Medicare Compliance & Reimbursement - 2019 Issue 6
MIPS: Report MIPS Radiation Codes, Avoid Negative Payment Adjustments
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Article Overview
This article explains how selected MIPS quality measures apply to imaging documentation, especially in radiology and IDTF settings. It is aimed at coders, practice managers, and physicians who want to understand which general reporting areas are discussed, why accurate measure capture matters for payment adjustment performance, and how the article frames the CMS quality-measure landscape for radiation-related reporting.
Why This Topic Matters
Accurate MIPS reporting can affect a provider’s payment adjustment status, and radiation-related imaging measures are a recurring compliance and documentation concern for radiology workflows. The article helps readers recognize the broad measure categories involved and determine whether the full premium content is relevant to their reporting environment.
Article Sections
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Get Back to the MIPS Basics
Introduces core MIPS reporting concepts and the general reporting framework referenced throughout the article. It also places radiation-related measures in the context of broader quality reporting requirements.
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Report G9321 for Included Annual CT Scan Tally
Covers one CT-focused quality measure and the associated reporting category for documenting prior imaging history. The section explains how the measure is positioned within a named CMS quality ID and what general reporting circumstances are discussed.
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Know What Dose Radiation Techniques Qualify for G9637 Reporting
Discusses a CT-related adult imaging measure focused on dose-lowering technique documentation. It also addresses the paired reporting category and clarifies the article’s treatment of documentation examples.
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Include Three More Important Measures
Lists additional radiation-related quality measures to consider beyond the two primary CT measures. The section broadens the scope to fluoroscopy, dose index registry reporting, and follow-up imaging appropriateness topics.
What You Will Learn
- How the article frames MIPS reporting for radiology and imaging practices
- Which broad radiation-related quality measure categories are discussed
- How the article organizes CT, fluoroscopy, and related imaging measures
- Why documentation of imaging-related quality measures can affect reporting performance
- What types of CMS quality measure resources the article points readers toward
Who Should Read This
- Medical coders
- Radiology coders
- Practice managers
- Physicians
- IDTF staff
- Compliance professionals
Codes Discussed
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