January 13, 2017

ACR Assesses Proposed MIPS Patient Relationship Categories and Codes

The American College of Radiology (ACR) has asked the Centers for Medicare & Medicaid (CMS) for more details to better define proposed patient relationship categories and codes for the Merit-Based Incentive Payment System.

The suggested categories are meant to reflect the nature of encounters between physicians and patients to determine how physician services contribute to the cost of specific episodes of care. The Agency’s suggested codes offer a way to code these encounters on Medicare claims.

In its Jan. 6 comment letter, the ACR expressed its belief that the new categories are clear enough to understand but not granular enough to determine the cost of care that can be attributed to the radiologist. It suggested more granularity in the categories to accurately demonstrate the radiologist’s level of involvement in an episode of care.