2. Is it possible for those practices without an EHR to apply for a hardship exemption? CMS has defined criteria for physicians and practices to apply for a “significant hardship” which would re-weight the advancing care information (ACI) category to 0% of the 2018 MIPS final score for MIPS eligible clinicians. The 25% ACI weight would be re-assigned to the quality performance category (for a total weight of 85% of the MIPS final score). The relevant significant hardships applicable to not having an EHR include: Insufficient Internet Connectivity Extreme and Uncontrollable Circumstances Lack of Control over the Availability of CEHRT MIPS eligible clinicians in small practices of 15 or fewer eligible clinicians Decertified EHR To learn more about the hardship criteria, please see the ACI Hardship Reweighting resource. Pages MIPS Reporting1. What if I don’t have an electronic health record2. Is it possible for those practices without an EHR to apply for a hardship exemption?3. My EHR vendor said I have to submit all MIPS data through its product and pay additional fees to submit data for each MIPS category too. Is this true?4. What are the price ranges if I decide to use a 3rd party vendor to report data on my behalf for each MIPS category?5. If I use a 3rd party vendor, does CMS guarantee that all MIPS-related vendors will be successful in submitting data to MIPS? 6. Will a 3rd party vendor reimburse my fees for errors committed by its product (registry, QCDR, EHR, other)? What about lost Medicare Part B revenue resulting from a MIPS payment penalty?7. What are no/low cost ways to report data for each MIPS category?8. When is the earliest an eligible clinician can report, and does the answer change depending on category they elect?9. What is a QRUR? How do I get it?10. What is the difference between a qualified registry and a qualified clinical data registry?11. Can I report data for the different categories using different reporting mechanisms? Comments are closed.