MIPS 2020 Data Amendment Portal

Throughout 2020, your organization collected patient-reported outcomes (PROs) capturing and reflecting the quality care your team provides. In preparation for the final submission of your 2020 Merit-based Incentive Payment System (MIPS) data to CMS, we enter the final phase of the 2020 MIPS Performance Year where you will review, amend - if necessary, and approve your final data for submission. 

Specific to amending data, the Data Amendment Portal can now be accessed to edit 2020 performance data where you've identified it necessary to do so. This article will help you navigate through your organization's 2020 MIPS data using the Keet Outcomes Dashboard and make any necessary edits in the Data Amendment Portal. 

 

Introduction to the Amendment Portal

Click on the + next to each reporting category to learn more and view recorded demo videos. 

Accessing the Data Amendment Portal

In order to access the Data Amendment Portal, you will utilize the unique URL provided to you in combination with a secure access token. To locate your secure access token, you will need to locate your Keet user ID. To do so:

  1. Locate your Keet user ID by logging into your Keet Outcomes Dashboard here.
  2. Once logged into the Keet Outcomes Dashboard, navigate to the MIPS 2020 Data Amendment Portal tab.
  3. The first visual lists Keet user ID's for each individual who has a Care Team user profile within your Keet account. The individual Keet user ID is that user's secure access token for the Data Amendment Portal. As a MIPS Decision Maker, you may distribute these access tokens to anyone on your care team that you would like to make amendments to your 2020 MIPS Data. It is imperative that any user accessing the Data Amendment Portal uses their unique access token.

REQUEST AN ACCESS TOKEN FOR A NON-KEET USER

A secure access token requires an individual to have a Care Team user profile in Keet. If you or an individual on your team requires access to the Data Amendment Portal and does not have a Care Team user profile in Keet, as a MIPS Decision Maker for your organization, you can request a secure access token by contacting support@keethealth.com and providing the name and email of the individual that requires access.

 

Navigating the Data Amendment Portal

Primary and Secondary Filters

After logging in you will find a series of primary filters on the Data Amendment Portal home page that allow you to display a subset of your 2020 MIPS data. When a primary filter is selected, the available secondary filters for that selection will display. These primary and secondary filters, as shown below, allow the user making data amendments to locate the data that is relevant to them or surface smaller amounts of data for easier navigation.

PRIMARY FILTERS

Filters.JPG

SECONDARY FILTERS

Subfilter.JPG

Saving Amended Data

As you are amending data, it is important to note that you must click the Save & Next button at the bottom of each page to save the changes applied on that page.

mceclip3.png

 

Navigating Back to the Data Amendment Portal Home Page 

If you reach the end of one particular data set, you will encounter a blank page that asks you to Return to Filter. Clicking Return to Filter at that point or the Back to Filter selection at the top of the page will return you to the Data Amendment Portal home page.

IMPORTANT!

If you have made any edits on the page, Save the edits before navigating back to the Data Amendment Portal home page. If you click Back to Filter on a page where edits have been made prior to saving the edits, those edits will not be applied.

 

Editing Pre-Filled Editable Fields

To change the pre-filled text in an editable field:

  1. Click "X" to clear the field
  2. Once the field is clear, click into the field to display the drop-down of available options for that field. Please note, only options relevant to that patient will display.
  3. Click the desired option from the drop-down list to complete the edit of that fields.
  4. Remember to click Save and Next at the bottom of the page to save the amendments made on that page.  

clear.JPG

 

mceclip0.png

 

mceclip1.png

 

mceclip2.png

 

Reviewing MIPS Performance

There are three main categories assessed for MIPS reporting ability & performance:

  1. Compliance
  2. Case Requirement
  3. Quality Performance as determined by Failure to Progress (FTP) rate.

MIPS scoring operates on an If, And, THEN model. If compliance is greater than or equal to 70%, and the case minimum is met or exceeded,  then the final score received will include points awarded based on the quality performance compared with the benchmark.

 

COMPLIANCE

To assess compliance, in Keet Outcomes Dashboard review the Compliance Rate visual in the Process Reports report tab. This visual allows you to evaluate compliance by Organization, Location, and Practitioner.

compliance.JPG

 
Understanding the bar graph
This visual highlights how your organization’s average compliance rate compares to the 70% compliance rate requirement. The compliance rate may also be observed by location and by the practitioner. by clicking the up or down arrow available in the visual control panel located in the top right corner of the graph.
 

The 2020 compliance requirement is ≥70%. 

 

CASE MINIMUM

To assess Case Minimum, in Keet Outcomes Dashboard review Performance Rate Report by TIN -Functional Measures (List View) and/or Performance Rate Report by NPI -Functional Measures (List View) tables in the Performance Report report tab

Case_minimum.png

 

Understanding the table:

This table displays the eligible, exclusion, exception, and measure population for each organization broken down by each functional measure ID. CMS's case minimum is 20 cases by measure. The Meets Case Req column in the Performance Rate Report by TIN/NPI tables evaluates if the eligible population for that measure ≥ 20. If there are 20 or more eligible cases for the TIN (organization) or NPI (by individual provider), the Meets Case Req column will be TRUE. If there are less than 20 eligible cases for the TIN (organization) or NPI (by individual provider), the Meets Case Req column will be FALSE.

The CMS case minimum is 20 cases by measure. As a reminder, the highest performing 6 of the 10 measures reported will be used to evaluate your group's and/or individual providers' performance.

 

QUALITY PERFORMANCE

To evaluate Quality Performance, in Keet Outcomes Dashboard review Performance Rate Report by TIN -Functional Measures (List View) and/or Performance Rate Report by NPI -Functional Measures (List View) tables in the Performance Report report tab

performance_figure_3.png

performance_figure_3.2.png

Understanding the table:

This table displays the eligible, exclusion, exception, and measure population for the organization (TIN) or by individual practitioner (NPI) for each functional measure. For each measure, there is a comparison of the demonstrated FTP rate to the predicted and historical benchmark FTP values for the Group or by individual Practitioner.

The Outperforms Predicted column is the greatest indicator of MIPS performance.

 

performance_figure_4.png

 

Understanding the bar graph

This visual displays a comparison of the observed FTP rate, the predicted FTP rate, and 2019 FTP performance benchmark by measure. Using the report control filters at the top of the page, this graph can be viewed by organization (TIN) and/or by individual practitioner (NPI). 

A light blue (observed FTP) bar lower than the dark blue (predicted FTP) bar is indicative of positive performance.

An FTP rate less than the predicted and performance benchmark is indicative of positive performance. Quality Performance will be evaluated and scored by measure only if the compliance requirement and the case minimum are met. The Quality Performance of a measure is determined by comparing the FTP rate to the performance established benchmark. For additional information on Quality Scoring reference this article.

 

Compliance Assessment

 

Assessing Compliance Rates:
The Keet Outcomes Dashboard Process Reports, No Pros Completed Cases table identifies the cases that are negatively impacting compliance. By reviewing the cases in this table, you may identify there are cases that should be removed from the MIPS registry either because:

  1. The region of Injury did not correlate to a MIPS PRO, or
  2. The case met one or more of the CMS-approved disqualification criteria

 

Amend Cases That Should Be Removed From the MIPS Registry:

Utilizing the filters in the Data Amendment Portal Patient with No Completed Pros by Practitioner/Location, or Patient Name you may isolate cases that you identified that should be removed from the MIPS registry, and change the Disqualified box to TRUE. To do this:

  1. Click "X" to clear the Disqualified field
  2. Once the field is clear, click into the field to display the drop-down of available options for that field. 
  3. Click TRUE from the drop-down.
  4. Once you have completed making edits on that page, remember to click Save and Next at the bottom.  

clear.JPG

 

mceclip0.png

 

mceclip1.png

 

mceclip2.png

 

 

Failure to Progress (FTP) Performance
 
Assessing Failure to Progress Performance:
Utilizing the Keet Outcomes Dashboard FTP Performance Report, progress can be evaluated by individual patient case. By reviewing the individual patient cases, you may identify there are cases that should be removed from the MIPS registry either because:
  1. The region of Injury did not correlate to a MIPS PRO, or
  2. The case met one or more of the CMS-approved disqualification criteria
 
 
Amend Cases That Should Be Removed From the MIPS Registry
Utilizing the filters in the MIPS Amendment Portal Patients by Location/Provider, or Patient Name, you may isolate cases that you identified that should be removed from the MIPS registry, and change the Disqualified box to TRUE. To do this:
  1. Click "X" to clear the Disqualified field
  2. Once the field is clear, click into the field to display the drop-down of available options for that field. 
  3. Click TRUE from the drop-down.
  4. Once you have completed making edits on that page, remember to click Save and Next at the bottom.  

clear.JPG

 

mceclip0.png

 

mceclip1.png

 

mceclip2.png

 
Additional Edits
Update Case Supervising Therapist

If you identify a patient case where the provider listed on the case needs to be changed, you may update the Practitioner Name field in the MIPS 2020 Data Amendment Portal to associate the correct provider to the case. To do this:

  1. Click "X" to clear the Practitioner Name field
  2. Once the field is clear, click into the field to display the drop-down of available options for that field. 
  3. Click the name of the correct practitioner from the drop-down.
  4. Once you have completed making edits on that page, remember to click Save and Next at the bottom.  

mceclip0.png

mceclip1.png

mceclip2.png

mceclip3.png

PRO's Reassigned to Different Case

 

If you identify a case where a PRO measure is incorrectly associated to the case (example: PT KOS showing under SLP case), you can update the case ID to reassociate the PRO measure to the correct case using the New EHR Case ID field in the MIPS 2020 Data Amendment Portal. One example of how you can identify if there is a PRO form incorrectly associated to a case is to use the Practitioner control within the Individual Numbers tab of your Outcomes Dashboard to view cases associated to a provider. You can then assess these cases for the presence of PRO forms using the column Completed PROs. If a form is identified that needs to be reassigned:

  1. Click in the New EHR Case ID field
  2. Type the correct Case ID to identify the correct case ID from the drop-down
  3. Click the correct Case ID from the drop-down
  4. Once you have completed making edits on that page, remember to click Save and Next at the bottom.  

mceclip0.png

 

mceclip1.png

 

mceclip2.png

 

mceclip3.png

 

Disqualifications by Location or Provider
If your organization has providers or locations that did not treat MIPS-eligible cases (for example, a pelvic health specialty provider), you can identify any cases that have not been excluded or disqualified from the MIPS Registry in the Keet Outcomes Dashboard in the Individual Numbers Report. By using the report controls located at the top of the report, you can filter by specific location or provider to identify the patient cases that remain eligible as they have not been excluded or marked to be disqualified. Utilizing the MIPS 2020 Data Amendment Portal, using the Location or Practitioner filter, you can isolate the cases for that location or practitioner to identify any cases that need to be amended. Alternatively, to find a specific patient or case, the Patient Name or EHR ID filters can be applied. For the cases that you identified that should be removed from the MIPS registry, the Disqualified box should be changed to TRUE. To do this:
 
  1. Click "X" to clear the Disqualified field
  2. Once the field is clear, click into the field to display the drop-down of available options for that field. 
  3. Click TRUE from the drop-down.
  4. Once you have completed making edits on that page, remember to click Save and Next at the bottom.

clear.JPG

 

mceclip0.png

 

mceclip1.png

 

mceclip2.png