decisionhealth Newsletters, Part B News - 2016 Issue 5 (May)
Specialists will find specific MIPS measures to report; NPPs now included
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Article Overview
This article covers a proposed CMS quality reporting rule and how it changes reporting under MIPS for specialists and certain non-physician practitioners. It discusses the shift from prior reporting systems to MIPS categories, the use of specialty-specific measure lists, validation concepts for measure selection, and the early treatment of clinicians such as physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists. The piece is useful for practices that need to understand how the proposal may affect quality reporting responsibilities across different clinician types.
Why This Topic Matters
The article matters because it highlights proposed federal reporting changes that could affect which clinicians must report, which measures they can use, and how practices prepare for quality reporting under MIPS. It is especially relevant for specialty groups and organizations managing mixed clinician teams.
Article Sections
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Effect on specialists
This section discusses proposed changes to quality reporting for specialists and subspecialists under MIPS. It focuses on the availability of specialty-oriented measure lists and the broader structure of the new reporting system.
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NPPs now included
This section covers the proposed inclusion of non-physician practitioners in MIPS and the related transition approach. It outlines the categories of clinicians affected and the general policy direction for early participation.
What You Will Learn
- How the proposed MIPS framework affects specialty and subspecialty reporting
- What types of clinicians are being added into the reporting structure
- How CMS is approaching measure selection and validation at a high level
- How the proposal relates to prior quality reporting programs
Who Should Read This
- Medical coders
- Practice managers
- Compliance staff
- Physicians and specialists
- Quality reporting staff
- Revenue cycle teams
Codes Discussed
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