What You Need to Know

UPCOMING DEADLINES

At eMDs it’s our mission to make sure that our customers are prepared to meet the challenges of regulatory and compliance mandates. We’ve prepared this infographic to highlight the key changes coming in 2019. 

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JANUARY 1, 2019

2019 REPORTING 
PERIOD BEGINS

Quality Performance Program

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate (SGR) formula, which would have resulted in a significant cut to payment rates for clinicians participating in Medicare. By law, MACRA requires CMS to implement an incentive program, referred to as the Quality Payment Program, which provides two participation tracks for clinicians:

  • Merit-based Incentive Payment System (MIPS) - If you are a MIPS eligible clinician, you will be subject to a performance-based payment adjustment through MIPS. 
  • Advanced Alternative Payment Model (APM) - If you decide to take part in an Advanced APM, you may earn a Medicare incentive payment for sufficiently participating in an innovative payment model. 
Learn more about QPP >>

MORE ABOUT MIPS

MIPS combines three legacy programs—Medicare Electronic Health Record (EHR) Incentive Program for Eligible Professionals, Physician Quality Reporting System, and the Value-Based Payment Modifier—into a single, improved program.

  • QUALITY MEASURES
  • PROMOTING INTEROPERABILITY
  • IMPROVEMENT ACTIVITIES
  • COST MEASURES

2019 Quality Measures

This percentage can change due to Special Statuses, Exception Applications, reweighting of other performance categories, or Alternative Payment Model (APM) participation.

 

Participants collect measure data for the 12-month performance period (January 1 - December 31, 2019). The amount of data that must be submitted depends on the collection (measure) type.

 

Read more about Quality requirements >>

2019 Promoting Interoperability

This percentage can change due to Special Statuses, Exception Applications, or Alternative Payment Model (APM) participation.

 

Participants must submit collected data for certain measures from each of the four objectives (unless an exclusion is claimed) for 90 continuous days or more during 2019.

 

Read more about Promoting Interoperability requirements >>

2019 Improvement Activities

This percentage can change due to Exception Applications, or Alternative Payment Model (APM) participation.

 

Participants must submit a combination of high- and medium- weighted activities. Each activity must be performed for 90 continuous days or more during 2019.

 

Read more about Improvement Activities requirements >>

2019 Cost Measures

This percentage can change if the measures' minimum case volumes are not met. If there are not enough attributed beneficiaries for any of the 10 measures to be scored, the Cost performance category percentage will be added to the Quality performance category. 

 

There is no data submission requirement for the Cost performance category. Cost measures are evaluated automatically through administrative claims data.

 

Read more about Cost requirements >>

HOW TO PREPARE

UPGRADE TO 2015 CEHRT SOLUTION

The 2019 Quality Performance Program requires participants to be using a 2015 CEHRT solution. eMDs offers three products that are 2015 edition compliant and have been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services.

  • Solution Series 9.1
  • Practice Partner 11.2
  • Plus V4

 

REGISTER WITH A QUALITY REPORTING PARTNER

eMDs has partnered with FIGmd to offer customers a quality reporting solution for regulatory requirements. FIGmd’s ELIXIR is the gateway to effective, Merit-based Incentive Payment System (MIPS) and CPC+ Advanced Alternative Payment Model (APM) reporting. The ELIXIR interface links your EHR to a desired registry. When a practice connects to the registry through ELIXIR, it streamlines the reporting process and allows practitioners to go beyond quality measures and achieve meaningful performance and improvement.

 

Registrations for 2019 performance period are now open. Register or renew today. Deadlines to enroll in registeries are as early as July 2019. 

 

JUNE 30, 2019

FLORIDA REAL-TIME IMMUNIZATION INTERFACE

Real-time data exchange allows immunizing providers to instantly report and track shot data. 

By July 1, 2019 all data upload connections will be moving to real-time web services. Florida SHOTS user, patients records will be processed immediately so that 680 forms can be instantly created and printed. In addition, Florida is also requiring all immunization data be compliant with the 2015 CEHRT ONC criteria.


Four data upload certification levels for software providers have been created. Platinum, Gold, Silver, and Bronze certification levels qualify software provider data upload capabilities and what they mean to healthcare providers.

 

eMDs is making enhancements to all of our EHRs to address these new requirements. We will have the highest certification level - Platinum. Updates will be available in Solution Series 9.1, Practice Partner 11.2, and Plus. Please contact your account manager to upgrade to the latest version of your solution. 

 

UPGRADE TO

2015 CEHRT SOLUTION

Set the date and make a plan to upgrade to the 2015 CEHRT version of your software today. Take advantage of new capabilities and conveniences not available in your current version. 2015 CEHRT solutions are available for Solutions Series 9.1, Practice Partner 11.2, and Plus.

 

If you are planning on attesting for any of the Quality Performance Programs in 2019, you will need to be on a 2015 CEHRT product. You will also need these versions to take advantage of our new patient portal and eMDs prescribe features.

IMPLEMENT

eMDs PRESCRIBE SOLUTION

Our prescribing enhancements are sure to WOW you. Not only will this exciting update reduce clicks and provide a fresh, new look and feel, but it will also eliminate IT burden. Some of the perks include: no more pharmacy matching or mapping, a continuous workflow for prescribing, the ability to cancel and fill prescriptions, no more time consuming drug updates, plus much more. eMDs Prescribe is available in Solution Series 9.1, Practice Partner 11.2, and Plus

 

Warning: If you ePrescribe in Solution Series you will need to upgrade to 9.1 by June 30 to continue to write prescriptions and to receive the Q2 Quarterly Drug Update.

ENHANCE

THE PATIENT EXPERIENCE

Our new Patient Portal powered by Updox is user friendly, customizable to your practice preferences, and accessible anywhere with an internet connection. With the patient portal you can message patients securely, share healthcare results, provide forms proactively, educate patients on new services, deliver full record access, and broadcast urgent messages. 

 

Available in Solution Series 9.1, Practice Partner 11.2, and Plus

JULY 9, 2019

END OF SUPPORT

SQL Server 2008 R2

Microsoft will end all support (including security patches, updates and technical assistance) for SQL Server 2008 R2 on July 9, 2019. Continuing to use systems that are no longer supported with security patches will put your organization at-risk and violates HIPAA compliance requirements to protect devices against malicious software. 

 

WHAT YOU NEED TO DO

Begin planning for an update as soon as possible. Review our Hardware and Software Requirements document. 

 

All environments maintained by eMDs have been updated to ensure strict levels of security.

HIPAA COMPLIANCE

TLS 1.2 Security Protocol

Your security is of utmost importance to our team, and we are committed to protecting your sensitive financial and patient related health information. To maintain modern security standards, eMDs will be following the industry leaders (Apple - Safari, Google - Chrome, Mozilla - Firefox, and Microsoft - Edge and Internet Explorer) in dropping support for TLS 1.0 and TLS 1.1 in implementing changes in our web applications and APIs. Continuing to support the older versions of the protocol can leave you vulnerable to attacks.

 

What do you need to do? 

For many of you, this change is one that you will not notice. If you are using a modern browser, it already supports our changes. However, if you are using legacy browsers or operating systems, you will notice this change. If you are still using Windows XP or Windows 2003, you will need to upgrade your operating system to Windows 10 or, for the server version 2012.

 

If you are using these legacy operating systems, you will need to be sure you are using a browser that will work:

  • If you are on Windows 7, Internet Explorer will no longer work – you will have to use Chrome or Firefox.

  • No version of Safari prior to 9 will work.

  • No version of Internet Explorer prior to 11 on Windows 10 will work. Note, Internet Explorer 11 will no longer work on Windows 7, only on Windows 10.

  • Any version of Edge will work on Windows 10.

SEPTEMBER 30, 2019

Deadline for Minimum 90-Day Reporting Requirement for QPP

This is your last chance to attest for MIPS using the 90-day minimum reporting requirement. In order to attest you will need to be on a 2015 CEHRT EHR and patient portal.

OCT. 1, 2019

FIGmd ELIXIR Registry Closes

FIGmd is eMDs preferred partner for quality reporting of regulatory requirements. RETURNING practices must complete their ELIXIR renewal by 10/01/2019, or they may be required to manually report in 2019. NEW practices must complete ELIXIR and Registry enrollment by the Registry "electronic enrollment deadline" if they wish to report electronically in 2019.

 

Practices must adhere to the Registry ELECTRONIC ENROLLMENT DEADLINES in order to report electronically for 2019. If a practice misses one of the registry deadlines below, they may be advised by the Registry that they need to report manually in 2019.

 

View Enrollment Deadlines.

DECEMBER 31, 2019

SCRIPT 2017

Upgraded Customers Automatically Receive SCRIPT 2017 Update

Medicare Part D will officially adopt NCPDP SCRIPT version 201701 for electronic prescribing (ePrescribing) on January 1, 2020 and will simultaneously retire SCRIPT version 10.6. 

 

WHO MUST USE THE NEW STANDARD?

The changeover applies to prescribers and dispensers who electronically transmit prescription and other information for covered drugs prescribed for Medicare Part D eligible beneficiaries, either directly or through an intermediary. Medicare Advantage plans also must comply.

 

HOW CAN YOU PREPARE?

eMDs Prescribe updates include SCRIPT 2017. You must upgrade to a 2015 CEHRT solution in order to access the eMDs Prescribe and SCRIPT 2017 updates. eMDs 2015 CEHRT products include Plus, Solution Series 9.1, Practice Partner 11.2, and Aprima V18.2 or greater

JANUARY 1, 2020

End of Support for Windows Server 2008 R2

Microsoft will end all support (including security patches, updates and technical assistance) for Windows Server 2008 R2 on January 14, 2019. Continuing to use systems that are no longer supported with security patches will put your organization at-risk and violates HIPAA compliance requirements to protect devices against malicious software. 

 

WHAT YOU NEED TO DO

Begin planning for an update as soon as possible. Review our Hardware and Software Requirements document. 

 

All environments maintained by eMDs have been updated to ensure strict levels of security.

QUESTIONS?

Reach out to your account executive today for more information. 

EXPERT SOLUTIONS. STRONGER PARTNERS. HEALTHIER PATIENTS.

Combining leading technology with tailored services, eMDs delivers proven, expert solutions that remove operational burden and allow healthcare providers to maximize the impact of their care.