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MIPS Changes for 2025

MACRA/MIPS

Disclaimer: This blog article was written by an AdvancedMD partner. The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of AdvancedMD.

MIPS consists of 4 components: Quality Reporting, Promoting interoperability, Improvement Activities and Cost. Another way to participate in MIPS is through an MVP (MIPS Value Pathway).

When reporting traditional MIPS you can report on individual measures or you can report a MVP.

Each year CMS updates the MIPS program. This article will discuss the changes in the Quality Reporting portion of MIPS. A brief overview:

  • 7 quality measures have been added
  • 10 quality measures have been removed
  • 66 measures have experienced substantial changes

New Quality Measures

#494: Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults (Clinician Level)

#506 Positive PD-L1Biomarker Expression Test Result Prior to First Line Immune Checkpoint Inhibitor Therapy

#507 Appropriate Germline Testing for Ovarian Cancer Patients

#508 Adult COVID-19 Vaccination Status

#509 Melanoma: Tracking and Evaluation of Recurrence

#510 First-Year Standardized Waitlist Ratio

#511 Percentage of Prevalent Patients Waitlisted and Percentage of Prevalent Patients Waitlisted in Active Status

Removed Quality Measures

#104: Prostate Cancer: Combination Androgen Deprivation Therapy for High Risk or Very High-Risk Prostate Cancer

#137 Melanoma: Continuity of Care – Recall System: Oncology: Medical and Radiation – Plan of Care for Pain

#254 Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain

#260 Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)

#409 Clinical Outcome Post Endovascular Stroke Treatment

#433 Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair

#436: Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

#439 Age-Appropriate Screening Colonoscopy

#452 Patients with Metastatic Colorectal Cancer and RAS (KRAS or NRAS) Gene Mutation Spared Treatment with Anti epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies

#472 Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

On January 15, Registry Clearinghouse will host a free webinar to discuss the changes to the Quality Reporting portion of MIPS. Register for the event.



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Michael Brody, DPM
Dr. Brody has been actively involved in computers and medicine since the 1980s. He is a Residency Director at a VA hospital located in Long Island, NY. Notably, he was present as the VA moved from paper records to computerized records. During this time, he was exposed to the stringent rules and regulations that government employees must adhere to when protecting patient information. He co-founded TLD Systems with Warren Melnick. They wanted to create a platform for private practice doctors that provides a cost-effective method of implementing HIPAA compliance in their practices. He has served on the Health Information Technology Standards Panel (HITSP), the Standards and Interoperability Framework (S&I), as a member of the Ambulatory Care Committee at the Certification Commission on Health Information Technology (CCHIT), and numerous other organizations. He is currently a member of the Physicians Committee at the Healthcare Information and Management Systems Society (HIMSS) and a co-chair of the EHR workgroup at Health Level Seven International (HL7). He co-founded TLD Systems with Warren Melnick to create a platform that doctors who wish to work in private practice have a cost-effective method of implementing HIPAA compliance in their practices in a manner that does not interfere with their ability to practice medicine. He has served on the Health Information Technology Standards Panel (HITSP), the Standards and Interoperability Framework (S&I), as a member of the Ambulatory Care Committee at the Certification Commission on Health Information Technology (CCHIT), and numerous other organizations. He is currently a member of the Physicians Committee at the Healthcare Information and Management Systems Society (HIMSS) and a co-Chair of the EHR workgroup at Health Level Seven International (HL7)

Topic: MACRA/MIPS


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