Notes From the Field: How to Deal with MIPS and EIDM Heartburn

The window for 2018 MIPS reporting closes in three days, though many clinicians and large ACO groups are in a state of limbo with regard to receiving or apply for an Enterprise Identity Management account (EIDM). An EIDM is necessary for submitting Advancing Care Information (ACI) under MIPS.

Primaris Clinical Operations Senior Program Manager Lisa Hays, who is also an EHR implementation specialist, said Primaris data abstraction and MIPS consulting team members who are working with thousands of clinicians, practice managers, and ACOs have discovered that the need for an EIDM is “causing quite a stir” for physicians and ACOs that have not yet established an EIDM.

A backlog of EIDM account applications with the Centers for Medicare and Medicaid Services Quality Payment Program is putting a pinch on many practices, she said.

“If the EIDM application requires manual verification, the approval process can take even longer,” Hays said.

So far, CMS has not provided an extension date or other alternatives. CMS has provided a user guide found on the Quality Payment Program resource library – click here – for additional resources. Primaris MIPS team leaders can be reached for assistance at the following link,

CMS has also issued a last-minute reminder about submitting 2017 MIPS data for the Improvement Activities category. That reminder and more details about the MIPS/EIDM pinch are available in the March 28 “Quality Time” blog post, “Last-minute MIPS tips for dealing with EIDM heartburn.”