validation Fact Sheet and you can see the specific documentation guidelines applicable to the ACI Transition Measures in CMS’ MIPS Data Validation Criteria for ACI Transition Measures.  

More information

  • Review the CMS specifications for more information about this measure.
  • For more information on the Merit-based Incentive Payment System (MIPS) program, you can visit Practice Fusion’s Quality Payment Program Center.
  • CMS also provides further resources about the Quality Payment Program here.

Quality Payment Program

  1. 2018 Quality Payment Program: What is the Merit-Based Incentive Payment System (MIPS)
  2. What is the MIPS Dashboard watch list and how do I use it?
  3. How does the MIPS Dashboard work?
  4. What is the Promoting Interoperability (formerly Advancing Care Information) performance category in MIPS?
  5. 2018 What is the Quality performance category in MIPS?
  6. 2018 What are Improvement Activities in MIPS?
  7. Which Improvement Activities qualify for the Promoting Interoperability performance category bonus in 2018?
  8. What is the Cost performance category of MIPS and how is it scored in 2018?
  9. How is the MIPS Final Score Calculated in 2018?
  10. What is a MIPS eligible clinician in 2018?
  11. MIPS for Small, Rural and Underserved Practices
  12. 2018 PI Transition Measure: Medication Reconciliation
  13. 2018 PI Transition Measure: Electronic Prescribing (eRx)
  14. 2018 PI Transition Measure: Secure Messaging
  15. 2018 PI Transition Measure: Security Risk Analysis
  16. 2018 PI Transition Measure: Health Information Exchange
  17. 2018 PI Transition Measure: Immunization Registry Reporting
  18. 2018 PI Transition Measure: Specialized Registry Reporting
  19. 2018 PI Transition Measure: Syndromic Surveillance Reporting
  20. 2018 PI Transitional Measure: View, Download, or Transmit (VDT)
  21. 2018 PI Transition Measure: Provide Patient Access
  22. 2018 PI Transition Measure: Patient-Specific Education
  23. What is the Practice Fusion QCDR?
  24. 2017 Quality Payment Program: What is the Merit-Based Incentive Payment System (MIPS)
  25. How do I report my 2017 MIPS data to CMS using the Practice Fusion QCDR?
  26. What is the Advancing Care Information (ACI) Performance Category for MIPS and how is it scored?
  27. 2017 ACI Transition Measure: Security Risk Analysis
  28. 2017 ACI Transition Measure: Electronic Prescribing (eRx)
  29. 2017 ACI Transition Measure: Provide Patient Access
  30. 2017 ACI Transition Measure: Health Information Exchange
  31. 2017 ACI Transition Measure: View, Download, or Transmit (VDT)
  32. 2017 ACI Transition Measure: Patient-Specific Education
  33. 2017 ACI Transition Measure: Secure Messaging
  34. 2017 ACI Transition Measure: Medication Reconciliation
  35. 2017 ACI Transition Measure: Immunization Registry Reporting
  36. 2017 ACI Bonus Measure: Syndromic Surveillance Reporting
  37. 2017 ACI Bonus Measure: Specialized Registry Reporting
  38. What is the Improvement Activities Performance Category for MIPS?
  39. What are the Quality performance category reporting requirements for MIPS?
  40. What is the difference between the two Advancing Care Information measure sets available in 2017?
  41. What are Alternative Payment Models (APMs) and Advanced APMs?
  42. What is Comprehensive Primary Care Plus (CPC+)?
  43. Which Improvement Activities Qualify for the Advancing Care Information (ACI) Bonus Score in 2017?
  44. How do I contact CMS about the Quality Payment Program?
  45. How do I indicate interest in the Practice Fusion QCDR and get my MIPS estimated scores?
  46. Chronic Care Management FAQs
  47. How do I export a JSON file for 2017 MIPS reporting?
  48. How is the MIPS Final Score Calculated in 2017?

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