AMA Clinical Examples in Radiology - 2019 Bulletin 2
Changes to MIPS Measure 405
Changes to MIPS Measure 405 The American College of Radiology (ACR) has made substantive changes to the 2019 Merit-based Incentive Payment System (MIPS) Measure 405: Appropriate Follow-up Imaging for Incidental Abdominal Lesions, which will be implemented for reporting in 2020. The denominator for Measure #405 has been changed to exclude incidental liver lesions due to recent changes in guidelines for imaging liver lesions. Going forward the denominator will now only include final reports mentioning incidental adrenal lesions (<1.0 cm) or cystic renal lesions (<1.0 cm) or both. At the same time, ACR has added some...
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Article Overview
This article explains substantive updates to the American College of Radiology’s MIPS Measure 405 for the 2020 reporting period. It is relevant for radiology quality reporting staff, coders, and clinicians who need to understand the measure’s revised scope, the types of imaging reports now included, and the general nature of the changes affecting measure calculation and reporting.
Why This Topic Matters
The update affects which imaging studies and final reports are counted in MIPS quality reporting, so understanding the revised measure scope is important for accurate participation and documentation. It also helps readers track how ACR-aligned guidance changed between reporting periods.
What You Will Learn
- What changed in the MIPS Measure 405 reporting framework
- How the measure’s scope was revised for incidental findings
- What general types of imaging studies were added to the measure denominator
- How the measure’s performance reporting approach changed
- How the 2020 updates relate to radiology quality reporting
Who Should Read This
- Radiologists
- Radiology coders
- Quality reporting staff
- Clinical documentation specialists
- Practice administrators
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