Merit-Based Incentive Payment System (MIPS) for Pediatrics

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 Pediatrics

Able Health can calculate and submit all registry measures in the Pediatrics 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
093 Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use Process Yes
091 Acute Otitis Externa (AOE): Topical Therapy Process Yes
366 ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Process No
066 Appropriate Testing for Children with Pharyngitis Process Yes
065 Appropriate Treatment for Children with Upper Respiratory Infection (URI) Process Yes
382 Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment Process Yes
240 Childhood Immunization Status Process No
310 Chlamydia Screening for Women Process No
391 Follow-Up After Hospitalization for Mental Illness (FUH) Process Yes
160 HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis Process No
205 HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis Process No
394 Immunizations for Adolescents Process No
444 Medication Management for People with Asthma Process Yes
110 Preventive Care and Screening: Influenza Immunization Process No
134 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan Process No
379 Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists Process No
402 Tobacco Use and Help with Quitting Among Adolescents Process No
239 Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Process No

Select a Different Specialty

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