Medicare’s Quality Payment Program vs. Wound Care Practitioners | Today’s Wound Clinic
Today’s Wound Clinic just posted an article I wrote about everyone’s favorite topic, MIPS!
Here’s a table with the MIPS quality measures that might be reportable by most wound care practitioners, and the maximum points that each are worth if your performance rate is the highest possible. In other words, if you score 100% on documentation of current medications, it’s still worth only 7 instead of 10 points. I explain some more of the boring details in the article. This is a problem when the game of MIPS is played by maximizing the total points available in each category.
Doctors and NPs in private practice (meaning office-based and “mobile”) are paying close attention to MIPS because if they ignore it, they can lose up to 9% of their Medicare billing. However, it can be very hard for practitioners working in the home setting or skilled nursing to get through MIPS when many of these measures do not relate well to the environment. Vital signs are not checked routinely in many skilled nursing facilities.
Check out the complete article and message me with your questions.
Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my Youtube channel at https://www.youtube.com/c/carolinefifemd/videos
The opinions, comments, and content expressed or implied in my statements are solely my own and do not necessarily reflect the position or views of Intellicure or any of the boards on which I serve.
What does NCQA and HEDIS say about the QPP metrics- do they align? accept and track the same in POP Health models? https://www.ncqa.org/hedis/measures/
If we all have to meet a 2030 mandate to manage some 6 million Americans with wounds in network with MA plan managers, why are we still fighting with CMS about QPP-MIPS metrics.?
No one clearly understands what the #dermatopathotraumatologist does for patients, primary care providers, payers and CARE Act stem cell interested politicians.
I see at least 5 measures that would apply to a syndiated network and medical home encompassing PCPs and CWS QHPs here to help our MA network partners improve their STAR ratings.
Breast Cancer Screening (BCS-E)**** CWS manages post op BC surgical wounds
Colorectal Cancer Screening (COL-E) CWS manages post op abdomens
Follow-Up Care for Children Prescribed ADHD Medication (ADD-E) CWS w/ BCBAs and derm can manage SIB, dermatotrichotilomania
Depression Screening and Follow-Up for Adolescents and Adults (DSF) CWS manages all skin injury in this patient population with BCBAs
Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults (DMS) see above
Depression Remission or Response for Adolescents and Adults (DRR) see above
Unhealthy Alcohol Use Screening and Follow-Up (ASF) see above
Adult Immunization Status (AIS)
Postpartum Depression Screening and Follow-Up (PDS) CWS manages post surgical mothers
Prenatal Immunization Status (PRS)
Prenatal Depression Screening and Follow-Up (PND) see above