What are Medicare quality measures?

Quality measures are defined by the United States Centers for Medicare & Medicaid Services (CMS) as “tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or …

What are MIPS codes?

The Merit-based Incentive Payment System (MIPS) is part of the Quality Payment Program (QPP) that was created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). It replaced the Physician Quality Reporting System (PQRS) beginning in the performance year 2017.

What are PQRS measures?

The 2016 PQRS measures address various aspects of care, such as prevention, chronic- and acute-care management, procedure-related care, resource utilization, and care coordination.

What are the 5 Op’s in the CMS?

1 OP-2: Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival 2 OP-3: Median Time to Transfer to Another Facility for Acute Coronary Intervention 3 OP-8: MRI Lumbar Spine for Low Back Pain 4 OP-10: Abdomen CT—Use of Contrast Material 5 OP-13: Cardiac Imaging for Preoperative Risk Assessment for Non-Cardiac, Low-Risk Surgery

What is the OP-32 hospital visit rate?

OP- 32 Facility seven day risk standardized hospital visit rate after outpatient colonoscopy. This measure includes only those patients whose ED visits are for a diagnosis indicative of a complication of care for the colonoscopy procedure done at the same hospital.

What are the new hospital outpatient quality measures?

NEW Measures for 2018 Op- 35: Admissions and Emergency Department Visits within 30 days of Treatment for Patients Receiving Chemotherapy in a Hospital Outpatient Setting. OP-36: Hospital Visits within 7 days after Hospital Outpatient Surgery OP- 32 Facility seven day risk standardized hospital visit rate after outpatient colonoscopy.

What does op-22 stand for in CMS?

OP-22: Left Without Being Seen; OP-23: Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke who Received Head CT or MRI Scan Interpretation Within 45 minutes of ED Arrival; OP-29: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients