Practice Management

Good morning,

Now that some radiologists are being scored on Cost and the threshold to avoid a penalty is likely being raised in 2024, how is everyone reporting MIPS? We have tried eCQM for 2023, but from our experience we don't believe this method is ideal for hospital-based radiologists. I'm in search of alternative QCDR recommendations specific to our specialty.

While I'm aware of the ACR, I'm hoping to explore multiple options. Does anyone have suggestions that have proven effective for large volume hospital-based radiology groups that may be scored on Cost?

Christy Hembree, CPC
Director of RCM: Coding & Compliance  

Summit Radiology Services

P |770-607-7339 ex 220   F | 678-929-5507  

PO Box 200096 | Cartersville, Georgia | 30120
summitrad.net.

This e-mail and any attachments may contain confidential information subject to protection under the Federal Standards for Privacy of Individually Identifiable Health Information (45 C.F.R. Parts 160 and 164).  If you or your organization is a "Covered Entity" under the above-mentioned regulations, you are obligated to treat such information in a manner consistent with the regulations.  If it appears that this e-mail was sent to you in error, (1) you are prohibited from utilizing or disseminating this e-mail or any attachments; (2) please immediately delete it from your computer and any servers or other locations where it might be stored and e-mail the sender or call 770-607-7339 advising that you have done so.  We appreciate your cooperation.

We've had good luck with the ACR, but that obviously doesn't help the cost measure problem.  I am exploring the possibility of setting up a separate entity/TIN to bill the services that trigger cost measures.  Would be interested to know if anyone else is considering that pathway, or knows of a reason not to do it.

Dave

       David Smith, FACMPE  |  Executive Director  |  785.393.8387

5800 Foxridge Dr.  Ste 240  |  Mission, KS  66202  |  www.uickc.com

                                                          Member of

Good morning,

Now that some radiologists are being scored on Cost and the threshold to avoid a penalty is likely being raised in 2024, how is everyone reporting MIPS? We have tried eCQM for 2023, but from our experience we don't believe this method is ideal for hospital-based radiologists. I'm in search of alternative QCDR recommendations specific to our specialty.

While I'm aware of the ACR, I'm hoping to explore multiple options. Does anyone have suggestions that have proven effective for large volume hospital-based radiology groups that may be scored on Cost?

Christy Hembree, CPC
Director of RCM: Coding & Compliance  

Summit Radiology Services

P |770-607-7339 ex 220   F | 678-929-5507  

PO Box 200096 | Cartersville, Georgia | 30120
summitrad.net.

This e-mail and any attachments may contain confidential information subject to protection under the Federal Standards for Privacy of Individually Identifiable Health Information (45 C.F.R. Parts 160 and 164).  If you or your organization is a "Covered Entity" under the above-mentioned regulations, you are obligated to treat such information in a manner consistent with the regulations.  If it appears that this e-mail was sent to you in error, (1) you are prohibited from utilizing or disseminating this e-mail or any attachments; (2) please immediately delete it from your computer and any servers or other locations where it might be stored and e-mail the sender or call 770-607-7339 advising that you have done so.  We appreciate your cooperation.

We've had good luck with the ACR, but that obviously doesn't help the cost measure problem.  I am exploring the possibility of setting up a separate entity/TIN to bill the services that trigger cost measures.  Would be interested to know if anyone else is considering that pathway, or knows of a reason not to do it.

Dave

       David Smith, FACMPE  |  Executive Director  |  785.393.8387

5800 Foxridge Dr.  Ste 240  |  Mission, KS  66202  |  www.uickc.com

                                                          Member of

Good morning,

Now that some radiologists are being scored on Cost and the threshold to avoid a penalty is likely being raised in 2024, how is everyone reporting MIPS? We have tried eCQM for 2023, but from our experience we don't believe this method is ideal for hospital-based radiologists. I'm in search of alternative QCDR recommendations specific to our specialty.

While I'm aware of the ACR, I'm hoping to explore multiple options. Does anyone have suggestions that have proven effective for large volume hospital-based radiology groups that may be scored on Cost?

Christy Hembree, CPC
Director of RCM: Coding & Compliance  

Summit Radiology Services

P |770-607-7339 ex 220   F | 678-929-5507  

PO Box 200096 | Cartersville, Georgia | 30120
summitrad.net.

This e-mail and any attachments may contain confidential information subject to protection under the Federal Standards for Privacy of Individually Identifiable Health Information (45 C.F.R. Parts 160 and 164).  If you or your organization is a "Covered Entity" under the above-mentioned regulations, you are obligated to treat such information in a manner consistent with the regulations.  If it appears that this e-mail was sent to you in error, (1) you are prohibited from utilizing or disseminating this e-mail or any attachments; (2) please immediately delete it from your computer and any servers or other locations where it might be stored and e-mail the sender or call 770-607-7339 advising that you have done so.  We appreciate your cooperation.

Dave,

It seems reasonable to set up a separate TIN if you have an OBL. However, we only got hit on inpatient interventional procedures. If we set up a TIN only for our IR physicians, we would have to report MIPS on them too and they would probably get a negative result. Either way, cost needs to be addressed with CMS.

We used the ACR, and if it hadn't been for cost, we would have been very satisfied with the results.

Thank you!

Carol Hamilton, MBA, FRBMA, SHRM-SCP

Chief Administrative Officer

West County Radiological Group, Inc.

We've had good luck with the ACR, but that obviously doesn't help the cost measure problem.  I am exploring the possibility of setting up a separate entity/TIN to bill the services that trigger cost measures.  Would be interested to know if anyone else is considering that pathway, or knows of a reason not to do it.

Dave

       David Smith, FACMPE  |  Executive Director  |  785.393.8387

5800 Foxridge Dr.  Ste 240  |  Mission, KS  66202  |  www.uickc.com

                                                          Member of

Good morning,

Now that some radiologists are being scored on Cost and the threshold to avoid a penalty is likely being raised in 2024, how is everyone reporting MIPS? We have tried eCQM for 2023, but from our experience we don't believe this method is ideal for hospital-based radiologists. I'm in search of alternative QCDR recommendations specific to our specialty.

While I'm aware of the ACR, I'm hoping to explore multiple options. Does anyone have suggestions that have proven effective for large volume hospital-based radiology groups that may be scored on Cost?

Christy Hembree, CPC
Director of RCM: Coding & Compliance  

Summit Radiology Services

P |770-607-7339 ex 220   F | 678-929-5507  

PO Box 200096 | Cartersville, Georgia | 30120
summitrad.net.

This e-mail and any attachments may contain confidential information subject to protection under the Federal Standards for Privacy of Individually Identifiable Health Information (45 C.F.R. Parts 160 and 164).  If you or your organization is a "Covered Entity" under the above-mentioned regulations, you are obligated to treat such information in a manner consistent with the regulations.  If it appears that this e-mail was sent to you in error, (1) you are prohibited from utilizing or disseminating this e-mail or any attachments; (2) please immediately delete it from your computer and any servers or other locations where it might be stored and e-mail the sender or call 770-607-7339 advising that you have done so.  We appreciate your cooperation.