CMS revises MIPS reporting requirements every year. There is a high chance that the measures you reported last year may have been obsoleted this year.
2020 is particularly important as
it is the year of some important updates.
You can rely on QPPMIPS.com to
know about any MIPS update and get a solution to your reporting problem.
We have gathered all information
about the topped-out measures and the updated measures for this year, so you
submit data without any ambiguity.
What are the New Quality
Measures?
A new update for MIPS Quality measures is that CMS (Centers for Medicare and Medicaid Services) requires at
least 70% of the eligible cases (for both Medicare and non-Medicaid patients)
for the whole performance year.
Groups with sixteen or more
eligible clinicians will receive no points for this category, if they fail to
meet the data completeness constraint.
However, eligible clinicians from
small practices with groups of participants less than 16 can receive three
points even if they submit data for less than 70% of the eligible cases.
Quality Measures to Report in
MIPS 2020
There are approximately 216
quality measures to choose from and report this year (according to the final
rule). Three new measures are added to the list along with seven new specialty
measure sets.
New Quality Measures
For eCQM (Electronic Clinical Quality Measures)
#476 - International Prostate
Symptom Score (IPSS) or American Urological Association-Symptom Index (AUA-SI)
change 6 -12 months after Diagnosis of Benign Prostatic Hyperplasia
For CQM (Clinical Quality Measure)
#477 - Multimodal Pain Management
For CQM (Clinical Quality Measure)
#478 - Functional Status Change
for Patients with Neck Impairments
Now, have a look at the list of
new Specialty Measure Sets for MIPS 2020 Reporting.
- Audiology
Specialty Set
- Pulmonology
Specialty Set
- Nutrition/Dietitian
Specialty Set
- Endocrinology
Specialty Set
- Chiropractic
Medicine Specialty Set
- Clinical
Social Work Specialty Set*
- Speech-Language
Pathology Specialty Set
*Clinical social workers are
exempt to report MIPS 2020. However, they can report data voluntarily.
We suggest all eligible clinicians
check the CMS official documentation against each quality measure, so you
report them as per their requirements.
What Quality Measures Have Been
Removed from the List?
CMS removed almost 42 quality
measures from the 2020 QPP MIPS Reporting list. The reason behind this is they
no longer support the purpose of MIPS vision.
Given below is the list of topped
out measures. We suggest going through all of these to avoid using inactive
measures and lose points on them.
#046 - Medication Reconciliation
Post-Discharge
#051 - Chronic Obstructive
Pulmonary Disease (COPD): Spirometry Evaluation
#068 - Hematology: Myelodysplastic
Syndrome (MDS): Documentation of Iron Stores in Patients Receiving
Erythropoietin Therapy
#091 - Acute Otitis Externa (AOE):
Topical Therapy
#109 - Osteoarthritis (OA):
Function and Pain Assessment
#131 - Pain Assessment and
Follow-Up
#160 - HIV/AIDS: Pneumocystis
Jiroveci Pneumonia (PCP) Prophylaxis
#165 - Coronary Artery Bypass
Graft (CABG): Deep Sternal Wound Infection Rate
#166 - Coronary Artery Bypass
Graft (CABG): Stroke
#179 - Rheumatoid Arthritis (RA):
Assessment and Classification of Disease Prognosis
#192 - Cataracts: Complications
within 30 Days Following Cataract Surgery Requiring Additional Surgical
Procedures
#223 - Functional Deficit: Change
in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible,
Thoracic Spine, Ribs, or Other General Orthopedic Impairments
#255 - Rh Immunoglobulin (Rhogam)
for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure
#262 - Image Confirmation of
Successful Excision of Image-Localized Breast Lesion
#271 - Inflammatory Bowel Disease
(IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury
#325 - Adult Major Depressive
Disorder (MDD): Coordination of Care of Patients with Specific Comorbid
Conditions
#328 - Pediatric Kidney Disease:
ESRD Patients Receiving Dialysis: Hemoglobin Level < 10g/dL
#329 - Adult Kidney Disease:
Catheter Use at Initiation of Hemodialysis
#330 - Adult Kidney Disease:
Catheter Use for Greater Than or Equal to 90 Days
#343- Screening Colonoscopy
Adenoma Detection Rate
#345 - Rate of Asymptomatic
Patients Undergoing Carotid Artery Stenting (CAS) (For patients who are Stroke
Free or discharged alive)
#346 - Rate of Asymptomatic
Patients Undergoing Carotid Endarterectomy (CEA) ((For patients who are Stroke
Free or discharged alive)
#347 - Rate of Endovascular
Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal
Aortic Aneurysms (AAA) (For patients who are discharged alive)
#352 - Total Knee Replacement:
Preoperative Antibiotic Infusion with Proximal Tourniquet
#353 - Total Knee Replacement:
Identification of Implanted Prosthesis in Operative Report
#361- Optimizing Patient Exposure
to Ionizing Radiation: Reporting to a Radiation Dose Index Registry
#362 - Optimizing Patient Exposure
to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient
Follow-up and Comparison Purposes
#371 - Depression Utilization of
the PHQ-9 Tool
#372 - Maternal Depression
Screening
#388 - Cataract Surgery with
Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring
Unplanned Vitrectomy)
#403 - Adult Kidney Disease:
Referral to Hospice
#407 - Appropriate Treatment of
MSSA Bacteremia
#411 - Depression Remission at Six
Months
#417 - Rate of Open Repair of Small
or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged
Alive
#428 - Pelvic Organ Prolapse:
Preoperative Assessment of Occult Stress Urinary Incontinence
#442 - Persistence of Beta-Blocker
Treatment After a Heart Attack
#446 - Operative Mortality
Stratified by the Five STS-EACTS Mortality Categories
#449 - HER2 Negative or
Undocumented Breast Cancer Patients Spared Treatment with HER2-Targeted
Therapies
#454 - Proportion of Patients who
died from Cancer with more than One Emergency Department Visit in the Last 30
Days of Life
#456 - Proportion Not Admitted To
Hospice
#467 - Developmental Screening in
the First Three Years of Life
#474 - Zoster (Shingles)
vaccination
Conclusion
To succeed in the MIPS 2020, it is
important to review every quality measure beforehand the reporting period. There
is still a little time left, so if you have a lot of reporting work to do,
contact us for a smooth data submission process aligned with the latest CMS
requirements.
As Eligible clinicians has earned incentives for timely reporting MIPS 2020 now it's time to fulfil and complete all the points for MIPS 2021 data reporting and can earn more Incentives. For this purpose you it's necessary to know the CMS requirements
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