Merit-Based Incentive Payment System (MIPS) for Orthopedic Surgery

Work with Able Health to track performance for MIPS and submit data to CMS

The first performance period for the Medicare Merit-Based Incentive Payment System (MIPS) began January 1, 2017. With CMS combining multiple Medicare Part B programs into one performance-based payment system, provider organizations must stay on top of requirements in order to maintain and increase Medicare payments over the next decade. Able Health can greatly reduce the administrative cost of participating in MIPS and help you improve performance in order to maximize your payment adjustment.MIPS is a budget-neutral program with an additional $500 million pool allocated for exceptional performers. Providers who prepare ahead of their peers will be able to earn higher payment adjustments and bonuses

MIPS in a Box

Track performance using patient-level data

Able Health calculates quality measures using patient-level data from EHRs, claims, and other sources. Easily enter performance data for Cost, Advancing Care Information, and Improvement Activities to track your MIPS Composite Performance Score over time. If you are participating in a MIPS APM, Able Health can replace MIPS measures with applicable measures from your APM.

Educate your team about MIPS as they use the product

In-app tooltips and articles explain how measures are calculated, how to form a valid quality measure set, how the Composite Score is calculated, and more—when and where you need it. Our guidance can reduce the cost of training, time to research requirements, and the negative impact of potential mistakes.

Improve performance with care tools

Identify clinicians and patients who need your attention—and take action to improve performance. Deliver scorecards to clinicians, including patient-level measure results and EHR source records. Generate call lists of patients who need care, including specific actions required for each patient.

Submit directly to CMS

Submit data across the four performance categories to CMS via the Able Health Qualified Registry. When you track performance throughout the year, end-of-year reporting becomes a simpler—and cheaper—task.

Quality Measures for Orthopedic Surgery

Able Health can calculate and submit all registry measures in the Orthopedic Surgery specialty-specific measure set, which are listed below.

Click here to view all MIPS measures across the Quality, Advancing Care Information, and Improvement Activities performance categories

ID Name Type High Priority
047 Care Plan Process Yes
374 Closing the Referral Loop: Receipt of Specialist Report Process Yes
130 Documentation of Current Medications in the Medical Record Process Yes
376 Functional Status Assessment for Total Hip Replacement Process Yes
375 Functional Status Assessment for Total Knee Replacement Process Yes
109 Osteoarthritis (OA): Function and Pain Assessment Process Yes
358 Patient-Centered Surgical Risk Assessment and Communication Process Yes
021 Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin Process Yes
023 Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) Process Yes
128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan Process No
317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Process No
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Process No
179 Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis Process No
178 Rheumatoid Arthritis (RA): Functional Status Assessment Process No
180 Rheumatoid Arthritis (RA): Glucocorticoid Management Process No
402 Tobacco Use and Help with Quitting Among Adolescents Process No
353 Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report Process Yes
352 Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet Process Yes
350 Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy Process Yes
351 Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation Process Yes
312 Use of Imaging Studies for Low Back Pain Process Yes

Select a Different Specialty

Select your specialty to find MIPS measures supported by Able Health relevant to your specialty.