Promoting Interoperability Hardship Exception
For practices that inquire about the Promoting Interoperability Hardship Exception
1. Verify their eligibility for MIPS/small practice status
2. Respond with identifying whether the provider is eligible, and if eligible, a variation of the following text:
We recommend our small practices apply for the Promoting Interoperability Hardship Application for each eligible provider before the deadline of DECEMBER 31, 2019.
Approval on this application will reweight the Promoting Interoperability into Quality Measures, which will be communicated to you via email. The reweighting can be nullified by simply submitting data in the Promoting Interoperability category, so if you end up performing well in this category, you can get it back. You haven't hurt your chances at improving your score.
More information can be found at: https://qpp.cms.gov/mips/exception-applications
Application: https://cmsqualitysupport.service-now.com/exception_application.do
In the application the top of the document pertains to the provider. Section 1 pertains to the person submitting on his (or her behalf). Fill out both of these sections.
Since you'll be requesting the hardship because you're a small practice, you want to scroll down to section 2.5 and check that the provider is in a small practice (CMS defines a small practice as fewer than 15 providers).
Then click to certify, enter the submitter's name, and click submit in the lower right corner.
Will you be needing Attestation Assistance this year?
3. When the practice responds "Yes" to needing Assistance, do the following:
Fill out the top of MIPS Attestation Services & send to practice
email should read something like:
Thank you for your interest. There are many nuances in the MIPS program that we don't want you to get tripped up in. I have included our contract for Attestation Assistance. In it we provide:
Live navigation assistance through the attestation submission
Detailed review of values and measures set
MIPS Attestation report population
Quality Reporting Document Architecture (QRDA) creation for upload submission
Please return the attached at your earliest convenience so that we can prepare for your Attestation.
Thank you,
Run QM & PI reports
Update the MIPS 2020 Master List (https://docs.google.com/spreadsheets/d/1CUQZY6iIHVEz_P39Lz8eUqTn_qrUMDjzrpkIh4YHv5U/edit#gid=0). That way we will know who to target in 2020 for MIPS Services
4. When the practice returns the signed MIPS Assistance EULA, begin Attestation Assistance protocol & have them verify they can log into QPP portal. Follow up once a week if the EULA is not returned.