Medicare Compliance & Reimbursement - 2017 Issue 1
MIPS Reporting: MACRA Final Rule Lists Available Quality Measures for MIPS reporting
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Article Overview
This article summarizes MIPS reporting under the MACRA final rule for emergency medicine, with emphasis on the 2017 quality-measure landscape and clinical practice improvement activities. It explains who can report, the difference between individual and group reporting, how reporting requirements vary by mechanism, and the general categories of measures relevant to emergency medicine practices. It is intended for physicians, coders, practice managers, and quality-reporting staff who need a high-level view of MIPS participation requirements and measure selection.
Why This Topic Matters
MIPS participation affects quality reporting obligations and potential payment adjustments for eligible clinicians and groups. Understanding the available emergency medicine measures and reporting categories helps practices assess relevance, documentation needs, and reporting approach.
Article Sections
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MIPS reporting options and group reporting
Introduces how eligible clinicians may report as individuals or as a group and describes the organizational structure used for group assessment. It also notes how clinicians may move with their reporting scores within a group reporting period.
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Data completeness requirements vary depending on reporting mechanism
Summarizes that reporting thresholds differ by submission method and reporting year. The section compares broad requirements for claims-based and registry-based reporting.
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Fifteen quality measures available for emergency medicine in 2017
Provides an overview of the emergency medicine quality-measure set available for the reporting year. It discusses the overall structure of the quality category and the general expectations for measure selection.
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Four additional quality measures for certified registry reporting
Highlights additional quality measures available through certified registry reporting. The section identifies the subset of measures that expand the reporting options beyond the core claims-based set.
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Clinical Practice Improvement Activities (CPIA)
Describes the CPIA category, including the number of activities available and how activities are scored. It also notes the documentation expectations associated with audit readiness.
What You Will Learn
- How MIPS reporting can be structured for individuals and groups
- How reporting requirements differ between claims-based and registry-based submission
- What categories of quality measures are available for emergency medicine in 2017
- How the Clinical Practice Improvement Activities category is organized
- What kinds of documentation considerations are mentioned for audit purposes
Who Should Read This
- Emergency medicine physicians
- Eligible clinicians
- Medical coders
- Quality reporting staff
- Practice managers
- Revenue cycle teams
Codes Discussed
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