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PQRS: 2015 MAV Document Released

By Stacie Norris, MBA, CPC, CCS-P

Director of Coding Quality Assurance, Zotec Partners

The 2015 MAV (“Measure Applicability Validation”) documents have been posted to the CMS website at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/AnalysisAndPayment.html.

Users can scroll down the page to the “2015 PQRS” section and see “2015 PQRS Measure-Applicability Validation (MAV) Process for Claims and Registry-Based Reporting of Individual Measures."

The good news is: 1) Updated 2015 MAV documents provide more detail and examples than the 2014 documents provided; 2) The Emergency Care cluster (Cluster #4) contains only 3 measures.

The 3 measures in the Emergency Care Cluster are: 1) Measure #54-12-Lead ECG for Non-Traumatic Chest Pain; 2) Measure #254-Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain; and 3) Measure #255-Rhogam for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure.

If emergency medicine groups decide to go into the MAV process, remember there is a new 2015 requirement that Eligible Professionals or group practices that see at least 1 Medicare patient with a face-to-face encounter report at least one “cross-cutting” measure. The Cross Cutting Measure that applies to Emergency Medicine for 2015 is Measure #317-Preventative Care and Screening: Screening for High Blood Pressure and Follow-up Documented.

In closing, it is necessary to review the CMS PQRS website and decide the best course of action regarding a reporting option.