ACR Incidental Finding Measures 405 and 406 for 2017: Changes for Merit-based Incentive Program System Participation

ACR Incidental Finding Measures 405 and 406 for 2017: Changes for Merit-based Incentive Program System Participation The American College of Radiology (ACR) is providing additional guidance on key measure changes that affect radiology practices that plan to report incidental finding measures for the 2017 Merit-based Incentive Program System (MIPS). Coding staff and clinical leaders must be certain they are reporting quality measures using the latest specifications guidance provided by the Centers for Medicare and Medicaid Services. The 2017 measure guidance includes separate reporting instructions for claims and registry reporting mechanisms. The numerator quality data coding options have been updated...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews ACR guidance on 2017 reporting updates for two incidental finding quality measures used in radiology MIPS participation. It is aimed at coding staff, radiologists, and clinical leaders who need to understand the measure changes, reporting mechanisms, and the related quality-data code updates across claims and registry workflows. The article also points readers to specialty-specific ACR resources for measure specification updates.

Why This Topic Matters

Accurate quality reporting depends on using the current measure specifications and the correct reporting mechanism. This article helps radiology practices stay aligned with ACR and CMS quality reporting guidance for the affected measures.

Article Sections

  1. Overview of 2017 measure guidance

    Introduces the reporting updates affecting radiology practices participating in MIPS and notes that separate instructions apply to claims and registry reporting.

  2. Quality ID No. 405

    Summarizes the scope of the first quality measure and the 2017 changes to reporting guidance and registry analytics.

  3. ACR guidance for reporting 405

    Describes the reporting framework for the first measure across claims and registry mechanisms, including the relevant quality-data code categories.

  4. Quality ID No. 406

    Summarizes the scope of the second quality measure and the 2017 updates to its description, coding, and registry-related guidance.

  5. ACR guidance for reporting 406

    Describes the reporting framework for the second measure across claims and registry mechanisms, including the relevant quality-data code categories.

  6. Note on denominator exceptions and exclusions

    Provides general clarification on how denominator exceptions and exclusions differ in the context of quality measure reporting.

  7. Specialty-specific resources and references

    Lists ACR reference materials for radiology subspecialties and directs readers to additional quality measure information.

What You Will Learn

  • What types of 2017 reporting updates were made for the affected radiology quality measures
  • How the article frames claims-based versus registry-based reporting
  • Which broad reporting categories are discussed for the two measures
  • What general resource types ACR points radiology practices to for specialty-specific measure guidance

Who Should Read This

  • Radiology coding staff
  • Radiologists
  • Clinical leaders
  • Quality reporting staff
  • MIPS participants

Codes Discussed


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