4
Dec

01 CMS Web Interface Introduction 2019 v3


CMS Web Interface An introduction to smarter reporting. The CMS Web Interface is a user-friendly,
secure, internet-based application for submitting data on a sample of Medicare beneficiaries for a specific set of quality measures under the Quality Payment Program. You can report your quality data
through any of the following methods (or a combination): Manually entering data for each patient in the user interface Uploading an Excel file in a CMS-approved template Application Programming Interface or API How the system works. CMS provides a sample of beneficiaries for
each scored quality measure that your team will report. These samples are taken from
all of the patients that your organization has submitted Medicare claims for during the
performance year. You will then report on just that sample of beneficiaries. Each Performance
Year there is a specific set of quality measures required in the CMS Web Interface. For each measure, you’re required to answer
all questions for the first 248 consecutive beneficiaries ranked in that measure or all
of the beneficiaries supplied in the sample if you have less than 248. You’ll notice that there are usually more
than 248 beneficiaries ranked in each measure. Any beneficiary above the 248 mark is considered
to be part of the oversample and is not required to be completed in order to get a
score for the measure. The oversample is provided in order to allow your team to skip beneficiaries
that may no longer be eligible for the sample or the measure. Successful Reporting You must report the first 248 beneficiaries
consecutively for them to count toward the 248. You’ll always be prompted to complete all required questions for 248 consecutively ranked
beneficiaries in total or the total number of beneficiaries who are ranked in the measure
if the number is lower than 248. If you need to skip one beneficiary within the first 248 consecutively ranked beneficiaries in the measure, your minimum requirement will increase to 249. The more beneficiaries you skip, the higher
the minimum number of consecutively ranked beneficiaries will be for you to complete
your reporting requirement for the measure. For example, if you skip a total of 10 beneficiaries
within the first 248 consecutively ranked beneficiaries, your minimum required number
of consecutively ranked beneficiaries to complete reporting on will move to 258. When skipping a beneficiary, make sure
to select a skip reason to ensure complete reporting. If you’re participating in the Merit-based
Incentive Payment System (MIPS), once you complete the minimum reporting requirement
for each of the measures, you’ll receive a quality performance category score which
will count toward your final MIPS score. Note: You must complete the minimum reporting requirement for all of the CMS Web Interface measures for a given Performance Year to receive a
MIPS quality category score of more than 0. For further information about the CMS Web
Interface reporting policies, measure specifications, and other related materials, please see the
latest Final Rule and supporting documentation in the Resource Library at qpp.cms.gov. We
encourage you to watch the rest of the videos in this series for details on how to use the
CMS Web Interface.

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