DR. SCOTT MATTHEW MARTIN MD
NPI 1386622462
Physical Medicine & Rehabilitation - Pain Medicine in Henderson, NV

Medicare Participation & PECOS Enrollment Status

Scott Martin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

• DME-Other DME (DE000N)

  Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty (HCPCS:E0181)

  1 DME suppliers used 12 Medicare Claims 14 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

  5 DME suppliers used 40 Medicare Claims 40 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress (HCPCS:E0295)

  3 DME suppliers used 46 Medicare Claims 46 Services Paid

• DME-Hospital Beds (DB000N)

  Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress (HCPCS:E0303)

  2 DME suppliers used 19 Medicare Claims 21 Services Paid

• DME-Hospital Beds (DB000N)

  Bed side rails, half length (HCPCS:E0305)

  1 DME suppliers used 22 Medicare Claims 22 Services Paid

• DME-Other DME (DE000N)

  Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)

  4 DME suppliers used 22 Medicare Claims 22 Services Paid

• DME-Other DME (DE000N)

  Patient lift, electric with seat or sling (HCPCS:E0635)

  2 DME suppliers used 14 Medicare Claims 14 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, tray, each (HCPCS:E0950)

  7 DME suppliers used 41 Medicare Claims 41 Services Paid

• DME-Wheelchairs (DD000N)

  Heel loop/holder, any type, with or without ankle strap, each (HCPCS:E0951)

  22 DME suppliers used 197 Medicare Claims 311 Services Paid

• DME-Wheelchairs (DD000N)

  Toe loop/holder, any type, each (HCPCS:E0952)

  3 DME suppliers used 14 Medicare Claims 20 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each (HCPCS:E0953)

  25 DME suppliers used 353 Medicare Claims 559 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot (HCPCS:E0954)

  16 DME suppliers used 67 Medicare Claims 96 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

  46 DME suppliers used 793 Medicare Claims 793 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)

  15 DME suppliers used 547 Medicare Claims 547 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each (HCPCS:E0956)

  23 DME suppliers used 196 Medicare Claims 319 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each (HCPCS:E0957)

  13 DME suppliers used 49 Medicare Claims 78 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, one-arm drive attachment, each (HCPCS:E0958)

  3 DME suppliers used 20 Medicare Claims 20 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware (HCPCS:E0960)

  17 DME suppliers used 112 Medicare Claims 113 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, wheel lock brake extension (handle), each (HCPCS:E0961)

  21 DME suppliers used 113 Medicare Claims 188 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)

  25 DME suppliers used 247 Medicare Claims 419 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each (HCPCS:E0973)

  31 DME suppliers used 329 Medicare Claims 536 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, positioning belt/safety belt/pelvic strap, each (HCPCS:E0978)

  26 DME suppliers used 187 Medicare Claims 187 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, push-rim activated power assist system (HCPCS:E0986)

  16 DME suppliers used 360 Medicare Claims 364 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, elevating leg rest, complete assembly, each (HCPCS:E0990)

  10 DME suppliers used 26 Medicare Claims 33 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, power seating system, tilt only (HCPCS:E1002)

  22 DME suppliers used 57 Medicare Claims 57 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction (HCPCS:E1007)

  44 DME suppliers used 858 Medicare Claims 858 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction (HCPCS:E1007)

  2 DME suppliers used 17 Medicare Claims 17 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair (HCPCS:E1010)

  8 DME suppliers used 20 Medicare Claims 20 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each (HCPCS:E1012)

  44 DME suppliers used 868 Medicare Claims 868 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each (HCPCS:E1012)

  2 DME suppliers used 17 Medicare Claims 17 Services Paid

• DME-Wheelchairs (DD021N)

  Residual limb support system for wheelchair, any type (HCPCS:E1020)

  8 DME suppliers used 20 Medicare Claims 25 Services Paid

• DME-Wheelchairs (DD021N)

  Residual limb support system for wheelchair, any type (HCPCS:E1020)

  1 DME suppliers used 16 Medicare Claims 16 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

  45 DME suppliers used 1249 Medicare Claims 2438 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

  22 DME suppliers used 723 Medicare Claims 928 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, ventilator tray, fixed (HCPCS:E1029)

  3 DME suppliers used 23 Medicare Claims 23 Services Paid

• DME-Wheelchairs (DD000N)

  Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)

  17 DME suppliers used 732 Medicare Claims 732 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each (HCPCS:E1225)

  10 DME suppliers used 216 Medicare Claims 220 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches (HCPCS:E2201)

  11 DME suppliers used 24 Medicare Claims 24 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches (HCPCS:E2203)

  13 DME suppliers used 29 Medicare Claims 29 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair accessory, cylinder tank carrier, each (HCPCS:E2208)

  16 DME suppliers used 51 Medicare Claims 51 Services Paid

• DME-Wheelchairs (DD021N)

  Accessory, arm trough, with or without hand support, each (HCPCS:E2209)

  22 DME suppliers used 98 Medicare Claims 131 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, pneumatic propulsion tire, any size, each (HCPCS:E2211)

  18 DME suppliers used 108 Medicare Claims 172 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each (HCPCS:E2213)

  21 DME suppliers used 133 Medicare Claims 195 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, foam propulsion tire, any size, each (HCPCS:E2218)

  4 DME suppliers used 15 Medicare Claims 26 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, foam caster tire, any size, each (HCPCS:E2219)

  12 DME suppliers used 57 Medicare Claims 102 Services Paid

• DME-Wheelchairs (DD021N)

  Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware (HCPCS:E2231)

  15 DME suppliers used 63 Medicare Claims 63 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware (HCPCS:E2310)

  9 DME suppliers used 15 Medicare Claims 15 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware (HCPCS:E2311)

  45 DME suppliers used 876 Medicare Claims 876 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware (HCPCS:E2311)

  2 DME suppliers used 17 Medicare Claims 17 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each (HCPCS:E2313)

  44 DME suppliers used 864 Medicare Claims 864 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each (HCPCS:E2313)

  2 DME suppliers used 16 Medicare Claims 16 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated (HCPCS:E2323)

  16 DME suppliers used 50 Medicare Claims 50 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware (HCPCS:E2331)

  8 DME suppliers used 42 Medicare Claims 42 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2359)

  25 DME suppliers used 310 Medicare Claims 614 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) (HCPCS:E2361)

  39 DME suppliers used 330 Medicare Claims 656 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2363)

  27 DME suppliers used 299 Medicare Claims 587 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) (HCPCS:E2365)

  17 DME suppliers used 52 Medicare Claims 103 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue (HCPCS:E2377)

  44 DME suppliers used 860 Medicare Claims 860 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue (HCPCS:E2377)

  2 DME suppliers used 16 Medicare Claims 16 Services Paid

• DME-Wheelchairs (DD021N)

  General use wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2601)

  21 DME suppliers used 76 Medicare Claims 76 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2603)

  23 DME suppliers used 108 Medicare Claims 108 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection wheelchair seat cushion, width 22 inches or greater, any depth (HCPCS:E2604)

  8 DME suppliers used 21 Medicare Claims 21 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2605)

  14 DME suppliers used 39 Medicare Claims 39 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth (HCPCS:E2607)

  34 DME suppliers used 374 Medicare Claims 374 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth (HCPCS:E2608)

  12 DME suppliers used 24 Medicare Claims 24 Services Paid

• DME-Wheelchairs (DD021N)

  Custom fabricated wheelchair seat cushion, any size (HCPCS:E2609)

  5 DME suppliers used 38 Medicare Claims 38 Services Paid

• DME-Wheelchairs (DD021N)

  General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2611)

  22 DME suppliers used 118 Medicare Claims 118 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2613)

  16 DME suppliers used 54 Medicare Claims 54 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2615)

  11 DME suppliers used 86 Medicare Claims 86 Services Paid

• DME-Wheelchairs (DD021N)

  Custom fabricated wheelchair back cushion, any size, including any type mounting hardware (HCPCS:E2617)

  7 DME suppliers used 40 Medicare Claims 40 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware (HCPCS:E2620)

  40 DME suppliers used 441 Medicare Claims 441 Services Paid

• DME-Wheelchairs (DD021N)

  Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware (HCPCS:E2621)

  9 DME suppliers used 12 Medicare Claims 12 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth (HCPCS:E2622)

  20 DME suppliers used 124 Medicare Claims 124 Services Paid

• DME-Wheelchairs (DD021N)

  Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth (HCPCS:E2624)

  23 DME suppliers used 114 Medicare Claims 114 Services Paid

• DME-Wheelchairs (DD000N)

  Ultralightweight wheelchair (HCPCS:K0005)

  24 DME suppliers used 139 Medicare Claims 139 Services Paid

• DME-Wheelchairs (DD000N)

  Ultralightweight wheelchair (HCPCS:K0005)

  1 DME suppliers used 11 Medicare Claims 11 Services Paid

• DME-Wheelchairs (DD021N)

  Arm pad, replacement only, each (HCPCS:K0019)

  8 DME suppliers used 15 Medicare Claims 25 Services Paid

• DME-Wheelchairs (DD021N)

  Leg strap, each (HCPCS:K0038)

  10 DME suppliers used 28 Medicare Claims 34 Services Paid

• DME-Wheelchairs (DD021N)

  Adjustable angle footplate, each (HCPCS:K0040)

  36 DME suppliers used 628 Medicare Claims 937 Services Paid

• DME-Wheelchairs (DD021N)

  Wheelchair component or accessory, not otherwise specified (HCPCS:K0108)

  9 DME suppliers used 22 Medicare Claims 34 Services Paid

• DME-Wheelchairs (DD021N)

  Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

  13 DME suppliers used 287 Medicare Claims 288 Services Paid

• DME-Other DME (DE000N)

  Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes (HCPCS:K0739)

  15 DME suppliers used 41 Medicare Claims 201 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0821)

  4 DME suppliers used 27 Medicare Claims 27 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS:K0822)

  3 DME suppliers used 20 Medicare Claims 20 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0823)

  22 DME suppliers used 378 Medicare Claims 378 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds (HCPCS:K0825)

  6 DME suppliers used 24 Medicare Claims 24 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0836)

  14 DME suppliers used 34 Medicare Claims 34 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS:K0841)

  20 DME suppliers used 156 Medicare Claims 156 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds (HCPCS:K0842)

  17 DME suppliers used 88 Medicare Claims 88 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds (HCPCS:K0843)

  19 DME suppliers used 40 Medicare Claims 40 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS:K0861)

  44 DME suppliers used 554 Medicare Claims 554 Services Paid

• DME-Wheelchairs (DD009N)

  Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds (HCPCS:K0862)

  12 DME suppliers used 22 Medicare Claims 22 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 35 times for 33 patients

Evaluation for wheelchair, each 15 minutes

This procedure involves assessing your physical needs and capabilities to determine the most suitable wheelchair for you. It takes into account your comfort, mobility, and lifestyle requirements. Each session lasts 15 minutes.

This service was performed 2,196 times for 1,092 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 11 times for 11 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 1,520 times for 1,520 patients

Physician service required to establish and document the need for a power mobility device

This service involves your doctor assessing your mobility needs. They'll document your condition, verify if a power mobility device (like a motorized wheelchair) could improve your life quality, and provide the required medical records to insurance for coverage.

This service was performed 1,553 times for 1,545 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

• Final Score: 75 out of 100

  The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
  
  

• Quality Score: N/A

  The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
  
  There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
  
  

• Promoting Interoperability Score: N/A

  The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
  
  The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

• Improvement Activities Score: N/A

  The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
  
  The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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