Clinicians

Eligible Professional / Eligible Clinician CQMs

Our MIPS experts and ONC-certified CQMsolution software combine to enhance your CQM experience from start to finish. Our focus is optimizing your measure performance and facilitating successful CQM submission. CQMsolution allows you to monitor measure performance, automatically run monthly reports and drill down to analyze patient data and measure logic.

 

DHIT offers expertise in data extraction, measure logic and quality program support. Our efforts are geared toward alleviating organizational burden and giving you peace of mind when deadlines loom. We can also serve as your Qualified Registry (QR) to submit MIPS CQMs, handling submission and follow-up on your behalf. Our goal is for you to spend more time with patients and less time with confusing regulatory requirements.

  • Physicians (including Doctors of medicine [KE3] [NS4], osteopathy, dental surgery, dental medicine, podiatric medicine, and optometry)

  • Osteopathic practitioners

  • Chiropractors

  • Physician assistants

  • Nurse practitioners

  • Clinical nurse specialists

  • Certified registered nurse anesthetists

  • Physical therapists

  • Occupational therapists

  • Clinical psychologists

  • Qualified speech-language pathologists

  • Qualified audiologists

  • Registered dietitians or nutrition professionals

n order to be MIPS eligible, a clinician must:

  1. Identify on Medicare Part B claims as a MIPS eligible clinician type

  2. Have enrolled in Medicare before 2019

  3. Not be a Qualifying Alternative Payment Model Participant (QP)

  4. Exceed the Performance Year 2019 low-volume threshold

    • As an individual when reporting individually, or

    • At the group level by being in a practice that exceeds the low-volume threshold when reporting as a group or virtual group, or

    • As a MIPS APM participant that exceeds the low-volume threshold at the entity level

Beginning in Performance Year 2019, the low-volume threshold includes 3 aspects of covered professional services:

  1. Allowed charges

  2. Number of beneficiaries who receive services

  3. Number of services provide

Clinicians and groups fall under the low-volume threshold and are exempt from MIPS if they:

  • Bill $90,000 or less in Medicare Part B allowed charges for covered professional services payable under the Physician Fee Schedule (PFS), or

  • Provide covered professional services for 200 or fewer Part B-enrolled individuals, or

  • Provide 200 or fewer covered professional services to Part B-enrolled individuals

Start with checking your participation status with CMS tool...

CQMsolution® from Dynamic Health IT is a user-friendly, browser-based application for calculating, displaying and generating clinical quality measure output. CQMsolution® supports all CMS eCQMs, all 53 MIPS/QPP eCQMs and an expanding roster of non-eCQM MIPS measures.

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