The new CKD measures group consists of the following measures: #47 Care Plan (NEW) #110 Preventive C

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Chances are you woke up feeling rubber strap a little more tired this morning due to the spring ahead time change. If that s the case, I have just the boost to wake you up PQRS in 2015! Just when you thought you were out of the weeds with PQRS for a while, we re bringing it back into the spotlight, specifically rubber strap the CKD measures group, as it needs a little more attention than in years past.
We rubber strap ve covered the 2015 PQRS requirements and the payment adjustments in previous posts, but here s a quick Reader s Digest version: There is a plethora of PQRS reporting options in 2015: claims, qualified registry, GPRO, direct EHR, data submission vendor (DSV), and qualified clinical data registry (QCDR). The total penalty rubber strap for failure rubber strap to report PQRS is 4% for solo providers and groups with 2-9 providers (2% value modifier penalty + 2% PQRS penalty). The total penalty for failure to report PQRS is 6% for groups with ten or more providers (4% value modifier penalty + 2% PQRS penalty). There is no incentive payment for 2015 PQRS reporting.
The qualified registry reporting option will probably be the more popular choice again for nephrologists in 2015. The qualified registry contains more renal-friendly measures (via the CKD measures group) which in turn will most likely allow you to successfully participate and obtain a better performance score.
The CKD measures group underwent quite a transformation this year. Just when you thought you had it down, one measure gets retired and three more get added. The new line up resulted from the 2015 Medicare PFS final ruling , which stated that a measures group had to contain a minimum of six individual measures, with at least one cross-cutting measure.
The new CKD measures group consists of the following measures: #47 Care Plan (NEW) #110 Preventive Care and Screening: Influenza Immunization #121 Adult Kidney Disease: Laboratory Testing (Lipid Profile) #122 Adult Kidney Disease: Blood Pressure Management #130 Documentation of Current Medications in the Medical Record (NEW) #226 Preventive Care and Screening: Tobacco rubber strap Use: Screening and Cessation Intervention (NEW)
You may notice that measure #123 (Patients on ESA therapy with hgb Level > 12.0 g/dL) is no longer an option. rubber strap That may be a good thing due to all the confusion surrounding the inverse performance score. The three newly added measures may look familiar as they also exist within the Meaningful Use CQM framework rubber strap but readers beware! Although the new CKD measures rubber strap may look the same as the CQM measures, the denominator is calculated differently (more on this later).
The 20 selected patients must meet ALL of the following criteria: 18 years of age or older Have a diagnosis of CKD stage 3 (re-added this year), 4 or 5: ICD-9-CM [for visits occurring between 1/1/2015 9/30/2015]: 585.3, 585.4, 585.5 ICD-10-CM [for visits occurring between 10/1/2015 12/31/2015]: N18.3, N18.4, N18.5 Have a visit during the 2015 calendar year accompanied by one of the following CPT codes: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, rubber strap 99308, 99309, 99310, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, rubber strap 99344, 99345, 99347, 99348, 99349, 99350
Most practices will run a report later in the year (normally through rubber strap their practice management system) to identify their patient sample. However, because the stakes are so high and the measures so different, practices may want to have a game plan early on to ensure providers are documenting what s needed to fulfil each measure. For example, you wouldn t want to realize late in the year that you forgot to document a care plan on all of your patients because it may not be part of your normal workflow.
Measure #47 (NQF 0326): Care Plan Our first measure is a cross-cutting measure and a newbie to the group this year. Unlike the other CKD measures, this measure is only applicable to patients aged 65 years and older.
Definition: Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or who have documentation in the medical rubber strap record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.
An advance care plan (or advance directive) is designed to respect patient s autonomy and determine his/her wishes about future life-sustaining medical treatment rubber strap if the patient becomes unable to indicate wishes.
In order to meet this measure, providers must document in the patient s medical record that an advance care plan was discussed and a surrogate decision maker was either identifie