Quality & Compliance Reports

The Quality & Compliance Reports include:

  • Quality Measure Report list
  • MIPS Promoting Interoperability Report
  • Legacy Reports

Click the Reports tab, then All.

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Quality & Compliance Reports display here.

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Quality Measure (eCQM) Report List

eCQM stands for Electronic Clinical Quality Measure.

A clinical quality measure that is captured in certified electronic health record technology (CEHRT). Data is collected in a structured, consistent format during the process of patient care. eCQMs measures and evaluates the performance of healthcare providers and organizations in delivering high-quality care and achieving specific healthcare outcomes.

Click Quality Measure Reports List.

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Click Request Quality Measures Reports for 2023 to generate your measurable report for your practice. This report will take a few minutes to process.

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Once the report is complete, click the link to view the data. Report data will be accurate to the previous business day, and the measure details include patient counts for all population numerators, denominators, and exceptions.

RXNT's Quality Measures report allows your practice to generate, and the report data is broken down for 8 measures that are supported through our Electronic Health Records (EHR) product. Click view to the right of any measure to see the detailed data.  Additional measures are available from CMS through claims reporting and other programs.

Click here to learn more about incentive reporting!

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Quality Measures

RXNT offers 8 measures that are reportable from the EHR. Click on a measure below to see CMS's population descriptions and additional resources.

Download the QRDA XML file

Quality measures are reported from RXNT as a QRDA XML file, and you may upload them directly to CMS or QPP either by the full report by selecting Download QRDA in the top right corner. 

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Or individually by clicking View and Download QRDA in the top right corner in the next screen.

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MIPS Promoting Interoperability Report

RXNT's MIPS Promoting Interoperability report allows your practice and providers to calculate scores for all objectives and measures. Click here to learn more about incentive reporting!

Click MIPS Promoting Interoperability Report.

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You can also access the MIPS Promoting Interoperability Report from the Reports dropdown menu.

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Choose the report filter options, then click Run Report.

Date Range
The time frame that scores will be calculated for. Use the radio button options to quickly set common ranges.
Provider
The provider the data will be calculated for. If none is selected, the provider associated with the logged in user will be used.
Location
The practice location that data should pull from. This only needs to be set for practices with multiple locations enrolled on their RXNT subscription.
EPCS Exclusion
Whether the report should include prescriptions for controlled substances in the calculation. If the provider is sending prescriptions for controlled substances electronically through RXNT, it's recommended to set this to include EPCS. Controlled substances will be excluded by default if no selection is made.

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The report will calculate scores for the four measures based on RXNT use. For attestation-only measures, the Reported value will initially be set to No. Use the dropdown for each measure to attest to any of these measures that your practice meets.

2023

Based on your attestations and calculated measures, RXNT will calculate your total score towards the MIPS Promoting Interoperability category.

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Click the CSV or PDF icon to export the report.

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Understand objectives and measures

Protect patient health information

If your practice has not completed the security risk analysis during the required period, you will not be eligible to receive any points for the MIPS Promoting Interoperability category.

Security Risk Analysis
Measure Type
Attestation
Requirements
Attest Yes to this measure if your practice has conducted or reviewed a security risk analysis following the guidelines in 45 CFR 164.308(a)(1) in order to ensure appropriate security for electronic protected health information (ePHI). This must be performed during the same calendar year as the MIPS performance period you're reporting for.

E-prescribing

E-prescribing Drugs (excluding or including EPCS)
Measure Type
Performance rate
Denominator
The number of prescriptions that were generated by the provider during the selected date range. This is based on the number of completed prescriptions that were either transmitted electronically, faxed, or printed. Prescriptions for controlled substances will not be counted if "EPCS Exclusion" is set to exclude controlled substances.
Numerator
The number of prescriptions out of the denominator that was transmitted electronically.
The query of prescription drug monitoring program (PDMP)
Measure Type
Attestation
Requirements
Attest "Yes" to this measure if you performed a PDMP check for at least one schedule II opioid that was prescribed electronically during the selected date range. Controlled medications can only be prescribed electronically through RXNT if you are enrolled with EPCS.

Direct Messaging (EHR Email) and Health Information Exchange (HIE) 

If a provider is not enrolled in Direct Email with RXNT, they will not be eligible to meet either of the HIE measures. Direct email is a secure method of transmitting patients' electronic health information (EHI) between healthcare providers, healthcare organizations, and patients. Direct email uses secure messaging protocols to ensure that EHI is transmitted and received securely and confidentially.

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Support electronic referral loops by sending health information
Measure Type
Performance rate
Denominator
The number of unique patients that had a transition of care or referral sent by the provider during the selected date range. This is based on the number of different patients who had a referral generated from the patient dashboard within the range.
Numerator
The number of unique patients out of the denominator who have also had a CCD chart summary successfully sent from the provider via direct email.
Support electronic referral loops by receiving and reconciling health information
Measure Type
Performance rate
Denominator
The number of unique patients that had a transition of care or referral received by the provider during the selected date range. This is based on the number of patients with the Referred by section completed in their demographics with the date referred in the range.
Numerator
The number of unique patients out of the denominator who have also had a CCD chart summary received by the provider via direct email and reconciled to their patient chart. Reconciliation of a received CCD chart summary is based on allergies, medications, and problems having each been reviewed with the external source data tool and updated as needed.

Provider to patient exchange

Provide patients electronic access to their health information
Measure Type
Performance rate
Denominator
The number of unique patients that were seen by the provider during the selected date range. This is based on the number of different patients who have a signed encounter from the provider with an encounter date within the range.
Numerator
The number of unique patients out of the denominator who have also logged into the Patient Health Records (PHR) portal during the selected date range. A patient representative logging into the PHR on behalf of the patient will also count toward this requirement. Patients and/or their representative(s) must be provided PHR access in order for your practice to meet this measure.

Public health and clinical data exchange

Immunization Registry Reporting and Electronic Case Reporting are required to meet the public health and clinical data exchange objective. You must report two “yes” responses, or submit a “yes” for one measure and claim an exclusion for the other. You can optionally report on the Public Health Registry Reporting, Clinical Data Registry Reporting, or Syndromic Surveillance Reporting measures for 5 bonus points. 

RXNT providers should claim the following exclusion for the Electronic Case Reporting measure, as RXNT is not yet certified on this measure: "(For 2022 only) The MIPS eligible clinician uses CEHRT that is not certified to the electronic case reporting certification criterion at § 170.315(f)(5) prior to the start of the performance period they select in CY 2022."

For each measure, the Center for Medicare and Medicaid Services (CMS) defines "active engagement" as follows:

The MIPS eligible clinician is in the process of moving towards sending "production data" to a public health agency or clinical data registry or is sending production data to a public health agency (PHA) or clinical data registry (CDR).

Active engagement may be demonstrated in one of the following ways:

Option 1 - Completed Registration to Submit Data
The MIPS eligible clinician registered to submit data with the PHA or, where applicable, the CDR to which the informaiton is being submitted; registration was completed within 60 days after the start of the MIPS performance period; and the MIPS eligible clinician is awaiting an invitation from the PHA or CDR to begin testing and validation. This option allows MIPS eligible clinicians to meet the measure when the PHA or the CDR has limited resources to initiate the testing and validation process. MIPS eligible clinicians that have registered in previous years do not need to submit an additional registration to meet this requirement for each MIPS performance period.
Option 2 - Testing and Validation
The MIPS eligible clinician is in the process of testing and validation from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within a MIPS performance period would result in that MIPS eligible clinician not meeting the measure.
Option 3 - Production
The MIPS eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.

Production data refers to data generated through clinical processes involving patient care, and it is used to distinguish between data and "test data" which may be submitted for the purposes of enrolling in and testing electronic data transfers.

Additional and Bonus Measures

Electronic case reporting
Measure Type
Attestation
Requirements
Attest "Yes" to this measure if your practice is in active engagement to submit data for reportable conditions to a case registry.
Immunization registry reporting
Measure Type
Attestation
Requirements
Attest "Yes" to this measure if your practice is in active engagement to submit and receive immunization data from an immunization registry or immunization information system (IIS).
Bonus measure: Clinical data registry reporting
Measure Type
Attestation
Requirements
Attest "Yes" to this measure if your practice is in active engagement to submit data to a clinical data registry.
Bonus measure: Public health registry reporting
Measure Type
Attestation
Requirements
Attest "Yes" to this measure if your practice is in active engagement to submit data to a public health registry.
Bonus measure: Syndromic surveillance reporting
Measure Type
Attestation
Requirements
Attest "Yes" to this measure if your practice is in active engagement to submit Urgent Care syndromic surveillance data to a public health registry.

Generating a CMS EHR Certification Identification Number

Navigate to  https://chpl.healthit.gov/#/ search and type 'RXNT' into the search bar. 

Below, the search results will return the RXNT Electronic Health Records product. Click CERT ID +.

Type 'Aidbox' into the search bar, then click CERT ID +. Once this is complete, click Create Certification ID. 

Once this is complete, you will receive the 15 digit code.

Legacy Reports

Click Legacy Reports to reveal the reports remaining available for historical reference despite no longer being currently relevant.

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2017 Advancing Care Transition Measures

ACI Reports

Medicaid Promoting Interoperability Report

Select the applicable year's report, followed by your report filter options, then click Run Report.

The report filter options include Date Range, Provider, Group (Location) and EPCS Exclusion.

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The report will display the measures and whether the target patient population percentages have been met for each.

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Click the CSV or PDF icon to export the report.

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Modified Stage II Report

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