MIPS Measures Relevant to Radiation Oncology

  1. Quality - 45% of total score:  Report the Radiation Oncology Specialty Measures Set for 12 months. To earn 1 or 3 points on a measure report at least one eligible case. To earn more than 3 points on a measure report at least 60 percent of eligible cases.  Suggestions for your specialty include but are not limited to the following:

     

    ID:

    102
    NQF:

    0389
    eMeasure ID:

    CMS129v7
    High Priority:

    Yes

    #102: Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

    Percentage of patients, regardless of age, with a diagnosis of prostate cancer at low (or very low) risk of recurrence receiving interstitial prostate brachytherapy, OR external beam radiotherapy to the prostate, OR radical prostatectomy, OR cryotherapy who did not have a bone scan performed at any time since diagnosis of prostate cancer

    Measure Type
    • Process
    Specifications
    Specialty
    • Oncology
    • Radiation Oncology
    • Urology
    ID:

    143
    NQF:

    0384
    eMeasure ID:

    CMS157v6
    High Priority:

    Yes

    #143: Oncology: Medical and Radiation – Pain Intensity Quantified

    Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

    Measure Type
    • Process
    Specifications
    Specialty
    • Oncology
    • Radiation Oncology
    ID:

    144
    NQF:

    0383
    eMeasure ID:
    High Priority:

    Yes

    #144: Oncology: Medical and Radiation – Plan of Care for Pain

    Percentage of patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having moderate to severe pain with a plan of care to address pain documented on or before the date of the second visit with a clinician

    Measure Type
    • Process
    Specifications
    Specialty
    • Oncology
    • Radiation Oncology
    • *These measures represent the Radiation Oncology Specialty Measures Set.
  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, 2019. There are exclusions available for most of the 11 measures that are reported. Please check your QPP Participation Status to see if you are exempt from PI. If you are exempt, the 25% will be re-weighted to the Quality performance category.
  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.  There are over 90 possible measures to choose from. The following are suggestions only:

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