4 Strategies to Select Quality Measures in MIPS 2023

Are you a MIPS-eligible clinician, hoping for a net positive outcome in MIPS 2023? Well, it is possible if you perform well throughout the performance year 2023. Do you have any strategies for improving your MIPS 2023 performance? An experienced clinician always has a good strategy before the performance period begins. This facilitates them later, as they get time to focus solely on their performance. Anyhow, if you have missed this or your current reporting strategy isn’t working right, we can help.

P3 Care provides MIPS consulting services to help providers understand the reporting requirements clearly. We believe it is of the utmost necessity to select the relevant quality measure for PY 2023. So, whether you are making your reporting plan from scratch or just updating one, our help is here. We, as an MIPS qualified registry, are aware of the core basics of a successful reporting strategy. In today’s blog, we will be discussing five of these strategies with you.

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Quality Measures Selection for Excellent MIPS 2023 Reporting

Quality measures refer to the measure of change clinicians bring to certain areas for service improvement. The applicable measure or measure relevance matters a lot for this as the unique needs of participants vary. So do their quality improvement requirements. CMS provides a detailed list of Quality measures in the QPP Resource Library. One can select their specialty-based measures from there.

Essential Strategies for Quality Measures Selection

Well, now we understand why we need to report the Quality measures in MIPS 2023 reporting. But the main question persists. How do I select the right quality reporting measures for MIPS 2023? What should be the strategies we must follow during the selection and performance period? Remember, the selection of the right quality measure and then taking the right steps for reporting are both equally essential.

Without further delay, let’s roll down to the strategies suggested by our MIPS consulting experts.

Review the Measure Definition Clearly

This marks the initial but most important step in the measure selection process. One must look for measures whose reporting criteria sync up with the patient you see. It will give you immense benefits in fulfilling data completeness requirements. Thereby, matching the reporting CPT® codes, diagnoses, and/or demographic criteria in detail. Another helpful approach to measure selection is to go with specialty and subspecialty measure sets.

The Quality Category of MIPS reporting has connectivity with the Physician Quality Reporting System (PQRS). And most of the MIPS measures are rolled down from the PQRS program directly to MIPS. Therefore, check out how you performed on the same or similar measures when they’re in PQRS.

Dwell down to Your Billing Data

Usually, medical billers, patients, and their insurance payers have an interest in billing details. And they can now get these details easily from their EHR vendors. However, for the MIPS 2023 quality measure selection, we can rely on this billing data. Wondering how? Well, let us tell you how.

Your billing data gives you information about the most commonly reported procedures and diagnosis codes. Then, you can preferably look for measures that contain these codes.

Patient eligibility Check

Every quality measure in MIPS 2023 has data completion criteria. The MIPS participant reports the minimum eligible encounters for that measure in a continuous 90-day performance period. That’s why we must also give an eye to patient eligibility checks in the measure selection process. Keep in mind that reporting less than 20 cases for any selected measure isn’t acceptable. Irrespective of your performance, this negligence will affect your MIPS final score for FY 2023.

Ensure Clinicians are on Board

Remember, your MIPS performance is a team effort. When you’ve identified the critical measures, engage your clinicians before cementing the list. Their belief in the relevance and appropriateness of these measures for demonstrating quality is crucial. Without their support, participation may wane, which could negatively impact the entire group practice.

Takeaways

For a delightful MIPS 2023 reporting experience, we can’t deny the importance of measure selection. Here are the key takeaways we get from the blog for easing Quality measure selection in MIPS 2023.

• Start by reviewing measures that truly represent your services and patients.
• Ensure you have a substantial pool of eligible patients to make it worthwhile.
• Finally, engage your providers and get them on board with your chosen measures. They will play a vital role in data documentation for MIPS reporting.