Pathology

 

As we move closer to selecting a qualified registry partner to assist our clients with reporting under the Merit-based Incentive Payment System, we wanted to provide you with some information as to what you can be doing now to fulfill the requirements of the program’s Improvement Activities category.

As part of this category, CMS requires participating physicians select applicable activities from a list of more than 90 options (full list available here: https://qpp.cms.gov/mips/improvement-activities) designed to ensure they’re improving their quality of care. Depending on the size and patient-facing status of your group, you may be required to complete anywhere from one to four activities over the course of a 90-day period this year.

Keep in mind that CMS has assigned either a “high” or “medium” weight to each activity.Physicians who have been determined to be non-patient facing (meaning they bill fewer than 100 patient-facing encounters during a performance period), or those who are in groups consisting of 15 or fewer physicians are required to complete either one high-weighted or two medium-weighted activities. Conversely, groups who do not meet these designations must complete some combination of the following: two-high weighted activities, four medium-weighted activities or one high-weighted and two medium-weighted.

This category will account for up to 15 percent of your overall MIPS score.

Attached is a spreadsheet of activities, along with their respective weights, that have been previously suggested for pathologists by the College of American Pathologists. The list also details how each activity should be documented. Keep in mind that while very few activities currently apply to pathologists, there may be others not listed in this document that may apply to your group. CAP and other advocates are working to have the activity list expanded upon for 2018 participation to provide additional options. Right click the following link and click "copy link address" then copy and paste in a new tab to open the excel sheet. 

IA_Activities_Suggested Pathology Activities 2017.xlsx

Once the activity has been completed over 90 days, you will be able to sign a simple attestation form either through a CMS web portal, or through our registry partner, should you choose to participate with the registry. The form will require you to answer a set of yes-or-no questions pertaining to how the activity was completed, and will require a signature stating you completed the activity to the best of your ability. Those participating as a group may have one physician sign for the entire group, whereas those participating as individuals will be required to each fill out the form (although each member can attest to the same activities).

The documentation suggested for each activity will only be required in the event of a CMS audit. While these are expected to be quite rare, failing to properly document completion of the activity could result in an adjustment of your MIPS score that could move you from the bonus to the penalty portion of the program.

If you have any further questions please feel free to contact Claye Frank at This email address is being protected from spambots. You need JavaScript enabled to view it., Karen Feury at This email address is being protected from spambots. You need JavaScript enabled to view it. or Christina Osborne at This email address is being protected from spambots. You need JavaScript enabled to view it. .

Kindest regards,

QUANTUM MEDICAL

MIPS COMMITTEE

 

Radiology

As we move closer to selecting a qualified registry partner to assist our clients with reporting under the Merit-based Incentive Payment System, we wanted to provide you with some information as to what you can be doing now to fulfill the requirements of the program’s Improvement Activities category.

As part of this category, CMS requires participating physicians select applicable activities from a list of more than 90 options designed to ensure they’re improving their quality of care. Depending on the size and patient-facing status of your group, you may be required to complete anywhere from one to four activities over the course of a 90-day period this year.

Keep in mind that CMS has assigned either a “high” or “medium” weight to each activity.Physicians who have been determined to be non-patient facing (meaning they bill fewer than 100 patient-facing encounters during a performance period), or those who are in groups consisting of 15 or fewer physicians are required to complete either one high-weighted or two medium-weighted activities. Conversely, groups who do not meet these designations must complete some combination of the following: two-high weighted activities, four medium-weighted activities or one high-weighted and two medium-weighted.

This category will account for up to 15 percent of your overall MIPS score.

Attached is a spreadsheet of activities, along with their respective weights, that have been suggested for radiologists by the American College of Radiology. The list also details how each activity should be documented. Right click the following link and click "copy address link" then copy and paste the link into a new tab to open the excel sheet.  

IA_Activities_Suggested Radiology Activities 2017.xlsx

Once the activity has been completed over 90 days, you will be able to sign a simple attestation form either through a CMS web portal, or through our registry partner, should you choose to participate with the registry. The form will require you to answer a set of yes-or-no questions pertaining to how the activity was completed, and will require a signature stating you completed the activity to the best of your ability. Those participating as a group may have one physician sign for the entire group, whereas those participating as individuals will be required to each fill out the form (although each member can attest to the same activities).

The documentation suggested for each activity will only be required in the event of a CMS audit. While these are expected to be quite rare, failing to properly document completion of the activity could result in an adjustment of your MIPS score that could move you from the bonus to the penalty portion of the program.

If you have any further questions please feel free to contact Claye Frank at This email address is being protected from spambots. You need JavaScript enabled to view it., Karen Feury at This email address is being protected from spambots. You need JavaScript enabled to view it. or Christina Osborne at This email address is being protected from spambots. You need JavaScript enabled to view it. .

Kindest regards,

QUANTUM MEDICAL

MIPS COMMITTEE