2023 MIPS Measures Relevant to Pathology

  1. Quality - 55% of total score:  Report 6 measures, including one Outcome or other High Priority measure for 12 months on at least 70% of eligible encounters to receive a score against 2023 National Benchmarks. Information about EMA (what happens if you report less than 6 measures) can be found here. Suggestions for your specialty include, but are not limited, to the following:   
    ID:
    249
    NQF:
    eMeasure ID:
    High Priority:
    No

    2023 MIPS Measure #249: Barrett’s Esophagus

    Percentage of esophageal biopsy reports that document the presence of Barrett’s mucosa that also include a statement about dysplasia.

    Measure Type
    • Process
    Specifications
    Registry
    Specialty
    • Pathology
    Read more
    ID:
    250
    NQF:
    eMeasure ID:
    High Priority:
    No

    2023 MIPS Measure #250: Radical Prostatectomy Pathology Reporting

    Percentage of radical prostatectomy pathology reports that include the pT category, the pN category, the Gleason score and a statement about margin status.

    Measure Type
    • Process
    Specifications
    Registry
    Specialty
    • Oncology/Hematology
    • Pathology
    Read more
    ID:
    395
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2023 MIPS Measure #395:Lung Cancer Reporting (Biopsy/Cytology Specimens)

    Pathology reports based on lung biopsy and/or cytology specimens with a diagnosis of primary non-small cell lung cancer classified into specific histologic type following the International Association for the Study of Lung Cancer (IASLC) guidance or classified as non-small cell lung cancer not otherwise specified (NSCLC-NOS) with an explanation included in the pathology report.

    Measure Type
    • Process
    Specifications
    Registry
    Specialty
    • Pathology
    Read more
    ID:
    396
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2023 MIPS Measure #396: Lung Cancer Reporting (Resection Specimens)

    Pathology reports based on lung resection specimens with a diagnosis of primary lung carcinoma that include the pT category, pN category and for non-small cell lung cancer (NSCLC), histologic type.

    Measure Type
    • Process
    Specifications
    Registry
    Specialty
    • Pathology
    Read more
    ID:
    397
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2023 MIPS Measure #397: Melanoma Reporting

    Pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors.

    Measure Type
    • Process
    Specifications
    Registry
    Specialty
    • Pathology
    Read more
    ID:
    440
    NQF:
    eMeasure ID:
    High Priority:
    Yes

    2023 MIPS Measure #440: Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician

    Percentage of biopsies with a diagnosis of cutaneous basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), or melanoma (including in situ disease) in which the pathologist communicates results to the clinician within 7 days from the time when the tissue specimen was received by the pathologist.

    Measure Type
    • Process
    Specifications
    Registry
    Specialty
    • Dermatology
    • Pathology
    Read more
    ID:
    491
    NQF:
    3661
    eMeasure ID:
    High Priority:
    Yes

    2023 MIPS Measure #491: Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status in Colorectal Carcinoma, Endometrial, Gastroesophageal, or Small Bowel Carcinoma

    Percentage of surgical pathology reports for primary colorectal, endometrial, gastroesophageal or small bowel carcinoma, biopsy or resection, that contain impression or conclusion of or recommendation for testing of mismatch repair (MMR) by immunohistochemistry (biomarkers MLH1, MSH2, MSH6, and PMS2), or microsatellite instability (MSI) by DNA-based testing status, or both.

    Measure Type
    • Process
    Specifications
    Registry
    Specialty
    • Pathology
    Read more
     
  2. IA: Improvement Activities - 15% of total score:  Attest that you completed up to 2 high-weighted activities or 4 medium-weighted activities for a minimum of 90 days. Groups with 15 or fewer participants or if you are in a rural or health professional shortage area,  attest that you completed 1 high-weighted or 2 medium-weighted activities for a minimum of 90 days. A group can attest to an activity when at least 50% of the clinicians in the group perform the same activity during any continuous 90-day period (or as specified in the activity description) in the same performance year.  The following are suggestions for your specialty:

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