Quality

 

 Physician Diagnosis Codes used for Quality

 

Excerpts from MACRA proposed rule: " ..... In addition,we would be using administrative claims data to calculate performance on a subset of the MIPS quality measures and the CPIA performance category. For this subset of quality measures and CPIAs, MIPS eligible clinicians and groups would not be required to submit additional information."

 

"... that we propose to include in the annual list of MIPS quality measures. These measures can be calculated from administrative claims data and do not require data submission."

 

This means that a profile for quality for each clinician will be created based on the diagnosis codes submitted.