How to report ACI HIE Exclusions

[radh...@figmd.com]

Hi,

Can anyone please tell how to report ACI measures, if HIE Exclusions is applicable due to fewer than 100 consults per year.

"As per the CMS website, this measure(Health Information Exchange) can be claimed as an exclusion if fewer than 100 consults per year. "

How to claim these HIE exclusions? Is there no need to report that HIE measures if HIE Exclusions is applicable?

Currently, Base measures are mandatory for ACI submission.

Thanks,

Radhika Suryawanshi

[steven....@semanticbits.com]

Hi,

The submission of exclusions will replace the correlating measures in the base:

Here are the two exceptions (4 in total depending on track selection) for the ACI measures you mentioned. The structure is boolean so the response should look like below and will be reported in place of the measure. Please let me know if you need any additional information. 

{

          "measureId": "ACI_LVPP_1",

          "value": true

        },

OR

<measurement>

      <measureId>ACI_LVPP_1</measureId>

      <value>True</value>

    </measurement>

{
    "category": "aci",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "ACI_LVPP_1",
    "title": "E-Prescribing Exclusion",
    "description": "A MIPS eligible clinician (EC) who writes fewer than 100 permissible prescriptions during the performance period is eligible for exclusion from the required e-prescribing measure.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "electronicPrescribing",
    "reportingCategory": "base",
  },

{
    "category": "aci",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "ACI_TRANS_LVPP_1",
    "title": "E-Prescribing Exclusion",
    "description": "A MIPS eligible clinician (EC) who writes fewer than 100 permissible prescriptions during the performance period is eligible for exclusion from the required e-prescribing measure.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "electronicPrescribing",
    "reportingCategory": "base",
  },
  {
    "category": "aci",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "ACI_LVOTC_1",
    "title": "Send a Summary of Care Exclusion",
    "description": "Any MIPS eligible clinician who transfers a patient to another setting or refers a patient less than 100 times during the performance period.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
  },
  {
    "category": "aci",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "ACI_TRANS_LVOTC_1",
    "title": "Health Information Exchange Exclusion",
    "description": "Any MIPS eligible clinician who transfers a patient to another setting or refers a patient less than 100 times during the performance period.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [
      "transition"
    ],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",
  },

[radh...@figmd.com]

Thanks Steven,

One more question, measure "ACI_HIE_2", "Request/Accept Summary of Care" is this measure is not under HIE Exclusions?

Thanks,

Radhika

[steven....@semanticbits.com]

There is also an exclusion for ACI_HIE_2, I did not post this item earlier, as it only pertains to the non-transition track. 

{
    "category": "aci",
    "firstPerformanceYear": 2017,
    "lastPerformanceYear": null,
    "metricType": "boolean",
    "measureId": "ACI_LVITC_1",
    "title": "Request/Accept Summary of Care Exclusion",
    "description": "Any MIPS eligible clinician who does not receive any transitions of care or referrals or have patient encounters in which the MIPS eligible clinician has never before encountered the patient during the performance period.",
    "isRequired": false,
    "weight": 0,
    "measureSets": [],
    "isBonus": false,
    "objective": "healthInformationExchange",
    "reportingCategory": "base",