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CMS Web Interface: Options for Transitioning to a New Reporting Method by 2022

CMS is sunsetting the CMS Web Interface measures by 2022, this blog walks you through your options for reporting in 2022.

The Quality Payment Program (QPP) has allowed large organizations to use the CMS Web Interface reporting method to complete MIPS requirements since the program launched in 2017. This gave these organizations of >25 clinicians/NPIs the option to report MIPS quality using a sampling of 248 patients for each measure across a single TIN, selected through Medicare Part B claims.

CMS will sunset the CMS Web Interface reporting option in 2022 which means by the beginning of next year, ACOs and clinician practices must report all patients, all payers across all practices. Figuring out data aggregation will be key for these organizations this year.

In this post we will review your CMS Web Interface options for 2021 and then show you equivalent measures for 2022. We also provide a few thoughts on strategies to make 2022 successful.

This article focuses exclusively on the Quality category requirements for MIPS. For a full list of all requirements, please read the 2021 MIPS Requirements post.

Reporting Frameworks

If you currently report using the CMS Web Interface measures you can still do so in 2021. That being said, you must understand the new reporting framework options for 2021 because they are relevant in 2022.

There are two MIPS frameworks in 2021. Each framework has slightly different requirements and different category weights.

Traditional MIPS
and
APM Performance Pathway (APP)

Traditional MIPS Framework

This is the usual MIPS framework made up of four categories and a composite score.

APM Performance Pathway (APP) Framework

The APP Framework is new and is available to MIPS APM entities and required for ACOs if they are part of MSSP.

Here is a matrix of which framework you can report to based on your status.

2022 MIPS Reporting Options

Again, this framework doesn’t mean much for you in 2021 BUT the framework that you report to is important in 2022. So, we will come back to this concept later in this post.

2021 Requirements and Options for CMS Web Interface

We assume you know most of the information below but just in case, these are the 2021 requirements and measures for submitting the Quality category data to CMS using the CMS Web Interface collection type.

Note: There is a slight change in the Claims measure list and this is dependent upon which reporting framework you use.

Quality Category

CMS Web Interface Collection Type

2021 Quality Category Requirements

Must be a group, virtual group or APM entity with 25 or more eligible clinicians

  • Submit all 10 measures listed below
    • CMS generates and sends your organization samples of cases for each measure from Medicare part B claims
    • You must submit 248 consecutive cases per measure from that sample
  • Two administrative quality claims measures are calculated automatically
  • CAHPS for MIPS survey

2021 CMS Web Interface Measure List (Quality)

CMS Web Interface Quality Measures List 2021

2021 Claims Measures

For Traditional MIPS Framework

  • New Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Groups. This measure is replacing the All-Cause Hospital Readmission (ACR) measure
  • New Risk-standardized Complication Rate (RSCR) following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) for MIPS

For APP Framework

  • New Hospital-wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups
  • New Risk Standardized, All-Cause Unplanned Admissions for Multiple Chronic Conditions for ACOs.

CAHPS for MIPS Survey


Making the transition in 2022

2022 Quality category measure requirements

Now here is where you need to understand which reporting framework you are doing for 2022. Because that framework decides which measures are available for you.

Remember that regardless of which reporting framework and equivalent measures you choose, it’s all patients, all payers for all of your practices.

 

Understanding your Collection Type options

Here’s the critical information to understand about your options in 2022.

Up until now, you have been using the CMS Web Interface measures (collection type). Since that option goes away in 2022 you must now pick a new collection type.

  1. eCQMs (Electronic Clinical Quality Measures)
  2. MIPS CQMs (previously called Registry measures)
  3. QCDR measures (Qualified Clinical Data Registry)

For your organization it will likely come down to two options for you. Should you submit eCQMs or CQMs in 2022? In general, eCQMs are less burdensome but require excellent data aggregation from all of your various practice EHRs. Compare that to CQMs which may be simpler to implement but could require a massive amount of manual abstraction.

CQMs vs eCQMs: Pros & Cons

CQMs vs eCQMs Pros and Cons

Our Opinion

In our opinion the eCQM collection type is the way to go. Yes, it’s going to be a pain to bring together all of those sources of EHR data in the beginning. But once you get it set up, there’s no ongoing manual data abstraction. Implementing eCQMs is the long-term play. Quite frankly, it’s the direction CMS is going as well. They want measurement to be mostly electronic and not burdensome abstraction. So, while we recognize that every organization’s situation is different and eCQMs might not be the best fit, we encourage you to explore the eCQM option and see if it might work for you.

Finding a CMS Web Interface Measure Equivalent

If we’ve convinced you that eCQMs are the way to go, we wanted to provide you with a chart that shows the equivalent eCQM for each of the CMS Web Interface measures you’ve been submitting so far.

Our team has listed the equivalent eCQM ID on this chart below. We’ve also given you a colored guide. This is again just our opinion here, but as we’ve worked with clients to implement these measures over the years, we’ve found some to be easier than others. Green is easy, yellow is a bit difficult, and red is very difficult.

Also note, the three measures listed at the top in gray are your required measures if you choose the APP Framework.

CMS Web Interface Crosswalk eCQMs Quality Measures List 2022

Dates to Remember

January 1, 2022
This is the start date to track 365 days of Quality category data for all patients, all payers, all practices.

December 31, 2022
The last day to submit a hardship application to CMS.

March 31, 2023
The last day to submit all of your performance data.

 

 

Medisolv ACO Package for QPP

Medisolv Can Help

We can help your ACO combine and calculate eCQM performance for all of your practices. We have a software solution that will aggregate data (eCQMs or CQMs) from various practice EHRs and combine it into one comprehensive view. We ensure an accurate submission to the CMS Quality Payment Program.

We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-on-one support.

  • We help troubleshoot technical and clinical issues to improve your measures.
  • We keep you on track for your submission deadlines and ensure you don’t miss critical dates.
  • We help you select and set up measures that make sense based on your hospital’s situation.
  • You receive one consultant that you can call anytime with questions or concerns.

Contact us today.

Here are some resources that you may find helpful:

• Blog: "MIPS eCQMs v CQMS"
• Blog: "MIPS 2021 Requirements"
• eBook: "An Overview of MIPS 2021"

 
Denise Scott, M.M. RN-BC, CMHP

Denise Scott, Director of Ambulatory Services, brings over 30 years in healthcare and over 15 years in HIT implementation, optimization, quality measurement and improvement in the ambulatory physician environment to Medisolv. Prior to joining Medisolv, Denise was a Director of Quality, Informatics and Clinical Integration for two large medical groups in Massachusetts and the former Manager, HIT Services at Masspro where she led a variety of HIT related projects. Denise is a subject matter expert on workflow redesign and Meaningful Use, and is board certified in Nursing Informatics.

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