How do I indicate interest in the Practice Fusion QCDR and get my MIPS estimated scores?

The Practice Fusion Qualified Clinical Data Registry (QCDR) allows you to begin testing data submissions to the CMS MIPS Submission API directly from your MIPS Dashboard, which includes the ability to view an estimated MIPS final score based on the data available in your MIPS reporting watch list. Submitting a test request to CMS through the Practice Fusion MIPS Dashboard does not automatically result in a satisfactory MIPS data submission for calendar year (CY) 2017. Registration to participate in the Practice Fusion QCDR will open later in 2017 and MIPS data validation and submission for CY 2017 will occur between January and March 2018.

Indicate interest in the Practice Fusion QCDR
Practice Fusion providers who are interested in participating in the Practice Fusion QCDR for MIPS data submission to CMS should indicate this interest in the MIPS Preferences section of their MIPS Dashboard.

  1. From any page within your MIPS Dashboard, click on MIPS Preferences.
  2. In the preferences window that opens, select the QCDR checkbox to indicate you are interested in reporting MIPS data to CMS via the Practice Fusion QCDR.
  3. Click Save to save your changes.

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Set up your MIPS watch list for test submissions
Measures and activities you wish to see in your estimated MIPS final score must be present in your reporting watch list in order to be included in test submissions to the CMS MIPS Submissions API. Additionally, the required ACI base score measures must be satisfactorily met in order to receive an estimated ACI category score.

1. In your MIPS Dashboard, navigate to each performance category tab (ACI, Improvement Activities, and Quality) and click the Watch button next to the performance measures you want included in your submission. Set the toggle to “Add to watch list.”
  
2. Ensure that you have met the required ACI base score measures. Because the four ACI base score measures are required for all levels of MIPS participation, failure to meet the base score measure reporting requirements will result in a base score of zero. In order to receive an estimated ACI category score, the base score measures must have at least 1 in the denominator and 1 in the numerator and Yes/No measures must be reported as a “Yes.” The required measures are listed in Table 1.

Table 1. ACI Transition Base Measure Requirements for ACI Estimated Score

Base Measure Name

Result Needed to Get ACI Category Score

Security Risk Analysis

Yes

e-Prescribing

Numerator > = 1

Denominator > = 1

Provide Patient Access

Numerator > = 1

Denominator > = 1

Health Information Exchange

Numerator > = 1

Denominator > = 1

3. Confirm that all eligible encounters during the performance periods that you are submitting have been signed. Eligible encounters will not calculate on the MIPS Dashboard until they have been signed by the MIPS eligible clinician. Signing encounters will help ensure that your estimated score results are based on the most up-to-date EHR data.

4. In order for data updates made in the EHR (e.g. newly signed encounter notes or recently completed yes/no measures like Security Risk Analysis) to be incorporated into the data sent as part of your test submission, you will need to wait 24-48 hours after the update is made to send a test submission. This will help ensure that your MIPS Dashboard calculations have been updated within the Practice Fusion EHR before you send your data.

Set up QCDR test submissions
Once you have updated your MIPS Preferences and set up your watch list, you can set up QCDR test submissions from the MIPS Summary page in your MIPS Dashboard.

1. On the MIPS Summary page, click the Set up QCDR test submissions button.

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2. In the QCDR preferences window that opens, ensure that the required fields (marked with an orange asterisk) have been completed. First name, last name, individual NPI number, and tax ID number (TIN) will auto-populate based on the information entered in your user profile; the practice name will auto-populate based on the information you have entered under Practice Details in your EHR settings. You can manually add any missing data to these fields if necessary, then click Get results. The Practice Fusion QCDR will submit the data in your MIPS reporting watch list for all three performance categories, i.e. ACI, Improvement Activities, and Quality. 

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3. While calculating, the MIPS Dashboard will show your results as pending. Once the results have been returned, your MIPS estimated final score and the estimated weighted score for each performance category will display on the MIPS Summary page. You may also view the estimated scores for the individual performance categories under each performance category tab. 

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4. You will be able to submit updated data as part of additional test submissions through December 14, 2017. The minimum amount of time between additional submissions will be 24 hours, however, this time may increase up to 7 days between submission requests based on the availability of the CMS API. The next available update can be tracked directly in the MIPS Dashboard, as well as details of when the last update was requested.

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Scoring log
To view details of your test submission results, including information on the scores associated with individual quality and ACI measures, access the data files associated with each test submission and submission result in the Scoring Log tab within the MIPS Dashboard.

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To view the data for each requested set of results, click the View Details button next to the applicable result. The most recent result will appear at the top of the list.
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You can view the data sent as part of the test submission and the data result received from CMS in the details window. Data is sent and received in JSON file format, which can be read using the guidelines detailed in the sample data sent table and the sample data received table. Note that each API submission will be unique, so your individual data (both sent and received) may look different from the samples shown. However, by reviewing the explanations you can see how the file is structured which will help you understand what was included.

The JSON data files can be downloaded to your computer by clicking Download in the details window. To view the downloaded JSON message in a format that will align with the explanations in the tables, copy and paste the full message text into a JSON formatting website such as www.jsonprettyprint.com. The JSON files sent to and received from the CMS MIPS Submission API do not contain any protected health information (PHI).

JSON_file_examplepngMore information

  • For more information on how the MIPS Final Score is calculated, click here.
  • For more information on MIPS Dashboard functionality, click 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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