Resource Topics
Providers are eligible to participate in the ACO who are a MD, DO or Primary Care NP and a member of the medical staff of AOA体育平台 Franklin Hospital, AOA体育平台 Lincoln Hospital, AOA体育平台 Maine Medical Center, AOA体育平台 Memorial Hospital, AOA体育平台 Mid Coast Hospital, AOA体育平台 Pen Bay Hospital, AOA体育平台 Stephens Hospital, St. Mary鈥檚 Regional Medical Center or AOA体育平台 Waldo Hospital. To begin the process of joining the AOA体育平台 ACO, please email us to request an application packet.
Participants
Annual Compliance Training Documents
- (PDF)
- (PDF)
- (PDF)
Compliance and Privacy Manual Policies
- (PDF)
- (PDF)
- (PDF)
- (PDF)
- (PDF)
- (PDF)
- (PDF)
- (PDF)
Chronic Kidney Disease Resources
COPD Resources
Colorectal Cancer Resources
Diabetes Resources
End-of-Life Resources
Heart Failure Resources
- (video recording)
- ACO Insider: Advanced Heart Failure: When and How to Refer (video recording) - available upon request. Please contact [email protected]
Hypertension Resources
Adolescent & Pediatric Resources
Tobacco Resources
(video recording)
(webpage)
(PDF)
(webpage)
2025 Resources
(PDF)
(PDF)
Coding Documents
- Prev 5 -
- Prev 6 -
- HTN 2 -
- MH 1 -
- DM 2 -
- Care 2 -
- Prev 12 -
- Prev 7 -
- Prev 10 -
- Prev 13 -
Key Measures
- Prev 5 -
- Prev 6 -
- HTN 2 -
- MH 1 -
- DM 2 -
- Care 2 -
- Prev 12 -
- Prev 7 -
- Prev 10 -
- Prev 13 -
MIPS impacts the payment adjustment applied to the physician fee schedule. The ACO gets one overall MIPS score. This score translates to a payment adjustment that will be applied to claims, two years after the reporting year (e.g., 2024 program year, submitted in 2025, impacts 2026 payments.) Practices that participate in the ACO's MSSP contract are automatically enrolled in a special MIPS payment model created for ACO participants called the MIPS APM. Because the ACO reports some categories of data on behalf of its participants, this model places a reduced reporting burden on practices, compared to those enrolled in Traditional MIPS. Specifically, the ACO reports Quality data for MIPS and MSSP, Cost is not scored, and MIPS APM participants receive full credit for Improvement Activities.
Promoting Interoperability (PI) - Each ACO participant TIN (tax ID number) is required to report for the Promoting Interoperability (PI) category unless they have an exemption or do not meet the low volume threshold. Providers that do not meet the low volume threshold may be eligible to opt-in and report to receive the ACO鈥檚 payment adjustment. Beginning in 2022 the Small Practice exception became an automatic exception (no application required). Definition of small practice is practice or clinician with 15 or fewer clinicians billing under the practice鈥檚 TIN. For the 2024 reporting period MIPS reporters must have CEHRT functionality that meets ONC鈥檚 certification criteria in functionality must be in place by the first day of your MIPS reporting period and functionality must be in place by the last day of the MIPS reporting period. We Will also need to provide your EHR鈥檚 CMS identification code from the Certified Health IT Product List (CHPL), when you submit your data. We suggest working directly with your HIT / EHR vendor to ensure their compliance plans.
What鈥檚 new in 2024:
- Updated the CEHRT definition to align with the Office of the National Coordinator for Health IT (ONC)鈥檚 regulations
- The only clinician type that now receives automatic exemption is clinician social worker. Discontinued automatic reweighting for physical therapists, occupational therapists, qualified speech-language pathologists, qualified audiologists, clinical psychologists, and registered dietitians or nutrition professionals for the Promoting Interoperability performance.
- Increased the performance period to a minimum of 180 continuous days within the calendar year.
- Modified the second exclusion for the Query of Prescription Drug Monitoring Program (PDMP) measure beginning with the 2024 performance period so that it reads as follows:
Any MIPS eligible clinician who does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period. - Require a 鈥測es鈥� response for the Safety Assurance Factors for Electronic Health Record (EHR) Resilience (SAFER) Guide measure beginning with the 2024 performance period.
MIPS Promoting Interoperability Requirements
Participants must submit collected data for specific measures from each of the 4 objectives (unless an exclusion is claimed) for 90 continuous days or more during 2020:
- e-Prescribing
- Health Information Exchange
- Provider to Patient Exchange
- Public Health and Clinical Data Exchange
Measure Specifications
e-Prescribing
- (required)
- (optional bonus measure- will be required for 2023 reporting))
Health Information Exchange
- Option 3:
Provider to Patient Exchange: Provide Patients Electronic Access to their Health Information
- (required)
Public Health and Clinical Data Exchange
- Report to the following public health or clinical data registries:
- (required)
- (required)
- Option to report one of the following public health agency or clinical data registry measures:
Attestations Required but Not Scored
Security Risk Analysis: must conduct on 2015 CEHRT on an annual basis 鈥� Work with your IT vendor
Actions to Limit or Restrict Interoperability of CEHRT: acted in good faith and took necessary steps to prevent limiting or restricting the compatibility or interoperability of CEHRT - SUBMIT YESONC (Office of the National Coordinator for Health Information Technology)
Direct Review Attestation: assent to federal government audit - SUBMIT YES
Safety Assurance Factors for EHR Resilience (SAFER) Guides measure
HARP (HCQIS access roles and profile system) Account Information
The Quality Payment Program (QPP) portal requires you to have a login and password. Please begin here:
(PDF)
(PDF)
(webpage)
ACO Careers
Join us! The AOA体育平台 Accountable Care Organization is hiring. Click to view and apply for open positions.