MAXIMIZING YOUR MIPS QUALITY MEASURE SCORE WITH DATA ...
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MAXIMIZING YOUR MIPS QUALITY MEASURE SCORE WITH DATA COMPLETENESS In order to earn the maximum points for quality measures for the 2020 performance year, clinicians and groups using Keet, a QCDR, for MIPS must submit data on at least 70% of ALL-PAYER patients (not just Medicare Part B) who qualify for the denominator of each measure reported. To satisfy data completeness all eligible patients for each measure must complete a minimum of 2 forms per case for the qualifying measure. DOES THE PATIENT QUALIFY? ADDITIONAL INSIGHT If MIPS is a CMS program, why can’t I just submit data for my Medicare Part B patients? Per CMS, MIPS eligible providers submitting quality measures data using the QCDR, qualified registry, or EHR submission mechanism must submit data on at least 70 percent of the MIPS eligible clinician or group's patients that meet the measure's denominator criteria, regardless of payer. ADDITIONAL INSIGHT Best practice is to have the patient complete the PRO form(s) at the initial evaluation, subsequent visits on a regular cadence (each visit or every 1-2 weeks), and at the discharge visit. INITIAL EVALUATION All Patients-All Payers MIPS Qualification Form (MQF) WHAT IS THE PATIENTS REGION OF INJURY? WHICH KEET MIPS PRO (PATIENT REPORTED OUTCOMES MEASURE) DOES THE PATIENT QUALIFY FOR? Shoulder/ Upper Arm Elbow/ Forearm Wrist/Hand Lower Leg Ankle/Foot Mid-back/ Lower Back Other Region Knee Hip/Thigh Neck/Upper Back Quick Dash + Pain Rating MDQ + Pain Rating Does Not Qualify KOS + Pain Rating LEFS + Pain Rating NDI + Pain Rating Removed from MIPS Registry ©2019 Keet, Inc. All Rights Reserved. The information provided herein is intended to be general in nature. Please contact the Centers for Medicare and Medicaid Services (CMS) for specific Medicare requirements – www.cms.gov. Assign MIPS PRO the Patient is Eligible for Select the DISQUALIFIED check- box in the Patient’s Keet account NO YES YES Patient Removed from MIPS Registry Document Clinical Reasoning for Excluding Patient in your EMR Patient Added to MIPS Registry NO Patient Removed from MIPS Registry Patient Completes a Minimum of 2 MIPS PROs per Assigned Measure per Case DOES THE PATIENT MEET ANY OF THE FOLLOWING 2020 EXCLUSION CRITERIA? • Under 18 years of age • Non-English speaking and translation services are unavailable • Unable to read • Unable to accurately complete the MIPS PRO due to a mental or cognitive impairment • Subject to Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15 • PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress SHOULD THE PATIENT BE EXCLUDED FROM COMPLETING THE MIPS PRO?
Transcript of MAXIMIZING YOUR MIPS QUALITY MEASURE SCORE WITH DATA ...
MAXIMIZING YOUR MIPS QUALITY MEASURE SCORE WITH DATA COMPLETENESS
In order to earn the maximum points for quality measures for the 2020 performance year, clinicians and groups
using Keet, a QCDR, for MIPS must submit data on at least 70% of ALL-PAYER patients (not just Medicare Part B)
who qualify for the denominator of each measure reported. To satisfy data completeness all eligible patients for
each measure must complete a minimum of 2 forms per case for the qualifying measure.
DOES THE PATIENT QUALIFY?ADDITIONAL INSIGHT
If MIPS is a CMS program, why can’t I just submit
data for my Medicare Part B patients?
Per CMS, MIPS eligible providers submitting quality
measures data using the QCDR, qualified registry,
or EHR submission mechanism must submit data on
at least 70 percent of the MIPS eligible clinician or
group's patients that meet the measure's
denominator criteria, regardless of payer.
ADDITIONAL INSIGHT
Best practice is to have the patient complete the PRO form(s)
at the initial evaluation, subsequent visits on a regular cadence
(each visit or every 1-2 weeks), and at the discharge visit.
INITIAL EVALUATIONAll Patients-All Payers
MIPS Qualification Form(MQF)
WHAT IS THE PATIENTS REGION OF INJURY?
WHICH KEET MIPS PRO (PATIENT REPORTED OUTCOMES MEASURE) DOES THE PATIENT QUALIFY FOR?
Shoulder/Upper Arm
Elbow/Forearm
Wrist/Hand
LowerLeg
Ankle/Foot
Mid-back/Lower Back
Other Region
Knee Hip/ThighNeck/UpperBack
Quick Dash +Pain Rating
MDQ + PainRating
Does NotQualify
KOS +Pain Rating
LEFS +Pain Rating
NDI +Pain Rating
Removed fromMIPS Registry
©2019 Keet, Inc. All Rights Reserved. The information provided herein is intended to be general in nature. Please contact the Centers for Medicare and Medicaid Services (CMS) for specific Medicare requirements – www.cms.gov.
Assign MIPS PRO the Patientis Eligible for
Select the DISQUALIFIED check-box in the Patient’s Keet account
NO
YES
YES
Patient Removed fromMIPS Registry
Document Clinical Reasoning for Excluding Patient in your EMR
Patient Addedto MIPS Registry
NO
Patient Removedfrom MIPS Registry
Patient Completes a Minimum of 2 MIPS PROs per
Assigned Measure per Case
DOES THE PATIENT MEET ANY OF THE FOLLOWING 2020 EXCLUSION CRITERIA?• Under 18 years of age
• Non-English speaking and translation services are unavailable
• Unable to read
• Unable to accurately complete the MIPS PRO due to a mental or cognitive impairment
• Subject to Medicare requirements for maintenance therapy, such as the maintenance of functional status or prevention of a slow deterioration in function, as defined by the Medicare Benefits Policy Manual, Chapter 15
• PT/OT can use their clinical judgement to exclude patients who are extremely medically complex, who in their experience are likely to make poor clinical progress
SHOULD THE PATIENT BE EXCLUDED FROM COMPLETING THE MIPS PRO?
