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Acmeware Achieves 100% Submission Success
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Acmeware completes 100% successful submissions for eCQM, PQRS, Hospital IQR, and Joint Commission ORYX using OneView for acute and ambulatory settings.
TL/DR
The FY 2023 IPPS Final Rule confirms significant updates to hospital quality reporting and promoting interoperability requirements.
- Ten new IQR measures finalized with reporting beginning CY 2023
- eCQM reporting increases from four to six measures starting CY 2024, with validation raised to 100% of requested records
- PDMP query required for Schedule II-IV drugs (10 points); TEFCA added as optional HIE alternative
- PI scoring restructured: Public Health rises to 25 points, e-Prescribing to 20; HIE drops to 30, Patient Access to 25
CMS finalized ten new IQR measures, expanded eCQM requirements, and restructured PI scoring in the FY 2023 IPPS Final Rule.
Article content
CMS recently published the FY 2023 Inpatient Prospective Payment System (IPPS) Final Rule which includes several changes to the Hospital Inpatient Quality Reporting (IQR) Program and Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals (CAHs). For the full text of the rule, see the Federal Register.
Hospital Inpatient Quality Reporting (IQR) Program
CMS finalized numerous changes related to the IQR Program including the adoption of ten new measures and the refinement of two existing measures.
New Measures
CMS finalized ten new measures with voluntary and mandatory reporting periods beginning with the CY 2023 reporting year.
Measure Modifications
CMS finalized refinements to two measures beginning with the FY 2024 payment determination:
- Hospital-Level, Risk-Standardized Payment for Primary Elective THA/TKA: Expand the measure outcome to include 26 clinically vetted mechanism complication ICD-10 codes
- Excess Days in Acute Care (EDAC) After Hospitalization for AMI: Increase the minimum case count from 25 to 50
Other IQR Changes
CMS finalized establishing a hospital quality designation for maternity care to be publicly reported beginning fall of 2023.
Beginning with the CY 2024 reporting period / FY 2026 payment determination, CMS finalized increasing eCQM reporting from four to six eCQMs (three mandatory and three self-selected).
CMS finalized modifying the eCQM validation policy beginning with CY 2022 data by increasing the submission requirement from 75% to 100% of requested medical records.
Medicare Promoting Interoperability (PI) Program
CMS finalized several changes to the PI Program beginning with the CY 2023 EHR Reporting Period:
- Require Query of PDMP for Schedule II, III, and IV drugs (10 points)
- Add Enabling Exchange under TEFCA as optional alternative HIE measure
- Add AUR Surveillance measure beginning CY 2024
- Reduce active engagement options from three to two
- Require submission of level of active engagement
- Establish public reporting of certain PI data
Scoring changes: Public Health and Clinical Data Exchange increased from 10 to 25 points; Electronic Prescribing increased from 10 to 20; Health Information Exchange reduced from 40 to 30; Provide Patients Electronic Access reduced from 40 to 25.
CMS also finalized adoption of new eCQMs and modified reporting requirements in alignment with IQR.
If you have questions about your hospital reporting, please contact us.
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