Coronary outpatient PCIs for Medicare beneficiaries. The Medicaid Services Intervention (PCI) cost measure is calculated by determining the risk-adjusted episode cost, averaged across all of a clinician’s episodes during the measurement period. The cost of each episode is the sum of the cost to Medicare for services performed by the attributed clinician and healthcare providers during the episode window (from the trigger date to 30 days after the trigger date). Intracranial This cost measure applies to clinicians who Cost/Resource Use Centers for MIPS Hemorrhage or manage the inpatient care of Medicare Medicare & Cerebral Infarction beneficiaries hospitalized for an intracranial Medicaid Services hemorrhage or cerebral infarction. The cost measure is calculated by determining the episode cost, averaged across all of a clinician’s episodes during the measurement period. The cost of each episode is the sum of the cost to Medicare for services performed by the attributed clinician and other healthcare providers during the episode window (from the trigger date to 90 days after the trigger date). Simple Pneumonia The Simple Pneumonia with Hospitalization cost Cost/Resource Use Centers for MIPS with Hospitalization measure applies to clinicians who manage the Medicare & inpatient care of Medicare beneficiaries Medicaid Services hospitalized with simple pneumonia. The cost measure is calculated by determining the episode cost, averaged across all of a clinician’s episodes during the measurement period. The cost of each episode is the sum of the cost to Medicare for services performed by the attributed clinician and other healthcare providers during the episode window (from the trigger date to 30 days after the trigger date). HIV Screening Percentage of patients 15-65 years of age who Process/Population Centers for MIPS have ever been tested for human Health Disease Control immunodeficiency virus (HIV) and Prevention
Coronary Intervention (PCI) outpatient PCIs for Medicare beneficiaries. The cost measure is calculated by determining the risk-adjusted episode cost, averaged across all of a clinician’s episodes during the measurement period. The cost of each episode is the sum of the cost to Medicare for services performed by the attributed clinician and healthcare providers during the episode window (from the trigger date to 30 days after the trigger date). Medicaid Services Intracranial Hemorrhage or Cerebral Infarction This cost measure applies to clinicians who manage the inpatient care of Medicare beneficiaries hospitalized for an intracranial hemorrhage or cerebral infarction. The cost measure is calculated by determining the episode cost, averaged across all of a clinician’s episodes during the measurement period. The cost of each episode is the sum of the cost to Medicare for services performed by the attributed clinician and other healthcare providers during the episode window (from the trigger date to 90 days after the trigger date). Cost/Resource Use Centers for Medicare & Medicaid Services MIPS Simple Pneumonia with Hospitalization The Simple Pneumonia with Hospitalization cost measure applies to clinicians who manage the inpatient care of Medicare beneficiaries hospitalized with simple pneumonia. The cost measure is calculated by determining the episode cost, averaged across all of a clinician’s episodes during the measurement period. The cost of each episode is the sum of the cost to Medicare for services performed by the attributed clinician and other healthcare providers during the episode window (from the trigger date to 30 days after the trigger date). Cost/Resource Use Centers for Medicare & Medicaid Services MIPS HIV Screening Percentage of patients 15-65 years of age who have ever been tested for human immunodeficiency virus (HIV) Process/Population Health Centers for Disease Control and Prevention MIPS