decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 8 (August)
Quality reporting: CMS proposal: Clinicians can mix methods to get to six measures
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Article Overview
This article explains proposed CMS changes to the MIPS quality reporting category, including how clinicians may combine reporting methods, what happens when fewer than six measures are reported, and how validation may work. It also covers proposed updates to specialty measure sets, measure additions and deletions, and CMS’ approach to measures affected by the annual ICD-10-CM update. The piece is aimed at clinicians, practice managers, and coders who need to understand upcoming quality reporting requirements and measure-set changes.
Why This Topic Matters
The proposal could affect how clinicians earn full credit in MIPS quality reporting and which measures are available within specialty sets. It is relevant for practices planning quality submissions, tracking measure changes, and preparing for reporting and coding impacts tied to ICD-10-CM updates.
Article Sections
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Flexibility could increase responsibility
Discusses proposed flexibility in quality measure reporting methods and how clinicians may combine methods to meet reporting requirements. Also addresses the relationship between available measures and credit under MIPS.
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Validation remains for claims, registry
Explains proposed validation considerations for claims-based and registry reporting and contrasts them with other reporting approaches. Includes general discussion of how CMS views clinicians with limited measure availability.
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Changes on deck for measures, sets
Summarizes proposed additions, deletions, and revisions affecting quality measures and specialty measure sets. Focuses on anesthesia, pain management, physical medicine, and broader reporting method changes.
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Diagnosis-based measures addressed
Covers CMS’ proposed treatment of diagnosis-based measures in relation to the annual ICD-10-CM update. Describes how CMS may evaluate whether measures are significantly affected by coding changes.
What You Will Learn
- How CMS proposes to make quality reporting more flexible within MIPS
- What proposed changes may affect specialty measure sets
- How CMS is addressing measures influenced by ICD-10-CM updates
- Which broad types of reporting methods and validations are discussed in the proposal
Who Should Read This
- Clinicians
- Practice managers
- Medical coders
- Quality reporting staff
- Anesthesia and pain management specialists
- Physical medicine providers
Codes Discussed
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