MIPS Measures Relevant to Electrophysiology Cardiac Specialists

  1. Quality - 45% 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 possibly earn more than 3 points on a measure.  Note:  Small practices (less than 16 in the practice) can earn 3 points on a measure if at least 1 eligible case is reported.   Suggestions for your specialty include, but are not limited to, the following: 
     
    ID:

    348
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    2020 MIPS Measure #348: Implantable Cardioverter-Defibrillator (ICD) Complications Rate

    Patients with physician-specific risk-standardized rates of procedural complications following the first time implantation of an ICD

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Electrophysiology Cardiac Specialist
    ID:

    392
    NQF:

    2474
    eMeasure ID:
    High Priority:

    Yes

    2020 MIPS Measure #392: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation

    Rate of cardiac tamponade and/or pericardiocentesis following atrial fibrillation ablation. This measure is submitted as four rates stratified by age and gender:

    • Submission Age Criteria 1: Females 18-64 years of age
    • Submission Age Criteria 2: Males 18-64 years of age
    • Submission Age Criteria 3: Females 65 years of age and older
    • Submission Age Criteria 4: Males 65 years of age and older

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Electrophysiology Cardiac Specialist
    ID:

    393
    NQF:
    eMeasure ID:
    High Priority:

    Yes

    2020 MIPS Measure #393: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision

    Infection rate following CIED device implantation, replacement, or revision

    Measure Type
    • Outcome
    Specifications
    Specialty
    • Electrophysiology Cardiac Specialist
     
  2. PI: Promoting Interoperability - 25% of total score: For a minimum of 90 days, report all required measures. EHR technology certified to the 2015 Edition certification must be in place by October 3, 2020. There are exclusions available for most of the required measures. Please check your QPP Participation Status to see if you are automatically exempt from PI. If you are exempt, the 25% will be re-weighted to the Quality performance category making it 70% of your score.
  3. 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:

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