Under MIPS, eligible clinicians will be required to report up to 6 quality measures, including at least one outcome measure or high-priority measure, for a minimum of 90 days during the 2017 performance year. Practice Fusion currently supports 23 eCQMs that can be reported for MIPS for the 2017 performance year.
|eCQM:||Use of Imaging Studies for Low Back Pain|
|CMS ID:||CMS 166v6|
|NQS Domain:||Efficiency and Cost Reduction|
|MIPS High Priority Measure:||Yes|
|Eligible for Quality Programs:||
|Description:||Percentage of patients 18-50 years of age with a diagnosis of low back pain who did nothave an imaging study (plain X-ray, MRI, CT scan) within 28 days of the diagnosis.|
Numerator: Patients without an imaging study conducted on the date of the outpatient or emergency department visit or in the 28 days following the outpatient or emergency department visit.
Denominator : Patients 18-50 years of age with a diagnosis of low back pain during an eligible outpatient visit (defined as a signed chart note with one of the following encounter types: Office Visit, Home Visit, Nurse Visit, or Nursing Home Visit) or emergency department visit during the first 337 days of the measurement period (337 days allows 28 days for the numerator event). This visit must be the first visit for low back pain during the measurement period.
- Patients with a diagnosis of cancer any time in their history or patients with a diagnosis of recent trauma, IV drug abuse, or neurologic impairment during the 12-month period prior to through the 28 days after the outpatient or emergency department visit.
- Patients with a diagnosis of low back pain within the 180 days prior to the outpatient or emergency department visit.
Denominator Exceptions: None
What is the Quality Payment Program?
Quality Payment Program is the name given to the new Medicare value-based reimbursement system. The program has two tracks for participation: MIPS and APM
What are APMs?
MACRA allows providers who take further steps towards transforming healthcare to be exempt from MIPS and participate in Advanced Alternative Payment Models (APMs).
How to prepare
Individual eligible providers can prepare to meet all MIPS measures and be ready to avoid penalties and earn bonuses on January 1, 2017.