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All categories, MIPS validation criteria
Updated by CMS as of 9/11/2018
Copy of MIPS 2018 Validation Criteria_v3[...]
Microsoft Excel sheet [27.0 MB]
The Roadmap to MIPS for 2018 - Updated 09/18/18
An overview of MIPS and all of the requirements per category
MIPS roadmap 2018 MRS.91818.pdf
Adobe Acrobat document [1.0 MB]
Security Risk Analysis Tip Sheet: Protect Patient Health Information Updated: March 2016
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI created or maintained in accordance with requirements under 45 CFR 164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the risk management process
Copy of 2016_SecurityRiskAnalysis CMS Re[...]
Adobe Acrobat document [245.2 KB]
10 FAQs About the Merit-based Incentive Payment System (MIPS) – Updated for 2018
10 FAQs About the Merit-based Incentive Payment System (MIPS) – Updated for 2018
Adobe Acrobat document [1.1 MB]
MIPS Over 2018 as of 4.27.18
The Merit-based Incentive Payment System (MIPS) determines quality and
efficiency of care through four performance categories: Quality, Advancing Care
Information, Improvement Activities, and Cost. Performance in these four categories
during the 2018 calendar year will aggregate into a final score used to determine a
payment adjustment for a MIPS-eligible clinician or group in the 2020 payment year.
Adobe Acrobat document [186.4 KB]


MACRA 10 things you should know
Athena Health presentation
Adobe Acrobat document [38.3 MB]
Great article with commonly asked questions about the program
SAIgnite-102016-MIPS_FAQs (1).pdf
Adobe Acrobat document [3.1 MB]
Demystifying MACRA
A great article covering the highlights of the program
Adobe Acrobat document [655.9 KB]
2017 Medicaid MU stages defined
A list of the 10 Objectives for Medicaid Attestation in 2017...updated January 2015
Adobe Acrobat document [265.6 KB]

Improvment Activities

IA Data Validation Criteria
Copy of MIPS Data Validation Criteria 20[...]
Microsoft Excel sheet [35.6 KB]
Adobe Acrobat document [1.1 MB]

Privacy and Security

Summary of Original HIPAA Rule - 1996
2a Summary of HIPAA Rule from 03.pdf
Adobe Acrobat document [7.5 MB]
HIPAA Omnibus Rule changes 2013
2b Summary hipaa-omnibus-final-rule.pdf
Adobe Acrobat document [50.6 KB]
ONC Guide to Privacy and Security 2015
privacy-and-security-guide (3).pdf
Adobe Acrobat document [1.2 MB]
Understanding a risk Assessment
Understanding a HIPAA Risk Assessment Fi[...]
Adobe Acrobat document [349.7 KB]
Description of Service
MRS HSN Service Description.pdf
Adobe Acrobat document [82.0 KB]

Meaningful Use 1

MU 1 Measures, percentages, tips and essential piece
MU 1 Measures - Percentages - MRS Custom[...]
Adobe Acrobat document [267.4 KB]

Meaningful Use 2

MU 10 Objectives for 2015
This list is the revised measures list PLUS links to the supporting Federal documentation defining thresholds, exclusions and so forth.
10 Objective list.pdf
Adobe Acrobat document [82.7 KB]
MU 2015 Update Crosswalk - a visual representation - This helps you to understand how the old measures relate to the new ones, and what you need to do next moving forward
MU 2015 Crosswalk.pdf
Adobe Acrobat document [228.6 KB]
2015 Updated definitions and Guide
Adobe Acrobat document [2.2 MB]
2015 updated measures, thresholds and definitions....10/6/15 final rules
Released October 6 2015, this document put out by CMS redefines measures, thresholds and definitions for all Ambulatory EP's in in order to meet the requirements for this year..
Modified Stage 2 for 2015 Tip Sheet.pdf
Adobe Acrobat document [1.1 MB]
MU 2 Measures List - links, tips, thresholds essential tool
MU 2 Measures - Percentages - MRS Custom[...]
Adobe Acrobat document [271.6 KB]
A quick view of all MU 2 measures in Federal order, summary form
MU 2 Measures - Percentages - MRS Custom[...]
Adobe Acrobat document [198.5 KB]
Clinical Decision Support Tipsheet
Adobe Acrobat document [976.9 KB]
Public Health Reporting Tipsheet
Adobe Acrobat document [804.2 KB]

Modified Stage 2

2016 Alternate Exclusions
Adobe Acrobat document [269.1 KB]
10 Objectives updated February 2016
2016_EPTableOfContents (1).pdf
Adobe Acrobat document [93.3 KB]

Meaningful Use Hardship Exemptions

2015 Hardship Exemption Application to avoid 2017 penalties
Must be files before July 1st, 2016
2015 Hardship Exemption Application for [...]
Adobe Acrobat document [490.8 KB]
2015 Hardship Exemption Application Instructions to avoid 2017 penalties
Adobe Acrobat document [268.4 KB]
2016 Hardship Exemption for avoiding penalties in 2018
Adobe Acrobat document [237.7 KB]
Hardship Exemption 2016 - Never did MU before
This is a hardship exemption for those providers who have never attested to MU previously, but are going to in 2017, submitting 90 days of the ACI measures before 10/1/17. Filing this form will allow you to avoid penalties in 2018 and 2019. Please call the office if you need help completing this or understanding it.
Adobe Acrobat document [169.8 KB]
MIPS Transition Hardship Exemption Instructions
Adobe Acrobat document [139.0 KB]

Ohio Medicaid

Ohio Medicaid Updates for 2015
Dates timelines and cut-off's for MU 1 vs MU2 for Ohio Medicaid providers
Important 2015 MPIP Program Updates 11.2[...]
Microsoft Word document [13.5 KB]
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