Practice Management

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  • 1.  MIPS - Adding Measures

    Posted 01-18-2018 08:08
    Forum,
    We're considering adding new MIPS measures for 2018. However, it will likely take another ~30 days to make sure radiology reports include the necessary text to successfully report. If we don't start reporting MIPS data until February on a particular measure, will that in itself impact our performance on the measure? (Say we pick a start date of Feb 15, and we are able to report 100% "good" measure codes. Will we end up with a performance percentage of 100% or something less than that to reflect the ~45 days of data that we did not report at all?)

    --

    Rick Sylvanus

    Operations Manager

    Southern Delaware Imaging Associates

    E-Mail: Rick@sdiassociates.com



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  • 2.  RE: MIPS - Adding Measures

    Posted 01-18-2018 09:59

    Rick,

     

    In that scenario, you would have a lower submission rate (such as 90%) with a 100% performance met score. That would meet the minimum MIPS requirements while still making you eligible for the performance bonus. You would score the maximum 10 points for that measure.

     

    If you submitted 100% of the codes with an 85% performance met and 15% performance not met, you likely would not be eligible for the bonus.  It's better to have a "missed opportunity" than a "performance not met" for a regular (non-inverse) measure.

     

    Janene Markuske

    Client Manager – Radiology

     

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  • 3.  RE: MIPS - Adding Measures

    Posted 01-18-2018 10:13
    Exactly what I needed to know - thanks Janene!





  • 4.  RE: MIPS - Adding Measures

    Posted 02-01-2018 14:41
    Does anyone know how the Reporting Rate or Submission Rate is calculated?  How does CMS know that we are submitting data on at least 50% of our cases for each measure?
    Thanks,
    Jennifer

    ------------------------------
    Jennifer Wenning
    Office Manager
    Medical Imaging Physicians, Inc.
    Dayton OH
    (937) 433-7622 ext. 101
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  • 5.  RE: MIPS - Adding Measures

    Posted 02-01-2018 14:52
    If you're using a QCDR, the "denominator" (total number of relevant procedures) is reported. For example, on the ACR's QCDR you provide that information during the attestation process. (When and how the information is provided probably varies with each QCDR, but the bottom line is that the practice provides it, and that information can be used to calculate the reporting rate.)


    On Thu, Feb 1, 2018 at 2:40 PM, Jennifer Wenning via Radiology Business Management Association



    --

    Rick Sylvanus

    Operations Manager

    Southern Delaware Imaging Associates






  • 6.  RE: MIPS - Adding Measures

    Posted 02-01-2018 15:05
    Thanks - do you know if it will be the same for reporting via Qualified Registry?

    ------------------------------
    Jennifer Wenning
    Manager
    Medical Imaging Physicians, Inc.
    Dayton OH
    (937) 433-7622 ext. 101
    ------------------------------



  • 7.  RE: MIPS - Adding Measures

    Posted 02-01-2018 17:36

    At the very least, this could be determined under audit.  Since there is some form of attestation upon submission the physician would be on the hook for reporting enough to meet data completeness requirement.  It is like IA reporting...keep the documentation to prove your position. 

     

    Wendy