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Measure Calculation Report - View, Download, Transmit

The objective of this measure is the same for both the Medicare Quality Payment Program MIPS and the Medicaid Meaningful Use program, however the required threshold is different. Be sure to select the appropriate program at the top before running the report. Every Medicare provider will be attesting to MIPS and every Medicaid provider will be attesting to Modified Stage 2 of Meaningful Use for 2017. (MacPractice still maintains the Stage 1 and Stage 2 report options here for our users that require them for Meaningful Use audits.)


MIPS

Measure 1

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.

Measure 2

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Exclusions (Measure 2 only)
Any EP who:

- Neither orders nor creates any of the information listed for inclusion as part of the measures; or

- Conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 4Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period.

 

Modified Stage 2

Objective

Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.

Measure 1

More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely access to view online, download, and transmit to a third party their health information subject to the EP's discretion to withhold certain information.

Measure 2
For an EHR reporting period in 2015 and 2016, at least one patient seen by the EP during the EHR reporting period (or patient-authorized representative) views, downloads or transmits to a third party his or her health information during the EHR reporting period.

For an EHR reporting period in 2017, more than 5 percent of unique patients seen by the EP during the EHR reporting period (or his or her authorized representatives) view, download or transmit to a third party their health information during the EHR reporting period.

Exclusions (Measure 2 only)
Any EP who:

- Neither orders nor creates any of the information listed for inclusion as part of the measures; or

- Conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 4Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period.

 

MacPractice Report (for MIPS and Meaningful Use)
View, Download, Transmit

If your office is running MacPractice Build 7.3.15 and above, we have added a new feature that will automatically run the View, Download, Transmit report every day at a time of your choosing (default 5:00 PM). To enable this feature, navigate to MacPractice Menu > Preferences > Report, and check "Automatically run the View, Download, Transmit report every day". 

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How
Both measures will require the use of the Patient Portal set up for your MacPractice database. Without the Patient Portal on your MacPractice account, the act of exporting the summaries will not count.

Denominator: All unique patients seen within the filtered date range.

Numerator:

Measure 1: For Measure 1, a patient is added to the numerator if the office exports a clinical summary to that patient via the patient portal within 4 days of their office visit procedure date, as well as within 4 days of any change or addition to any clinical information on the patient's file.

***A New clinical summary must be exported to the portal within 4 business days each time any change or addition to clinical information on a patient is made. This is not limited to office visits and can include things like adding an allergy, filling a prescription, changing an address, and so on. If you miss exporting the summary within 4 business days of any change, that patient will remain in your denominator and there will be no way to ever get them back into the numerator for that reporting period.***

The export of this summary can be done in several areas of MacPractice. If you would like to do it as part of billing, there is a checkbox that will prompt you to export the summary when you create an insurance claim.

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With this box checked, you will get a second prompt after your claim printing window. From here, you can export to the portal and opt weather to physically print the summary as well.

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You can also export summaries from the Clinical tab in the Patients ability. Select the incident that contains the office visit code in the ledger, then select To Patient from the Export Incident menu in the upper right corner of the Clinical screen. This will bring up the same clinical summary preview window shown above, where you can export and print the summary.

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Finally, summaries can be created and exported in the EHR ability. Select the incident that includes the office visit code, then select To Patient from the Export Incident menu. You will see the prompt to export and print the summary.

The next step is vital and necessary regardless of how the clinical summary is exported. You must set up the patient with Portal Access in the Patient tab AND save them with the "Relationship to Patient" set as "Self". This must be done prior to or within four business days following the office visit or change to clinical information. If you are just exporting without setting up an actual Portal User for your patients, you are not really providing electronic access. This will require a work flow change for many offices, as this measure is time sensitive and you will not be able to go back and increase your percentage if this report does not meet the required 50% at the end of your attestation period. MacPractice highly recommends running this report at least twice a week to monitor and watch for changes in your numbers. Doing so will allow you to 'catch' the patients that are removed from the numerator and allow you enough time to export them an updated summary within 4 days of your changes.

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Measure 2: The patient (or their authorized representative) must log into the Patient Portal with the username and password created by the office and either view, download, or transmit their clinical summary.

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