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CMS Field Testing of MACRA Episode-Based Cost Measures Will Be Conducted from October 16 - November 15, 2017


CMS and its contractor, Acumen, LLC, will be conducting field testing for eight episode-based cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) and the Quality Payment Program (QPP). Please note that this field testing of new cost measures is separate from measures reported in the QRURs, which you may also be receiving around the same time. 
Field testing will take place from October 16 to November 15, 2017. During this time, clinicians and clinician groups (TINs) who are attributed episodes for performing or managing the procedures/ medical conditions listed below will have the opportunity to view a confidential report with information about their performance. In addition, all stakeholders will be able to view a mock report and supplemental documentation on the measures that will be publicly posted. Therefore, CMS will be seeking feedback from all stakeholders on the measures, confidential or mock report, and supplemental documentation through an online survey.

The episode-based cost measures, which will be reported during field testing to group practices and solo practitioners who meet a 10-episode case minimum for at least one measure during the measurement period of 06/01/16 to 05/31/17, are the following:
  • Elective Outpatient Percutaneous Coronary Intervention (PCI)
  • Knee Arthroplasty
  • Revascularization for Lower Extremity Chronic Critical Limb Ischemia
  • Routine Cataract Removal with Intraocular Lens (IOL) Implantation
  • Screening/Surveillance Colonoscopy
  • Intracranial Hemorrhage or Cerebral Infarction
  • Simple Pneumonia with Hospitalization
  • ST-Elevation Myocardial Infarction (STEMI) with PCI
Confidential field test reports and supplemental documentation will be released October 16, 2017. National Provider Calls will be held on the dates below to provide information on field testing and include a Q&A session. The same content will be covered for both calls. Please click on the links below to register: