Medicare Compliance & Reimbursement
Assess Your Command Of The Quality Performance Category
Figure out what the data threshold is for PY 2024. The key to avoiding penalties and maximizing your chances of positive Medicare incentive payment adjustments is being skilled at navigating the nuances of the Merit-Based Incentive Payment System (MIPS). And that means understanding the ups and downs of the Quality performance category. In this issue, we continue our ongoing Quality Payment Program (QPP) testing series with our fifth installment, a deep dive on the critical category of Quality. Read on to see where you stand. 1. The Quality performance category is the _______________________ category for the 2024 performance period at 30 percent of the MIPS final score. a. Median 2. How many different collections types are there for the Quality measures in the PY 2024? a. 3 3. True or false: The data completeness threshold for the Quality category declined from 75 percent to 70 percent for the 2024 performance year. a. True 4. What is not one of the Quality measure collection types for the PY 2024? a. Episode-Based Measures 5. How many Quality measures must you submit data on if you opt to submit data for a specialty measure set in 2024 for Traditional MIPS? a. 5 Quality measures 6. Which Quality measures are automatically assessed by CMS and determined from Medicare claims? a. eCQMs 7. How many available Quality measures are there approved for the PY 2024? a. 122 8. Which Quality measures are often collected by third party intermediaries and submitted on behalf of MIPS eligible clinicians? a. eCQMs 9. What is the performance period length that clinicians have to collect and submit their MIPS Quality measures? a. 6 months, Jan. 1 to June 30 10. True or false: Each MIPS Quality measure carries a case minimum of 20 denominator-eligible instances, but Administrative claims measures carry different case minimums and are collected by CMS automatically. a. True Answers: 1) c 2) c 3) b 4) a 5) b 6) d 7) c 8) c 9) c 10) a
b. Lowest weighted
c. Highest weighted
d. None of the above
b. 4
c. 5
d. 6
b. False
b. Electronic Clinical Quality Measures (eCQMs)
c. Qualified Clinical Data Registry (QCDR) Measures
d. Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey
b. 6 Quality measures
c. 7 Quality measures
d. 8 Quality measures
b. QCDRs
c. CAHPS for MIPS Survey
d. Administrative claims measures
b. 164
c. 198
d. 201
b. Administrative claims measures
c. MIPS CQMs
d. None of the above
b. 9 months, Jan. 1 to Sept. 30
c. 12 months, Jan. 1 to Dec. 31
d. All of the above
b. False
Medicare Compliance & Reimbursement
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