Quality-Reimbursement

The AANA continues to develop informational sources to aid certified registered nurse anesthetists (CRNAs) in understanding the complex relationship between quality and value outlined in many of the Center for Medicare and Medicaid Services (CMS) quality initiatives.  As these quality initiatives will affect reimbursement, it is important for CRNAs to build their knowledge base and become more familiar with some of these programs.  This website is intended to be an educational guide to the programs the AANA believes will impact CRNAs the most.  
 
 
 

 2017 Reporting

 
Medicare Access & CHIP Reauthorization Act (New Quality Payment Program)
 
Merit-based Incentive Payment System (MIPS) Performance Category Fact Sheets:
 Quality
 Improvement Activities
Advancing Care Information  (optional for CRNAs) 
 ​Cost (no action required)​
 
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MIPS Composite Scoring and Payment Adjustments -
Coming Soon
 
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Alternative Payment Models - Coming Soon
 

 Announcements

 
PQRSwizard
February 7, 2017 - For those CRNAs that are using PQRSwizard for their 2016 PQRS reporting, they will be extending their data submission deadlines from February 28th to March 10th at 5:00 pm EST.  There are a variety of February webcasts  that will walk you through the PQRSwizard upload and validation process.   Please visit the PQRSwizard Video Library for more information.  If you have specific questions about data reporting or measures found in PQRSwizard please call 1-877-509-7774
 
CMS extends deadline for 2016 PQRS EHR submissions 
February 7, 2017 - CMS is extending the submission deadline for 2016 Quality Reporting Document Architecture (QRDA) data submission for EHR reporting.  Individual eligible professionals (EPs), PQRS group practices, qualified clinical data registries (QCDRs) and qualified EHR data submission vendors (DSVs) can submit 2016 EHR data until March 13, 2017.  The original deadline was February 28, 2017.  For complete information use this link.  The new deadlines are
 
March 13, 2017
  • EHR Direct or Data Submission Vendor (QRDA I or III) - January 3, 2017 to March 13, 2017
  • Qualified Clinical Data Registries (QRDA III) - January 3, 2017 to March 13, 2017
 March 17, 2017
  • Web Interface - January 16, 2017 to March 17, 2017
 March 31, 2017
  • Qualified Registries (Registry XML) - January 3, 2017 to March 31, 2017
  • QCDRs (QCDR XML) - January 3, 2017 to March 31, 2017.

 
Sign up for 2017 CMS Study to Receive Improvement Activities Credit for 2017 MIPS
December 30, 2016 -The Centers for Medicare & Medicaid Services (CMS) is conducting a Clinical Practice Improvement Activities and Measurement Study.   Applications for this study will be accepted from January 1 - 31, 2017. Clinicians and groups who are eligible for the Merit-based Incentive Payment System (MIPS) that participate successfully in the study will receive full credit for the Improvement Activities performance category.  To learn more and apply please go to the 2017 CMS Improvement Activities and Measurement Study.   Completed applications should be submitted to CMSCPIAStudy@ketchum.com by January 31. 

2017 MIPS Measure Specifications Released
December 29, 2016 - The Centers for Medicare & Medicaid Services (CMS) has released the final specifications for the 2017 MIPS measures on December 29, 2016.   To view the measure specifications please visit CMS’ Quality Payment Program website under Education and Tools -> https://qpp.cms.gov/resources/education  These measure specifications can only be used for claims or qualified registry reporting only.  

 
2015 PQRS Performance Scores Posted on Physician Compare

December 20, 2016 - The Centers for Medicare & Medicaid Services (CMS) has released new performance data on the Physician Compare website. The 2015 data release includes individual clinician-level PQRS measures collected via claims and registry and non-PQRS Qualified Clinical Data Registry (QCDR) as well as group practice-level PQRS measures. You can visit the Physician Compare website to see if your performance scores have been publicly reported. For more information, you can also read our FAQ page on CMS Quality Public Reporting.

 

 
 
 
 

 Educational Opportunities

 
CMS Quality Reporting for ASCs-Free Webinar
The Ambulatory Surgery Center Association (ASCA) will be hosted a free webinar on Tuesday, November 15, at 12:00 pm CST. Donna Slosburg, RN, BSN, LHRM, CASC, executive director of the ASC Quality Collaboration, and Gina Throneberry, RN, MBA, CASC, CNOR, director of education and clinical affairs for ASCA, will review which quality measures you need to report in 2017 and how you can meet all of the reporting requirements. Nursing contact hours and AEU credit are available. Click here to access the recording.

Transforming Clinical Practice Continuing Medical Education Module Available
A new Continuing Medical Education (CME/CE) module is now available for the health care provider community as part of CMS’ ongoing education and outreach efforts to inform providers about the latest initiatives of the Affordable Care Act.
 
Release/Duration: Posted on 9/19/2016. Expires on 9/19/2017.

CMS MLN Connects Call - 2016 PQRS Reporting: Avoiding 2018 Negative Payment Adjustments Call
On April 21, 2016, CMS hosted a live educational call, which provided an overview of the 2016 PQRS and related resources and covered guidance and instructions on how individual eligible professionals and PQRS group practices can get started, satisfactorily report/participate, and avoid the 2018 PQRS negative payment adjustment. The presentation slides are available through the CMS website. 

2016 PQRS Essentials for CRNAs - Archived Webinar 
This live webinar took place on April 14, 2016. Click here to download the presentation slides and video recording (login required).
 

 Contact Information

 
American Association of Nurse Anesthetists 
Research and Quality Division
Telephone: (847) 655-1170
 
DISCLAIMER: The information provided on the programs below was created by the AANA Research and Quality Division.  While we have made reasonable efforts to ensure the accuracy of the information, the rules and regulations that govern the programs may change. The AANA makes no legal representations regarding the rights and responsibilities of eligible providers/clinicians and shall not be held liable for any information presented here or on any third-party page linked to this website.  It is the responsibility of the reader to verify the accuracy of any statements made herein with the Centers for Medicare and Medicaid. 
 

 Attention AANA Members:

 
 
 

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