QPP Measure #484
The measure is a risk-standardized rate of acute, unplanned hospital admissions for the Merit-based Incentive Payment System (MIPS) among Medicare Fee-for-Service (FFS) patients aged 65 years and older with multiple chronic conditions (MCCs); i.e., two or more of nine qualifying chronic conditions. The measure is adjusted for age, chronic condition categories, and other clinical and frailty risk factors present at the start of the 12-month measurement period as well as social risk factors. The measure attributes admissions to MIPS participating clinicians and/or clinician groups, as identified by their National Provider Identifiers (NPIs) and/or Taxpayer Identification Number (TIN) and assesses each clinician’s or clinician group’s admission rate.
The following codes apply for this QPP measure:
HCPCS Codes | |||
| Code | Description | ||
|---|---|---|---|
| G0053 | Advancing rheumatology patient care mips value pathways | ||
| G0054 | Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways | ||
| G0055 | Advancing care for heart disease mips value pathways | ||
| G0057 | Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways | ||
| G0058 | Improving care for lower extremity joint repair mips value pathways | ||
| G0059 | Patient safety and support of positive experiences with anesthesia mips value pathways | ||
| M0001 | Advancing cancer care mips value pathways | ||
| M0002 | Optimal care for kidney health mips value pathways | ||
| M0004 | Quality care for patients with neurological conditions mips value pathway | ||
| M0005 | Value in primary care mips value pathway | ||
| M1366 | Focusing on women's health mips value pathway | ||
| M1367 | Quality care for the treatment of ear, nose, and throat disorders mips value pathway | ||
| M1368 | Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway | ||
| M1369 | Quality care in mental health and substance use disorders mips value pathway | ||
| M1370 | Rehabilitative support for musculoskeletal care mips value pathway | ||
| M1420 | Complete ophthalmologic care mips value pathway | ||
| M1421 | Dermatological care mips value pathway | ||
| M1422 | Gastroenterology care mips value pathway | ||
| M1423 | Optimal care for patients with urologic conditions mips value pathway | ||
| M1424 | Pulmonology care mips value pathway | ||
| M1425 | Surgical care mips value pathway | ||
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