Quality & Regulatory Affairs  |   March 2017
Pain for Physicians: Reporting MIPS Quality Measures for Pain Medicine
Article Information
Pain Medicine / Quality Improvement / Quality & Regulatory Affairs
Quality & Regulatory Affairs   |   March 2017
Pain for Physicians: Reporting MIPS Quality Measures for Pain Medicine
ASA Monitor 03 2017, Vol.81, 40-41.
ASA Monitor 03 2017, Vol.81, 40-41.
Each winter and spring, anesthesiology and pain medicine practices choose their quality measures to report to the Centers for Medicare & Medicaid Services (CMS) and a reporting mechanism to use. For anesthesiology, measures reportable under the Merit-based Incentive Payment System (MIPS) are identified via the Anesthesiology Measure Set or a combination of that measure set and non-MIPS Qualified Clinical Data Registry (QCDR) measures. But for pain medicine physicians, the choice of measures is more ambiguous and not necessarily one that is easy to define.
Quality measures are often structured as a basic mathematical fraction. The denominator represents the patient population and is typically created by identifying patient demographics, such as age or diagnosis, and CPT® Codes billed by the eligible clinician. For anesthesiologists who bill CPT® Codes starting with “0,” the choice of measures based upon patient population is rather straight-forward. A diverse set of measures is available for pain medicine physicians who bill evaluation and management codes as well as blocks, injections and other clinical interventions. Once the denominator is met, the numerator of a measure must be reported to complete the measure. The numerator describes a patient outcome or the clinical process or action performed.
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