MIPS Quality Measure Encounter Edit Maintenance

To make MIPS quality measure encounter edit modifications, select Configuration then Edit Maintenance then MIPS Quality Encounter from the ClaimStaker toolbar. The MIPS Quality Measure Encounter Edit Maintenance page appears.

There are several columns on this page.

The Edit Number, Edit Name, Edit Category, and Edit Severity columns relate specifically to the MIPS encounter edits.

The check boxes under the Medicare column allow you select which MIPS encounter edits will be applied to your submission files.

Screenshot of the MIPS Quality Measure Encounter Edit Maintenance table with five columns and three rows of edits. Some edits are enabled for Medicare by the selection of check boxes under the Medicare column.

Viewing MIPS quality measure encounter edits

Edits are sorted by edit number by default. To learn more about a specific edit, select the edit name link under the Edit Name column. A description of the edit appears.

Selecting MIPS quality measure encounter edits

To select the MIPS quality measure encounter edits that will apply to your submission files for Medicare encounters, select the check box under the Medicare column for each desired edit and check (enable) or uncheck (disable) the edit.

Screenshot of the MIPS Quality Measure Edit Maintenance table. Edits are enabled for the Medicare claim type by the selection of check boxes in the edit rows and under the Medicare column. The check box for edit 9023 is being selected.

When finished modifying your edits, select Apply. A message displays indicating the edits were successfully updated.

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