May 21, 2015
As we discussed in our previous post, the CMS folks have been burning a lot of midnight oil this spring. The Proposed Rule for Modifications to Meaningful Use / MIPS in 2015 through 2017 contains many dramatic changes. This NPRM is well worth studying, as most of the changes will benefit over-worked providers in their efforts to qualify for Meaningful Use / MIPS incentive money. In this post, we focus on the changes that impact the specific objectives and measures that are used to qualify providers as Meaningful Use / MIPSrs.
The changes offered in the Modification NPRM are intended to align the current MU goals with the Stage 3 NPRM, and to reduce the reporting burden on providers. Those objectives, which are aligned with those for Stage 2 are discussed in more detail in my previous post about the Stage 3 rule. As a result of that alignment, the Stage 2 objectives are:
Key to reducing the burden on providers, CMS is eliminating 12 measures from the original Stage 2 requirements. These measures were considered redundant with other measures, duplicated between paper and electronic functions, or already achieving the highest scores (topped out).
The measures that would be eliminated by the Modification NPRM, if finalized as is, are:
The Modification NPRM makes meaningful changes and clarifications to 5 measures. These changes should generally ease the burden of providers, and were carefully selected to not require technical changes by systems vendors in order to measure and attest. There are no increased burdens in the requirements for the provider except for ePrescribing, which becomes mandatory. The proposed changes:
Finally, 6 Measures with Insignificant Changes:
In general, CMS’ proposed changes will greatly simplify the requirements for most providers, and should be welcomed. A number of influential healthcare groups, including HIMSS, the Medical Group Management Association, and the American Hospital Association have already spoken out in favor of the changes.
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