Measure ID : REGCLR5
MIPS Reporting Option
Traditional MIPS
Measure Title : Offloading with Remote Monitoring
Measure Description:
Percentage of patients with a plantar foot ulcer who were compliant with offloading and healed their ulcer in 10 (ten) weeks.
Denominator:
All patients with a plantar foot ulcer treated with an off-loading device who were provide a device enabled the doctor to remotely monitor for use of the device.
Denominator Criteria
All patients with a plantar foot ulcer (ICD 10 codes) : L97.401, L97.402, L97.403, L97.404, L97.406, L97.408, L97.409, L97.411, L97.412, L97.413, L97.414, L97.416, L97.418, L97.419, L97.421, L97.422, L97.423, L97.424, L97.426, L97.428, L97.429, L97.501, L97.502, L97.503, L97.504, L97.606, L97.508, L97.509, L97.511, L97.512, L97.513, L97.514, , L97.516, L97.518, L97.519, L97.521, L97.522, L97.523, L97.524, L97.526, L97.528 L97.529
And the patient was provided a device that allowed for remote monitoring of use of the device
Prescribed an offloading device (HCPCS codes): E1815, E1816, E1830, L1900, L1990, L2102-L2116, L3160, L4361, L4350, L4380. L3040, L3100, L3201-L3265, L3000-L3030, L4386 A5500- A5514
Numerator:
Patients in the numerator who were actively monitored by the provider AND demonstrated complete healing of the ulcer within 10 weeks
(GCL51) Met : Patients in the numerator who were actively monitored by the provider AND demonstrated complete healing of the ulcer within 10 weeks
(GCL52) Not Met : Patients who were not actively monitored
(GCL53) Not Met : Patients in the numerator who were actively monitored by the provider AND did not demonstrate complete healing of the ulcer within 10 weeks
Denominator Exclusions: None
Denominator Exceptions: None
Numerator Exclusions: None
NQF ID : N/A
NQS Domain: Effective Clinical Care
High Priority: Yes
Measure Type: Outcome
Meaningful Measure Area: Functional Outcomes
Meaningful Measure Area Rationale: Closing of Ulcer aligns with patient goals
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
If Continuous Variable and/or Ratio is chosen, what would be the range of the score(s)?: N/A
Number of performance rates to be submitted: 1
Performance Rate Description(s): Patients with lower extremity ulcers that demonstrate closure of the wound
Overall Performance Rate: 1st Performance Rate
Care Setting: Ambulatory Care: Clinician Office/Clinic
Includes Telehealth?: Yes
Risk Adjusted Status : No