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Telemedicine & Its Impact on QPP MIPS Quality Reporting

The impact of the COVID-19 pandemic has left every industry struggling. Having said that, many factors and practices are getting popular all along.  The use of telemedicine is one of them.

With the lockdown, telemedicine provided a way to interact with doctors when patients needed them, all in the safety of their homes. Meanwhile, CMS has also amended their plan and payment models to accommodate physicians of every aspect and broadened situations.

Telehealth Services in the Healthcare Industry

Telehealth services are helping patients and physicians in many ways possible. With lesser visits to hospitals, resources are being saved for critical cases. However, healthcare professionals and MIPS Qualified Registries would want to know if telehealth can contribute to MIPS reporting

Starting from March 6, 2020, CMS has expended its facilities to reimburse for COVID-19 arrangements and preparations until the end of this deadly virus.

If you’re among those physicians, that are practicing telemedicine services, this article is surely for you to learn about the QPP MIPS 2020 submission for maximum revenue.

MIPS Quality Performance Category

Requirement Analysis

As you would know, the quality category is set to be worth 45% of the total score. Physicians or MIPS Qualified registries on their behalf are required to report 6 measures with an Outcome or High Priority measure.

Data is to be reported over the performance of seventy percent of data of the performance year 2020.

Given below you can see a list of MIPS quality measures that can be reporting under the Quality category.

Patients with Metastatic Colorectal Cancer and RAS (KRAS or NRAS) Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies

  • Advance Care Plan
  • Falls: Plan of Care
  • Falls: Risk Assessment
  • Diabetes: Eye Exam
  • Breast Cancer Screening
  • Colorectal Cancer Screening
  • Functional Outcome Assessment
  • Appropriate Testing for Children with Pharyngitis
  • Pneumococcal Vaccination Status for Older Adults
  • Functional Status Change for Patients with Hip Impairments
  • Functional Status Change for Patients with Knee Impairments
  • Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
  • Screening for Osteoporosis for Women Aged 65-85 Years of Age
  • Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
  • Functional Status Change for Patients with Low Back Impairments
  • Functional Status Change for Patients with Shoulder Impairments
  • Appropriate Treatment for Children with Upper Respiratory Infection (URI)
  • Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
  • Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments
  • Diabetes: Medical Attention for Nephropathy
  • Optimal Asthma Control
  • HIV Viral Load Suppression
  • HIV Medical Visit Frequency
  • Immunizations for Adolescents
  • Controlling High Blood Pressure
  • Depression Remission at Twelve Months
  • Use of High-Risk Medications in the Elderly
  • Pain Brought Under Control within 48 Hours
  • Follow-Up After Hospitalization for Mental Illness (FUH)
  • Medication Management for People with Asthma
  • Tobacco Use and Help with Quitting Among Adolescents
  • Osteoporosis Management in Women Who Had a Fracture
  • Non-Recommended Cervical Cancer Screening in Adolescent Females
  • Adherence to Antipsychotic Medications for Individuals with Schizophrenia
  • Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options
  • Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)
  • Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis
  • Documentation of Current Medications in the Medical Record
  • Preventive Care and Screening: Screening for Depression and Follow-Up Plan
  • HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis
  • Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
  • Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
  • Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
  • Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients
  • Prostate Cancer: Combination Androgen Deprivation Therapy for High Risk or Very High Risk Prostate Cancer
  • Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy
  • Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
  • Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years
  • Trastuzumab Received By Patients With AJCC Stage I (T1c) – III And HER2 Positive Breast Cancer Receiving Adjuvant Chemotherapy
  • Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (lower score – better)
  • Percentage of Patients Who Died from Cancer Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life (lower score – better)
  • RAS (KRAS and NRAS) Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy
  • Percentage of Patients Who Died from Cancer Receiving Chemotherapy in the Last 14 Days of Life (lower score – better)

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