Practice Management Toolbox

Quality reporting of improvement activities in 2020


 

Engagement of new Medicaid patients and follow-up

Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
Subcategory name: Achieving Health Equity
Activity weighting: High

Are you responsible for onboarding and training new clinicians to your rural practice? If so, you could report on the next activity. Eligible clinicians would be responsible for training of new clinicians including physicians, advanced practice providers and clinical nursing specialists. These clinicians must practice in small, underserved, or rural areas. What is considered a small, rural, or underserved practice for the purpose of MIPS?

Small practice

  • Defined as a practice with 15 or fewer eligible clinicians-based billing under the same TIN

Rural/underserved practice

  • Defined as a practice in a zip code included in the most recent set of Health Professional Shortage Areas (HPSAs), as determined by the Health Resources and Services Administration (HRSA).
  • HPSAs are designations that indicate health care provider shortages in primary care, dental health or mental health can be geographic population based or facility based.

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