Does anyone have any experience submitting data for anesthesia providers other than via QCDRs? How are you submitting the data? What measures are you using? Our providers are newly eligible for Medicare, but we want to start gathering data and reporting as soon as possible. We have been told that there are no applicable quality measures to report via claims submission. Thank you!
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki MIPS for anesthesiologists
- Thread starter danamac
- Start date
renee dustman
Networker
Go to this website:
https://qpp.cms.gov/mips/quality-measures
and select Anesthesiology from the Specialty Measure Set menu to see measures that may apply to your office. Each measure lists which submission mechanism(s) you may use.
https://qpp.cms.gov/mips/quality-measures
and select Anesthesiology from the Specialty Measure Set menu to see measures that may apply to your office. Each measure lists which submission mechanism(s) you may use.
jkyles
True Blue
- Messages
- 937
- Best answers
- 1
I hesitate to say there are no claims-based measures for anesthesia providers because it really will depend on the work they do. Some anesthesia providers can report measure 76 (CVC bloodstream infection prevention), which can be reported via claims. Anesthesia providers who also work in a pain management practice can report a variety of measures associated with E/M visits.
Having said all of that, if the provider reports only anesthesia services, then they will need to use a registry or a qualified clinical data registry.
For registry measures, check the Excel sheet titled 2018-Measure-List_v2.2 located in this ZIP file: https://www.cms.gov/Medicare/Qualit...asure-Specifications-supporting-documents.zip
Here are the measures Medicare has flagged for the specialty this year:
- Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery
- Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
- Tobacco Use and Help with Quitting Among Adolescents
- Anesthesiology Smoking Abstinence
- Perioperative Temperature Management
- Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
- Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)
- Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination Therapy
- Prevention of Post-Operative Vomiting (POV) - Combination Therapy (Pediatrics)
For QCDR measures, go to https://www.cms.gov/Medicare/Qualit...ata-Registry-QCDR-Measure-Specifications.xlsx
You can filter by specialty in the first column. There are approximately 40 QCDR measures for anesthesiologists this year, but many are unique to a specific registry.