decisionhealth Newsletters, Coder Pink Sheets - 2018 Issue 9 (September)
Quality Payment Program: Check your proposed specialty sets and prepare for 2019 MIPS changes
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Article Overview
This article explains proposed Quality Payment Program and MIPS specialty-set revisions for 2019, with emphasis on anesthesia and physical medicine/pain management. It outlines proposed additions and removals in the specialty measures sets, notes reporting pathways such as claims, registry, EHR, and web interface, and places the changes in the context of CMS quality reporting priorities. It is relevant to practices that use specialty-specific MIPS measures and want to evaluate whether the proposed updates affect their reporting strategy.
Why This Topic Matters
Specialty practices rely on these measure sets to determine what can be reported under MIPS. Understanding the proposed 2019 changes helps groups assess potential reporting impacts and consider whether to comment on CMS proposals before implementation.
Article Sections
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Anesthesia set will shrink
Discusses proposed changes to the anesthesia specialty measure set for 2019 and the rationale behind removing measures from the set. It also notes the resulting reporting mix for the specialty set.
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Physical medicine drops 3 measures
Covers proposed updates to the physical medicine specialty set used by pain practices, including measures that would be removed and new measures that would be added. It also addresses reporting pathways and the broader scope of the specialty set.
What You Will Learn
- How proposed 2019 MIPS specialty-set changes affect anesthesia practices
- How proposed 2019 MIPS specialty-set changes affect physical medicine and pain management practices
- Which types of reporting pathways are mentioned for the specialty measures
- How CMS frames the specialty-set revisions in the context of quality measurement priorities
Who Should Read This
- Anesthesiologists
- Pain management clinicians
- Physical medicine and rehabilitation practices
- Quality reporting staff
- MIPS coordinators
- Medical coders and billing professionals
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