2023 Stakeholders’ Series

SEPTEMBER 2023

AMP Monthly Newsletter

• Resources for MY 2022 Questions and Appeals
• BCS-E Training Webinar Recording
• MY 2022 Preliminary Results Webinar Recording
• Newsletter archive 

MY 2022 Questions and Appeals

The MY 2022 Questions and Appeals period is currently underway. During this time, we ask provider organizations and health plans to review their MY 2022 preliminary results and check for possible errors. We encourage you to submit questions or appeals early to give IHA and partners enough time to thoroughly investigate your submission.

As a reminder, we released the AMP MY 2022 preliminary results on the Onpoint Performance Reporting Portal (PRP); we also used the PRP to release refreshed MY 2021 results. Historical AMP results (prior to MY 2021) are available in the AMP Analytics Portal.

Important dates and activities:

This Friday, 9/8: Last day to submit appeals for Onpoint and PBGH Pipelines. 

9/15: Last day to finalize any documentation related to questions and appeals.

9/20: Appeals hearing.

9/27: Appeals decisions communicated to participants.

10/31: Final MY 2022 results released to participants.

How to submit an appeal or question:

• Review the following resources: Submission Guide, Roles and Responsibilities, and Best Practices and FAQs.
• Identify the organization name and ID, measure rates in question and applicable product lines and health plans, as well as any rationale and documentation to substantiate the claim.
• Email the identified information using our Submission Form to appeals@iha.org by September 8, 2023, 5 p.m. PDT for PBGH and Onpoint-generated measures.

Breast Cancer Screening (BCS-E) training webinar 

On July 17, IHA hosted a NCQA-led training webinar on the Breast Cancer Screening measure’s transition to Electronic Clinical Data System (ECDS)-only reporting in MY 2023. A recording of the webinar, slides, and a transcript of participant questions answered during the event are now available on iha.org.

We encourage AMP participants who want to learn more about ECDS to review the three-part technical training series hosted by IHA last summer. We hope these resources help our AMP participants as NCQA transitions existing AMP measures to ECDS-only reporting in the coming measurement years.

Webinar recording: Preliminary results release

On August 10, IHA hosted a webinar to share the MY 2022 preliminary AMP results. Topics included performance insights, how to review your results using Onpoint’s Performance Reporting Portal (PRP), and what to do if you have questions or appeals. The recording is now available on IHA.org.

Encounter Data Resource Hub

Our Encounter Data Resource Hub is growing! Check out our resources designed to help provider practices optimize their encounter data workflows, including:

• Recommendations for submitting newborn encounters to adhere to DHCS requirements and increase industry standardization.

• Guidance on proper claims submissions for ambulance billing.

• Best practices for proper vaccine claims submissions, including multiple vaccine administration.

Help us improve the Hub with our 3-minute feedback survey!

2023 IHA Public Comment

During this year’s public comment period, happening October 9 through October 27, IHA will ask for your feedback on proposed program updates and the Draft MY 2024 AMP Measure Set and Technical Specifications. More information and resources will be available in the coming weeks on IHA.org.

MY 2023 PAS registration opens soon

The Patient Assessment Survey (PAS) registration period for provider organizations opens October 10, 2023. If you are interested in receiving AMP Patient Experience domain results, you must sign up for PAS with the Purchaser Business Group on Health (PBGH). Provider organizations will receive an email from PBGH with detailed information on how to sign up in mid-September. 

For questions related to PAS registration, please reach out to Valerie Kong (vkong@pbgh.org) and/or Jeff Burkeen (jburkeen@cssresearch.org).

This newsletter is a part of our 2023 Stakeholders’ Series. Through this channel you’ll get industry, program, and IHA-wide insights, in a more tailored and timely way.