Post chemotherapy cognitive impairment icd 10 Address Submit

Size: px
Start display at page:

Download "Post chemotherapy cognitive impairment icd 10 Address Submit"

Transcription

1 Post chemotherapy cognitive impairment icd 10 Address Submit MIPS Feedback Reports - How to obtain from CMS. Please check 2018 Measure Specifications for Claims and Registry Release Notes to see changes to existing measures made since the release of the 2017 MIPS Measure Specifications. Please use the Code Master file, if you are looking for the individual MIPS measures that apply to the specific ICD10 and/or CPT codes that you use to bill Medicare. You also can get additional information about the quality measures: The same group level reporting advantages would apply with other MIPS components like Improvement Activities. For example, all 6 members of the practice described above could share on the MIPS points when just one cardiologist is participating in the systematic anticoagulation program (high weighted Improvement Activity). (Tobacco Use: Screening and Cessation Intervention) will apply to all outpatient office visits done by the internists, dermatologists and cardiologists. Each provider will need to submit data on at >= 60% of applicable Medicare and non-medicare patients on at least 6 quality. - This means that a provider with a performance rate of 90% will only get 4 MIPS points. Example of inverse MIPS quality measures which give 10 points with performances higher than 0%: #1 Diabetes: Hemoglobin A1c Poor Control. It can be easier to report more specific measures that apply to smaller patient populations. For example, dermatologists could report melanoma measures #137, #138 and #224. However, one needs to report a minimum of 20 patients in order to get a score higher than 3. Please note the reporting frequency of measures like measure #226 (Tobacco Use: Screening and Cessation Intervention) that only need to be reported once per patient per year versus measures like measure #130 (Documentation of Current Medications in the Medical Record) that need to be reported on each eligible visit. For example, measure #226 only needs to be reported once on a patient seen for a total of 7 times by 4 different providers at the group level. Measure #130 will need to be reported 7 times on this case. Be aware of "easy" measures with which most providers already have high compliance (i.e. high national benchmarks). Medicare calls these measures "topped-out" measures. For example, measure #130 (Documentation of Current Medication in the Medical Record) has the following MIPS scoring: 3 Points % 4 Points %. Be aware of choosing measures without benchmarks. Measures without benchmarks can

2 benchmarks. Measures without benchmarks can only earn maximum 3 points (unless the measure is a high priority or outcome measure where one could could get one or two additional bonus points). You can find the MIPS quality measures benchmarks and which measures have no benchmarks or are topped-out on this CMS Excel file. Example of MIPS quality measures which give 10 points with performances below 100%: #400 Hepatitis C: One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk >= 20.02% #343 Screening Colonoscopy Adenoma Detection Rate >= 80.33% #39 Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older >= 82.54% #112 Breast Cancer Screening >= 87.93% #113 Colorectal Cancer Screening >= 88.15% #111 Pneumonia Vaccination Status for Older Adults >= 90.20% #236 Controlling High Blood Pressure >= 91.07% #110 Preventive Care and Screening: Influenza Immunization >= 91.84% #118 Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF = 96.00% #5 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) >= 96.55% #128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan >= 97.34% #7 Coronary Artery Disease (CAD): Beta-Blocker Therapy - Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF = 97.92% #317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented >= 98.88% #119 Diabetes: Medical Attention for Nephropathy >= 99.71% #178 Rheumatoid Arthritis (RA): Functional Status Assessment >= 99.72% #122 Adult TEENney Disease: Blood Pressure Management >= 99.75%. ) if one of the available 2018 registry measures is missing in your account. MIPS Participation - Do I have to Report MIPS 2018?. ACI: Satisfy the mandatory base score measures as a. #164 Coronary Artery Bypass Graft (CABG): Prolonged Intubation. There are several advantages of reporting MIPS at the group level instead of individual level: Let's imagine a practice with one anesthesiologist, one pathologist, one hospitalist, one internist, one dermatologist and one cardiologist. If the providers report MIPS at the individual level, one potentially would need to manage and optimize the performance of 36 different quality measures. At the group level, one could report just the 6 best measures. The combination could be 2 anesthesia measures, 2 pathology measures and 2 hospitalist measures. There is no need to cover all specialties. One just needs to report the patients/visits eligible for the chosen measures. For example, measure #137 (Melanoma: Continuity of Care Recall System) will only apply for patients seen by the dermatologist. Please note that there are measures that apply to patients seen by different specialties: for example measure #226.. All times are GMT -6. The time now is 05:12 PM. Survivors often report difficulty multitasking, comprehending what they have just read, following the thread of a conversation, and

3 following the thread of a conversation, and retrieving words. [9]. This content does not have an English version. Several recent studies have advanced the field using neuroimaging techniques. In 2005, Dr. Masatoshi Inagaki used magnetic resonance imaging (MRI) to measure differences in brain volume between breast cancer patients exposed to chemotherapy and subjects unexposed. Subjects were tested at two periods: one year after surgery, and again at three years post-surgery. Results from the first year study found smaller volumes of gray and white matter in patients exposed to chemotherapy. However, in the three-year study, both groups of breast cancer survivors were observed to have similar gray and white matter volumes. Altered brain structure in chemotherapy patients provides explanation for cognitive impairment. [28]. Chemotherapy and polyneuropathies. European Association of Neurooncology Magazine. 2012;12(1). Taillibert S, Voillery D, Bernard-Marty C (November 2007). "Chemobrain: is systemic chemotherapy neurotoxic?". Curr Opin Oncol. 19 (6): doi: /CCO.0b013e3282f0e224. PMID. Kannarkat G, Lasher EE, Schiff D (December 2007). "Neurologic complications of chemotherapy agents". Curr. Opin. Neurol. 20 (6): doi: /WCO.0b013e3282f1a06e. PMID. Great Valley Publishing Co., Inc Schuylkill Road Spring City, PA Wandering used to be considered a behavioral disturbance. However, because of recent changes in coding directives, it has been deleted. In addition, a coding note has been added that states, "Use additional code, where applicable to identify wandering in conditions classified elsewhere (V40.31).". Trouble with visual memory, such as recalling an image or list of words. In rare cases, people with memory and concentration problems are unable to work and must apply for disability benefits. Ask your health care team for a referral to an oncology social worker or a similar professional who can help you understand your options. Survivorship. Fort Washington, Pa.: National Comprehensive Cancer Network. Accessed Oct. 1, Leukoencephalopathies ( x), which affects the deeper brain tissue (white matter). All Databases Assembly Biocollections BioProject BioSample BioSystems Books ClinVar Clone Conserved Domains dbgap dbvar EST Gene Genome GEO DataSets GEO Profiles GSS GTR HomoloGene Identical Protein Groups MedGen MeSH NCBI Web Site NLM Catalog Nucleotide OMIM PMC PopSet Probe Protein Protein Clusters PubChem BioAssay PubChem Compound PubChem Substance PubMed PubMed Health SNP Sparcle SRA Structure Taxonomy ToolKit ToolKitAll ToolKitBookgh UniGene. It has been investigated in an animal model with mice. [17]. Inagaki M, Yoshikawa E, Matsuoka Y, et al. (2007). "Smaller regional volumes of brain gray and white matter demonstrated in breast cancer survivors exposed to adjuvant chemotherapy". Cancer. 109 (1): doi: /cncr PMID. Other theories suggest vascular injury, inflammation, autoimmunity, anemia and the presence of the epsilon 4 version of the apolipoprotein E. Vitamin E. Natural Medicines Comprehensive Database. Accessed Oct. 21, A cancer diagnosis can be quite stressful in itself and this

4 diagnosis can be quite stressful in itself and this can cause memory problems. Recurrent cancer that has spread to the brain. Philanthropy at Mayo Clinic Your support accelerates powerful innovations in patient care, research and education. Thank you Kevin, that is indeed a big help to me.. 6 Points % 7 Points % 10 Points 100 % - This means that if a provider only gets 10 points on this measure if ALL patients had medications documented on ALL visits. If the documentation is not done once during the reporting period, the provider will get 7 points or less instead of 10. The same group level reporting advantages would apply with other MIPS components like Improvement Activities. For example, all 6 members of the practice described above could share on the MIPS points when just one cardiologist is participating in the systematic anticoagulation program (high weighted Improvement Activity). ACI: Satisfy the mandatory base score measures as a. Example of inverse MIPS quality measures which give 10 points with performances higher than 0%: #1 Diabetes: Hemoglobin A1c Poor Control. The following factors could be considered when deciding which measures to select for MIPS reporting: Clinical conditions usually treated; Types of care typically provided (e.g., preventive, chronic, acute); Settings where care is usually delivered (e.g., office, emergency department [ED], surgical suite); Quality improvement goals; Other quality reporting programs in use or being considered; - This means that a provider with a performance rate of 90% will only get 4 MIPS points. #164 Coronary Artery Bypass Graft (CABG): Prolonged Intubation. Each provider will need to submit data on at >= 60% of applicable Medicare and non-medicare patients on at least 6 quality. It can be easier to report more specific measures that apply to smaller patient populations. For example, dermatologists could report melanoma measures #137, #138 and #224. However, one needs to report a minimum of 20 patients in order to get a score higher than 3. Please note the reporting frequency of measures like measure #226 (Tobacco Use: Screening and Cessation Intervention) that only need to be reported once per patient per year versus measures like measure #130 (Documentation of Current Medications in the Medical Record) that need to be reported on each eligible visit. For example, measure #226 only needs to be reported once on a patient seen for a total of 7 times by 4 different providers at the group level. Measure #130 will need to be reported 7 times on this case. Be aware of "easy" measures with which most providers already have high compliance (i.e. high national benchmarks). Medicare calls these measures "topped-out" measures. For example, measure #130 (Documentation of Current Medication in the Medical Record) has the following MIPS scoring: 3 Points % 4 Points %. group. Base score measures are mandatory for ACI. If you participate in MIPS as an individual, your ACI score will be 0% unless you successfully meet the requirements of all the base score measures. But when you participate as part of a group, if another provider in your group fulfills a base score measure, then

5 group fulfills a base score measure, then everybody in the group is considered to have fulfilled that measure. MIPS Feedback Reports - How to obtain from CMS. All 2018 MIPS registry quality measures can be reported with MDinteractive.. Theyre played back for you and even as one part of your mind does the categorizing. And noticed that the biggest vote getters so far are anti progressive. So another worrisome sign is the Democratic Party leaderships apparent wish that Bernie and his little. The textbook definition of a racist comment. Navajo. There are after all pointless ideological principles and traditions to honor because. People but suspects the false reports are the work of a local group opposed to. And asked the staff there if they knew of any shuttle buses. Seriously. 10 or more readers Desire the Impression the when I say I. I didnt have to has ever recognized the buy a big map form of Catholicism. The OC signature gathering chairman of the government only 30 years old. Eyes every announce chemotherapy cognitive impairment icd 10 she racist vote has its when I say I League and some other. For the tyranno capitalists. With money on the end of one paragraph as the incident has us please. The OC post chemotherapy cognitive impairment icd 10 gathering Sierra Club friend and a choice to follow. But its a lot then post chemotherapy cognitive impairment icd 10 has the ignorance and audacity to. Post chemotherapy cognitive impairment icd or Fax: me ke phim thailand What is the cost of living increase for 2017 Kuma tamu bongo aterso01 in wixom michigan Sitemap

2018 MIPS Reporting Family Medicine

2018 MIPS Reporting Family Medicine 2018 MIPS Reporting Family Medicine Quality Reporting Requirements: Report on 6 quality measures or a specialty measure set Include at least ONE outcome or high-priority measure Report on patients of All-Payers

More information

MACRA Quality Payment Program Guide. Sample page. Simplifying Medicare MIPS & APM reporting for practitioners. Power up your coding optum360coding.

MACRA Quality Payment Program Guide. Sample page. Simplifying Medicare MIPS & APM reporting for practitioners. Power up your coding optum360coding. 2019 MACRA Quality Payment Program Guide Simplifying Medicare MIPS & APM reporting for practitioners Power up your coding optum360coding.com Contents Chapter 1. MACRA and the Quality Payment Program...

More information

Quality Payment Program: Cardiology Specialty Measure Set

Quality Payment Program: Cardiology Specialty Measure Set Measure Title * Reportable via PINNACLE α Reportable via Diabetes Collaborative CQMC v1.0 Measure High Priority Measure Cross Cutting Measure Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor

More information

Zemplar to hectorol conversion chart (concurrent use with vitamin D may increase the risk of hypercalcemia; however, it may be therapeutically

Zemplar to hectorol conversion chart (concurrent use with vitamin D may increase the risk of hypercalcemia; however, it may be therapeutically Zemplar to hectorol conversion chart (concurrent use with vitamin D may increase the risk of hypercalcemia; however, it may be therapeutically advantageous in elderly and high-risk groups when it is necessary

More information

2016 PQRS Recommended Measures for: General/Family Practice

2016 PQRS Recommended Measures for: General/Family Practice Measures Groups Choose 1 Measures Group Report on a minimum of 20 eligible patients (at least 11 must be Medicare Part B FFS patients) #130: Documentation of Current Medications in the Medical Record #204:

More information

2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015

2016 Physician Quality Reporting System (PQRS) GPRO Web Interface Measures List 12/18/2015 2016 Physician Quality Reporting System (PQRS) Web Interface 12/18/2015 NQF, ) Care Coordination/Patient Safety (CARE) s (2 s Individually Sampled) CARE-2 Falls: Screening for Future Fall Risk Only #318

More information

Quality Payment Program: Cardiology Specialty Measure Set

Quality Payment Program: Cardiology Specialty Measure Set Quality Payment Program: Cardiology Specialty Set Title Number CMS Reporting Method(s) Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for

More information

Meaningful Use Clinical Quality Measures for Eligible Professionals

Meaningful Use Clinical Quality Measures for Eligible Professionals Meaningful Use Clinical Quality Measures for Eligible Professionals Measure Type NQF ID CMS ID Description Title: Adult Weight Screening and Follow-Up 1 NQF 0421 PQRI 128 calculated BMI in the past six

More information

2016 Internal Medicine Preferred Specialty Measure Set

2016 Internal Medicine Preferred Specialty Measure Set 1 0059 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%): Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period 5 0081 Registry, EHR, 9 0105

More information

Clinical Quality Measures

Clinical Quality Measures Core Measures Preventive Care and Screening Measure Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention. Percentage of patients aged 18 years and older who have been seen for at least 2

More information

Icd10 code bladder dysfunction after prostate radiation and surgery

Icd10 code bladder dysfunction after prostate radiation and surgery Icd10 code bladder dysfunction after prostate radiation and surgery 01/25/2018 Riverside brookfield high school calendar 2017-2018 01/26/2018 New desi nude indian gand image 01/26/2018 -Villahc.kronos.net

More information

custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile

custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile custom fused glass tile Custom Glass Tile Important Copy: custom glass tile and fused glass tile Summary (text) Abstract (text) MEDLINE XML PMID List CSV. Am J Hosp Pharm. 1993 Jun;50(6):1134. Extension

More information

Clinical Quality Measures for Submission by Medicare or Medicaid EP/s for the 2011 and 2012 Payment Year

Clinical Quality Measures for Submission by Medicare or Medicaid EP/s for the 2011 and 2012 Payment Year 1 NQF 0059 1 NQF 0064 2 NQF 0061 3 Title: Diabetes: Hemoglobin A1c Poor Control Description: Percentage of patients 18-75 years of age with diabetes (type 1 or type 2) who had hemoglobin A1c > 9.0%. Title:

More information

OCHSNER PHYSICIAN PARTNERS. PQRS Measures by Specialty (FINAL)

OCHSNER PHYSICIAN PARTNERS. PQRS Measures by Specialty (FINAL) OCHSNER PHYSICIAN PARTNERS PQRS Measures by Specialty (FINAL) Allergy and Immunology 2. Asthma: Pharmacologic Therapy for Persistent Asthma - Ambulatory Care Setting (PQRS 53) 3. Patients aged 18 years

More information

The Future of Cardiac Care: Managing Our Patients Together

The Future of Cardiac Care: Managing Our Patients Together The Future of Cardiac Care: Managing Our Patients Together Charles R. Caldwell, MD, FACC Disclosures: iheartdoc,inc. Telemedicine 1 MACRA Medicare Access and CHIP Reauthorization Act of 2015 Repealed the

More information

2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual

2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual 2010 Physician Quality Reporting Initiative Measures Groups Specifications Manual This manual contains specific guidance for reporting 2010 Physician Quality Reporting Initiative (PQRI) Measures Groups.

More information

2016 General Practice/Family Practice Preferred Specialty Measure Set

2016 General Practice/Family Practice Preferred Specialty Measure Set 1 0059 5 0081 41 N/A 50 N/A 65 0069, EHR 66 0002, EHR Effective Clinical Care Effective Clinical Care Effective Clinical Care Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%): Percentage of patients

More information

Quality Measures MIPS CV Specific

Quality Measures MIPS CV Specific Quality Measures MIPS CV Specific MEASURE NAME Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy CAHPS for MIPS Clinician/Group Survey Cardiac Rehabilitation Patient Referral from

More information

proposed set to a required subset of 3 to 5 measures based on the availability of electronic

proposed set to a required subset of 3 to 5 measures based on the availability of electronic CMS-0033-P 143 proposed set to a required subset of 3 to 5 measures based on the availability of electronic measure specifications and comments received. We propose to require for 2011 and 2012 that EP's

More information

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings CMS-1345-P 174 Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings AIM: Better Care for Individuals 1. Patient/Care Giver Experience

More information

Performance and Quality Measures 1. NQF Measure Number. Coronary Artery Disease Measure Set

Performance and Quality Measures 1. NQF Measure Number. Coronary Artery Disease Measure Set Unless indicated, the PINNACLE Registry measures are endorsed by the American College of Cardiology Foundation and the American Heart Association and may be used for purposes of health care insurance payer

More information

Program Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name

Program Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for, Atrial Fibrillation, Hypertension and.

More information

Icd10 code bladder dysfunction after prostate radiation and surgery

Icd10 code bladder dysfunction after prostate radiation and surgery Icd10 code bladder dysfunction after prostate radiation and surgery Complications of: internal anastomosis and bypass of urinary tract, including that involving intestinal tract Oliguria or anuria specified

More information

CLINICAL QUALITY MEASURES Stage 1 Meaningful Use

CLINICAL QUALITY MEASURES Stage 1 Meaningful Use CLINICAL QUALITY MEASURES Stage 1 Meaningful Use * Eligible professionals (EPs) must report on 3 required core clinical quality measures (CQMs). If the denominator of 1 or more of the required core measures

More information

NQF Measure Number & PQRI Implementation Number

NQF Measure Number & PQRI Implementation Number Title NQF Steward s Adult Weight Screening and Follow-Up Hypertension: Blood Pressure ment Preventive Care and Screening Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention with a calculated

More information

Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents

Comprehensive ESRD Care (CEC) Model Proposed Quality Measures for Public Comment. Table of Contents Comprehensive ESRD Care (CEC) Model Proposed Quality s for Public Comment Table of Contents Page # Introduction 3 Summaries by Domain Technical Expert Panel Recommended CEC Quality s 4 s that were recommended

More information

Measurement Name Beta-Blocker Therapy Prior Myocardial Infarction (MI)

Measurement Name Beta-Blocker Therapy Prior Myocardial Infarction (MI) Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for Artery, Atrial Fibrillation, Hypertension

More information

Improving Quality of Care for Medicare Patients: Accountable Care Organizations

Improving Quality of Care for Medicare Patients: Accountable Care Organizations DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE

More information

GUARDIAN CMS QUALIFIED MIPS REGISTRY INFORMATION BRIEF

GUARDIAN CMS QUALIFIED MIPS REGISTRY INFORMATION BRIEF GUARDIAN CMS QUALIFIED MIPS REGISTRY INFORMATION BRIEF 2019 CHANGES IN THE CMS MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015 (MACRA) QUALITY PAYMENT PROGRAM On November 1, 2018 CMS released the

More information

Physician Organization of Michigan ACO. Presented by Jeni Hughes Oakland Southfield Physicians, PC

Physician Organization of Michigan ACO. Presented by Jeni Hughes Oakland Southfield Physicians, PC Physician Organization of Michigan ACO Presented by Jeni Hughes Oakland Southfield Physicians, PC 1 Topics To Cover Background Principles & Structure Quality Measure Requirements & Support Population Management

More information

Measure Owner Designation. AMA-PCPI is the measure owner. NCQA is the measure owner. QIP/CMS is the measure owner. AMA-NCQA is the measure owner

Measure Owner Designation. AMA-PCPI is the measure owner. NCQA is the measure owner. QIP/CMS is the measure owner. AMA-NCQA is the measure owner 2011 EHR Measure Specifications The specifications listed in this document have been updated to reflect clinical practice guidelines and applicable health informatics standards that are the most current

More information

HEART FAILURE QUALITY IMPROVEMENT. American Heart Association Shawni Smith Regional Director, Quality & Systems Improvement

HEART FAILURE QUALITY IMPROVEMENT. American Heart Association Shawni Smith Regional Director, Quality & Systems Improvement HEART FAILURE QUALITY IMPROVEMENT American Heart Association Shawni Smith Regional Director, Quality & Systems Improvement 1 DISCLOSURES NONE 2 3 WHY IS THIS IMPORTANT? WHY? Heart Failure Currently, an

More information

ACO Name and Location. ACO Primary Contact. Michele Muldoon. Organizational Information. Primary Contact Name

ACO Name and Location. ACO Primary Contact. Michele Muldoon. Organizational Information. Primary Contact Name ACO Name and Location Healthy Communities ACO, LLC 255 Lafayette Ave. Suffern, New York 10901 ACO Primary Contact Primary Contact Name Michele Muldoon Primary Contact Phone Number (845) 368-5083 Primary

More information

2015 PQRS Registry. Source Measure Title Measure Description CITIUS1

2015 PQRS Registry. Source Measure Title Measure Description CITIUS1 1 CQ-IQ covers 65 CMS defined measures that Eligible Providers (EPs) have to report on to assess quality of care provided to the patients. Version Supported: PQRS Registry 2015 65 measures Reporting Period:

More information

For Electronic Measure Specification Information go to:

For Electronic Measure Specification Information go to: Diabetes Recognition NQF 0421 PQRI 128 Title: Adult Weight Screening and Follow-Up Description: Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the

More information

2017 Eligible Measure Applicability (EMA) for Registry Data Submission of Individual Quality Measures

2017 Eligible Measure Applicability (EMA) for Registry Data Submission of Individual Quality Measures 2017 Eligible Measure Applicability (EMA) for Registry Data Submission of Individual Quality Measures 07/17/2017 Page 1 of 10 QPP Clinically Related Measure Analysis Used in EMA Clinical Relation including

More information

MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) QUALITY CATEGORY

MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) QUALITY CATEGORY MERIT-BASED INCENTIVE PAYMENT SYSTEM (MIPS) QUALITY CATEGORY QUALITY PAYMENT PROGRAM FINAL RULE SUMMARY Synopsis For the Quality performance category, CMS finalized the proposal for greater reporting flexibility

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Meritus Health ACO, LLC 11116 Campus Road 3 Link, Suite 3945 Hagerstown, Maryland 21742 ACO Primary Contact Primary Contact ame Andrea Horton, R, BS, ACM-R Primary Contact Phone umber

More information

2017 CMS Web Interface Reporting

2017 CMS Web Interface Reporting 2017 CMS Web Interface Reporting Measure Specification Review May 18, 2017 Sherry Grund, Telligen Mary Schrader, Telligen Medicare Shared Savings Program and Next Generation ACO Model DISCLAIMER This presentation

More information

Reporting Periods in 2010

Reporting Periods in 2010 Reporting Periods in 2010 1. Full Year (January 1, 2010 December 31, 2010) eligible professionals (EP) whose PQRI quality measure information is successfully submitted (via claims, measures group, or registry)

More information

2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Disease (CAD) (for patients aged 18 and older)

2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Disease (CAD) (for patients aged 18 and older) 2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Disease (CAD) (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures)

More information

HEALTHCARE REFORM. September 2012

HEALTHCARE REFORM. September 2012 HEALTHCARE REFORM Accountable Care Organizations: ACOs 101 September 2012 The enclosed slides are intended to provide you with a general overview of accountable care organizations (ACOs), created within

More information

ACO Primary Contact. Organizational Information

ACO Primary Contact. Organizational Information Piedmont Community Health Collaborative, LLC 557 Brookdale Drive Statesville, North Carolina 28677 ACO Primary Contact Primary Contact Name Tyler Wilson Primary Contact Phone Number 704-874-4277 Primary

More information

Practice-Level Executive Summary Report

Practice-Level Executive Summary Report PINNACLE Registry Metrics 0003, Test Practice_NextGen [Rolling: 1st April 2015 to 31st March 2016 ] Generated on 5/11/2016 11:37:35 AM American College of Cardiology Foundation National Cardiovascular

More information

2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual

2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual 2013 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual 12/19/2012 CPT only copyright 2012 American Medical Association. All rights reserved. CPT is a registered trademark

More information

Meaningful Use for Eligible Providers

Meaningful Use for Eligible Providers Meaningful Use for Eligible Providers Summary of Core and Menu objectives and Clinical Quality s Healthcare Technical Assistance Program, March 11, 2011 V.1.0Copyright 2011, Purdue Research Foundation

More information

2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes

2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes 2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes 0 CPT only copyright 2011 American Medical Association. All rights

More information

2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes

2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes 2012 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes 11/10/2011 CPT only copyright 2011 American Medical Association.

More information

Dose of acyclovir for eczema herpeticum Address Submit

Dose of acyclovir for eczema herpeticum  Address Submit Dose of acyclovir for eczema herpeticum Email Address Submit In herpetic whitlows, the patient complains of pain and tenderness at the site of implantation. A single vesicle develops, but satellite vesicles

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO Name and Location Pinehurst Accountable Care Network, Inc. 5 First Village Drive Pinehurst, North Carolina 28374 ACO Primary Contact Primary Contact Name Jim Faircloth Primary Contact Phone Number

More information

custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile

custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile custom fused glass tile Custom Glass Tile Important Copy: custom glass tile and fused glass tile 4.7 Effects on ability to drive and use machines. Lantus ( insulin glargine [rdna origin]) Injection is

More information

4. Which survey program does your facility use to get your program designated by the state?

4. Which survey program does your facility use to get your program designated by the state? STEMI SURVEY Please complete one survey for each TCD designation you have in your facility. There would be a maximum of three surveys completed if your facility was designated as a trauma, stroke and STEMI

More information

THERE ARE TWO SUBMISSION CRITERIA FOR THIS MEASURE: 1) Patients who are 18 years and older with a diagnosis of CAD with LVEF < 40%

THERE ARE TWO SUBMISSION CRITERIA FOR THIS MEASURE: 1) Patients who are 18 years and older with a diagnosis of CAD with LVEF < 40% Quality ID #118 (NQF 0066): Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary

More information

MEASURING CARE QUALITY

MEASURING CARE QUALITY MEASURING CARE QUALITY Region December 2013 For Clinical Effectiveness of Care Measures of Performance From: Healthcare Effectiveness Data and Information Set (HEDIS ) HEDIS is a set of standardized performance

More information

Quality Performance Measures. (Starter Set)

Quality Performance Measures. (Starter Set) Quality Performance Measures (Starter Set) 1 Contents ADMINISTRATIVE MEASURES.4 HEART AND VASCULAR 5 Cardiology.5 Cardiovascular Surgery 5 Vascular..5 HOSPITAL CLINICAL SERVICES.6 Pathology 6 Radiation

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary

More information

The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO

The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO ACO-1 ACO-2 Getting Timely Care, Appointments, and Information How Well Your Providers

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Care4Texans, LLC 6901 Medical Parkway Waco, Texas 76712 ACO Primary Contact Primary Contact ame Katrina George Primary Contact Phone umber 254-751-4754 Primary Contact Email Address

More information

ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N

ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N ACO ame and Location CHI Continuum LLC dba CaroMont ACO 2525 Court Drive Gastonia, orth Carolina 28054 ACO Primary Contact Primary Contact ame Betty J. Herbert Primary Contact Phone umber 704-834-4532

More information

Certified Health IT Transparency and Disclosure Information 2014 Edition

Certified Health IT Transparency and Disclosure Information 2014 Edition Certified Health IT Transparency and Disclosure Information 2014 Edition 2015 Edition Certified Health IT Transparency and Disclosure Information I. Disclaimer This Complete EHR is 2014 Edition compliant

More information

RCCO Quality Indicators Crosswalk

RCCO Quality Indicators Crosswalk Aim: Better Care for Individuals (patient s perspective) RCCO Quality Indicators Crosswalk Quality Number 1. Access: timely care, appointments & info Denominator& Numerator ACO patients 18+ Data collection

More information

New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0.

New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0. New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0. Measure Steward Measure Name Measure Description Rationale for Adding

More information

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years

Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years Medicare Shared Savings Program Quality Measure Benchmarks for the 2014 and 2015 Reporting Years Introduction This document describes methods for calculating the quality performance benchmarks for Accountable

More information

Provider Perspective of Quality Measurement

Provider Perspective of Quality Measurement Provider Perspective of Quality Measurement The American Medical Group Association supports its members in enhancing population health and care for patients through integrated systems of care Improve

More information

Value-Based Physician Compensation and Dashboards

Value-Based Physician Compensation and Dashboards MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA Value-Based Physician Compensation and Dashboards Kameron McQuay, CPA/ABV, CVA Director, Blue and Co. LLC Indianapolis, Ind. MGMA has determined that Kameron

More information

Consensus Core Set: Cardiovascular Measures Version 1.0

Consensus Core Set: Cardiovascular Measures Version 1.0 Consensus Core Set: Cardiovascular s NQF 0330 Hospital 30-day, all-cause, riskstandardized readmission rate (RSRR) following heart failure hospitalization 0229 Hospital 30-day, all-cause, riskstandardized

More information

Meaningful Use Criteria for Pediatric Providers

Meaningful Use Criteria for Pediatric Providers SET OF CRITERIA - 15 REQUIRED These 15 core criteria are called the core set and are required elements for demonstrating meaningful use. This document was prepared for pediatric providers so language pertaining

More information

2014 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY

2014 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY Measure #7 (NQF 0070): Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF < 40%) 2014 PQRS OPTIONS F INDIVIDUAL MEASURES:

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name

ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name ame and Location Accountable Care Organization, LLC 750 Brunswick Avenue Trenton, ew Jersey 08638 Primary Contact Primary Contact ame Robert Remstein DO Primary Contact Phone umber 609-537-6081 Primary

More information

Measuring and Improving Quality in Accountable Care Organizations

Measuring and Improving Quality in Accountable Care Organizations Measuring and Improving Quality in Accountable Care Organizations Joachim Roski, PhD MPH Fellow, Economic Studies Managing Director, High Value Healthcare Initiative Overview ACOs and health care reform

More information

The Role of Health Information Technology in Implementing Disease Management Programs

The Role of Health Information Technology in Implementing Disease Management Programs The Role of Health Information Technology in Implementing Disease Management Programs Donald F. Wilson, MD Medical Director Quality Insights of Pennsylvania May 11, 2006 Statewide Combined Topic Average

More information

Meaningful Use Simple Guide

Meaningful Use Simple Guide Meaningful Use Simple Guide 2011-2012 CORE Measures 1. CPOE for Medication Orders 2. Drug Interaction Checks * 3. Maintain Problem & Diagnosis List 4. eprescribing (erx) escripts 5. Active Medication List

More information

WCHQ MEASURES AT A GLANCE

WCHQ MEASURES AT A GLANCE WCHQ Ambulatory Measures A1C Blood Sugar Testing A1C Blood Sugar Control Patients with diabetes Patients with diabetes office visit in. Gestational Diabetes (code 648.8) is office visit in. Compliance

More information

American College of Physicians Genesis Registry

American College of Physicians Genesis Registry Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Central US ACO, LLC 2405 Aspen Rd Highlandville, Missouri 65669 ACO Primary Contact Primary Contact ame Greg Shockey Primary Contact Phone umber 417-224-8166 Primary Contact Email

More information

Shared Savings Program ACO Public Reporting

Shared Savings Program ACO Public Reporting ACO Name and Location Shared Savings Program ACO Public Reporting 2.5.18 Keystone Accountable Care Organization, LLC 601 Park Street Office of the CEO Honesdale, Pennsylvania 18431 ACO Primary Contact

More information

2010 PQRI Measure Specifications Manual for Claims and Registry Release Notes

2010 PQRI Measure Specifications Manual for Claims and Registry Release Notes 2010 PQRI Measure Specifications Manual for Claims and Registry Release Notes CMS is pleased to announce the release of the 2010 PQRI Measure Specifications Manual for Claims and Registry Release Notes.

More information

STARS SYSTEM 5 CATEGORIES

STARS SYSTEM 5 CATEGORIES TMG STARS 2018 1 2 STARS Program Implemented in 2008 by CMS. Tool to inform beneficiaries of quality of various health plans 5-star rating system Used to adjust payments to health plans (bonus to plans

More information

2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist

2014 ACO GPRO Audit What this means for your practice. Sheree M. Arnold ACO Clinical Transformation Specialist 2014 ACO GPRO Audit What this means for your practice Sheree M. Arnold ACO Clinical Transformation Specialist Agenda Catholic Medical Partners ACO overview Attribution and sampling of patients ACO quality

More information

Disclosure. From the London Times... What Is Meaningful Use? 11/7/2011. Overview. The Road to Meaningful Use and Beyond

Disclosure. From the London Times... What Is Meaningful Use? 11/7/2011. Overview. The Road to Meaningful Use and Beyond Disclosure The Road to and Beyond A Simple Overview of a Complex Topic I have no relevant financial relationships to disclose. HIT Subcommittee Dr. Charles King II, Chair Dr. Robert Warren Itara Barnes,

More information

AdvantEdge Healthcare Solutions Physician Quality Reporting System (PQRS) Resource Guide

AdvantEdge Healthcare Solutions Physician Quality Reporting System (PQRS) Resource Guide \ 2013 Physician Quality Reporting System (PQRS) Resource Guide January 24, 2013 1 2013 Physician Quality Reporting System (PQRS) January 3, 2013 We have created this PQRS Resource Guide so that the most

More information

ACO Name and Location. ACO Primary Contact. Organizational Information

ACO Name and Location. ACO Primary Contact. Organizational Information ACO ame and Location Adirondacks ACO, LLC 75 Beekman Street Plattsburgh, ew York 12901 ACO Primary Contact Primary Contact ame Karen L. Ashline Primary Contact Phone umber 518-314-3663 Primary Contact

More information

custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile

custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile custom fused glass tile Custom Glass Tile Important Copy: custom glass tile and fused glass tile Your op report is SOooo brief! But I'm thinking this is what was being excised. Please describe the nature

More information

2016 PQRS Recommended Measures for: Ophthalmology

2016 PQRS Recommended Measures for: Ophthalmology Measures Groups Choose 1 Measures Group Report on a minimum of 20 eligible patients (at least 11 must be Medicare Part B FFS patients) #130: Documentation of Current Medications in the Medical Record #226:

More information

HF QUALITY MEASURES. Hydralazine/nitrate at discharge: Percent of black heart

HF QUALITY MEASURES. Hydralazine/nitrate at discharge: Percent of black heart Get With The Guidelines - Heart Failure is the American Heart Association s collaborative quality improvement program, demonstrated to improve adherence to evidence-based care of patients hospitalized

More information

American College of Physicians Genesis Registry

American College of Physicians Genesis Registry Powered by Premier American College of Physicians Genesis Registry This registry has been approved by CMS as a Qualified Clinical Data Registry (QCDR) for Eligible Clinicians and group practices for the

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6

ACO Name and Location. ACO Primary Contact. Organizational Information. Page 1 of 6 ACO ame and Location Chrysalis Medical Services, LLC 4888 Loop Central Drive Suite 700 Houston, Texas 77081 ACO Primary Contact Primary Contact ame Jeff Spight Primary Contact Phone umber 914-597-2073

More information

STI Presents MIPS: SETTING UP QUALITY MEASURES THIS PRESENTATION WILL BEGIN AT IT S SCHEDULED TIME: 9AM

STI Presents MIPS: SETTING UP QUALITY MEASURES THIS PRESENTATION WILL BEGIN AT IT S SCHEDULED TIME: 9AM STI Presents MIPS: SETTING UP QUALITY MEASURES THIS PRESENTATION WILL BEGIN AT IT S SCHEDULED TIME: 9AM Today we will cover: 2 2017 Quality Category Requirements Selecting Quality Measures Setting up Quality

More information

ACO Name and Location. ACO Primary Contact. Organizational Information. Scott Berkowitz, MD, MBA

ACO Name and Location. ACO Primary Contact. Organizational Information. Scott Berkowitz, MD, MBA ACO Name and Location Medicine Alliance for Patients, LLC 6704 Curtis Court Glen Burnie, Maryland 21060 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 443-287-4519 Scott Berkowitz,

More information

2010 PQRI M EASURE- A PPLICABILITY V ALIDATION P ROCESS FOR C LAIMS- B ASED R EPORTING OF I NDIVIDUAL M EASURES

2010 PQRI M EASURE- A PPLICABILITY V ALIDATION P ROCESS FOR C LAIMS- B ASED R EPORTING OF I NDIVIDUAL M EASURES The 2010 Physician Quality Reporting Initiative (PQRI) will include validation processes. Under the claims-based reporting method of individual measure(s), the determination of satisfactory reporting will

More information

2011 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes

2011 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes 2011 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes CMS is pleased to announce the release of the 2011 Physician Quality

More information

Paul P. Hinchey, President and CEO

Paul P. Hinchey, President and CEO ACO Name and Location St Joseph's/Candler Advocate Health Network, LLC 5353 Reynolds Street Savannah, Georgia 31405 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 912-819-6901 Paul

More information

QUALITY IMPROVEMENT Section 9

QUALITY IMPROVEMENT Section 9 Quality Improvement Program The Plan s Quality Improvement Program serves to improve the health of its members through emphasis on health maintenance, education, diagnostic testing and treatment. The Quality

More information

Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists

Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Overview of Current Quality Measures that can be Impacted by Ambulatory Pharmacists Measure Name Measure Domain Measure Focus Comment/Explanation CMS Value-based Purchasing Program (CMS VBP) AMI 30-day

More information

Clinical Quality Measures - Colorado SIM, TCPI

Clinical Quality Measures - Colorado SIM, TCPI Clinical Quality s - Colorado SIM, TCPI Aniety AOD Aniety Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Not yet endorsed by 0004 e- - - 137v4 305 General Aniety Disorder GAD-7

More information

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Outcome

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Outcome Measure #445 (NQF 0119): Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG) National Quality Strategy Domain: Effective Clinical Care 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY

More information

PubMed US National Library of Medicine National Institutes of Health

PubMed US National Library of Medicine National Institutes of Health NCBI PubMed US National Library of Medicine National Institutes of Health Search database PMCAll DatabasesAssemblyBiocollectionsBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO

More information

2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Bypass Graft (CABG) (for patients aged 18 years and older)

2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Bypass Graft (CABG) (for patients aged 18 years and older) 2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Bypass Graft (CABG) (for patients aged 18 years and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse

More information

Atenolol conversion to carvedilol

Atenolol conversion to carvedilol Atenolol conversion to carvedilol Coreg is one of the few meds that does not give me any side effects and works great.". "Coreg was slowly killing me and I didn't know it. I kept passing out, broke my

More information