QPP Measure #IA_PM_11
Implement regular reviews of targeted patient population needs, such as structured clinical case reviews, which include access to reports that show unique characteristics of MIPS eligible clinician's patient population, identification of underserved patients, and how clinical treatment needs are being tailored, if necessary, to address unique needs and what resources in the community have been identified as additional resources. The review should consider how structural inequities, such as racism, are influencing patterns of care and consider changes to acknowledge and address them. Reviews should stratify patient data by demographic characteristics and health related social needs to appropriately identify differences among unique populations and assess the drivers of gaps and disparities and identify interventions appropriate for the needs of the sub-populations.
The following codes apply for this QPP measure:
HCPCS Codes | |||
Code | Description | ||
---|---|---|---|
M0002 | Optimal care for kidney health mips value pathways | ||
M0003 | Optimal care for patients with episodic neurological conditions mips value pathways | ||
M0004 | Quality care for patients with neurological conditions mips value pathway | ||
M0005 | Value in primary care mips value pathway | ||
M1368 | Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway |
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