Under the Quality Payment Program, the advancing care information category takes the place of meaningful use. Advancing care information contributes part of your total score in the new program's fee-for-service option, the Merit-Based Incentive Payment System.
- To avoid a 2019 MIPS penalty, physicians must complete the minimum in at least one performance category during 2017 (quality reporting, advancing care information or improvement activities).
- Physicians have multiple way to report for MIPS -- and the advancing care information category. See reporting options, below.
- You don’t have to report advancing care information measures to avoid a 2019 penalty for 2017 performance, but, in future years, CMS will make avoiding a penalty more difficult.
To report advancing care information measures for 2017, you must:
- Use an electronic health record system that meets 2014 certification standards or 2015 certification standards.
- Report on either the test pace (base measures) or the full/partial participation set (base measures + performance measures +/- bonus measures).
|Program Component||2016 and before||2017|
||Advancing care information
|Penalty for non-performance
||Tied to program performance alone; varied by year
||Depends on overall MIPS performance
||Graduated, based on years in program
||Same for all
|Ways to participate
||Physicians progressed through multiple stages
||Report base +/- performance measures
||16 measures across 10 functional objectives + 9 physician-chosen clinical quality measures
||4 for the base score; 9 for the performance score
2017 Reporting Options
Avoid a Penalty (Test Pace)
To complete the minimum for the category, clinicians must report on all of the following four base measures:
- Attest to security risk analysis;
- E-prescribe to at least one patient;
- Provide patient access through a portal within four business days for at least one patient; AND
- Send a summary of care to a clinician to whom you refer or transition a patient (health-information exchange measure) for at least one patient.
You’ll earn 12.5 points toward your MIPS Final Score – enough to avoid a 2019 penalty.
Attempt a Bonus
To get more than 12.5 points toward your MIPS Final Score, you must also report on up to seven performance measures and/or up to two bonus measures for 90 consecutive days to a full year:
- Attest to security risk analysis (objective 1).
- E-prescribe to at least one patient.
- Report more than one patient on the two remaining base measures.
- Report more than one patient on five performance measures.
Points earned on the performance measures depend on your performance rate.
New for 2017, you can complete all attestations to advancing care information through any of the following:
- The Academy’s IRIS® Registry;
- The CMS attestation site; OR
- Your EHR vendor.
CMS offers limited hardship exceptions from reporting, under which the agency reweights ACI to your quality-reporting performance category.
EHR System Requirements
To report advancing care information measures for 2017, physicians must have EHR technology that meets 2014 or 2015 edition U.S. Department of Health and Human Services certification standards. The Department of Health and Human Services maintains a list of certified EHR systems.
In 2018, physician can complete ACI using and EHR that meets the 2014 or 2015 edition certification standards. Those who exclusively use 2015 certified EHR technology during the 2018 performance year, will earn a 10 percent ACI category bonus.
In 2019, all physicians will be required to use technology that meets the 2015 edition certification standards.
Medicaid Meaningful Use Program
Medicaid continues to operate a state-specific meaningful use program, separate from the Medicare version that rolled into the Quality Payment Program.
- Attesting to the Medicaid program does not count toward CMS requirements for advancing care information.
- Reporting for advancing care information does not count toward requirements for the Medicaid program.
- To qualify for the Medicaid EHR Incentive Program, at least 30 percent of a provider’s patients must be on Medicaid. Requirements can vary by state.
Check with your state for their Medicaid meaningful use requirements.