News | Radiology Business | July 11, 2017

Neiman Institute Releases Updated Radiologist Patient-Facing Dataset

Data allows radiologists to determine if they are considered patient-facing, a key factor in MIPS reimbursement participation

Neiman Institute Releases Updated Radiologist Patient-Facing Dataset

July 11, 2017 — The Harvey L. Neiman Health Policy Institute has updated the Radiologist Patient-Facing Dataset (RPFD) with 2015 Centers for Medicare and Medicaid Services (CMS) data. This free resource allows radiologists to determine if they would be designated as patient-facing by CMS. This designation affects Merit-Based Incentive System (MIPS) participation. The tool also allows practices to look up all the radiologists in their practice to determine if they are likely to be exempt under the MIPS group reporting option.

Radiologists can use this updated dataset to look up their name and other radiologists in their practice to see if they would be designated as a patient-facing physician. Because CMS is using 2017 data for this determination, having the most recent CMS data available in the RPFD will allow radiologists to prepare if they are close to the patient facing threshold,” said Danny R. Hughes, Ph.D., Neiman Institute senior director for health policy research and senior research fellow. “Using this and other Neiman Institute online data tools, radiologists can prepare and succeed in CMS’ evolving payment models.”

RFPD was produced using the publicly available Physician and Other Supplier Public Use File which contains 100 percent of all Medicare FFS (fee-for-service) performed and aggregated by Current Procedural Terminology (CPT) code and individual physician. RPFD contains each physician reported as a Diagnostic Radiologist, Interventional Radiologist or Nuclear Medicine specialty in the Physician and Other Supplier data sorted alphabetically by last name.

As part of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, CMS established a new Quality Payment Program (QPP) designed to tie physician payments to quality and value.

Under QPP, physicians not participating in advanced alternative payment models (APMs) are eligible for MIPS, which combine traditional FFS base payments with payment adjustments based upon physician performance across four categories: Quality, Advancing Care Information (ACI), Improvement Activities and Resource Use.

“The effect of the non patient-facing determination has particular impact on the ACI category, as these measures are difficult for radiologists to meet,” said Gregory Nicola, M.D., chair of ACR’s MACRA Committee.

“It is imperative that radiologists begin taking action now to be well positioned for success under the new program. The updated Radiologist Patient Facing Dataset (RPFD) is a great start for clinicians to determine what their patient facing physician designation will be in 2019.”

For more information: www.neimanhpi.org

Related Content

AHRA Names Daniel Kelsey Chief Executive Officer

Daniel Kelsey. Image courtesy of AHRA: The Association for Medical Imaging Management

News | Radiology Business | November 20, 2018
On November 15, AHRA: The Association for Medical Imaging Management announced the appointment of Daniel Kelsey, MBA,...
Merit Medical Completes Acquisition of Cianna Medical
News | Women's Health | November 14, 2018
Disposable device manufacturer Merit Medical Systems Inc. announced the closing of a definitive merger agreement to...
Researchers Awarded 2018 Canon Medical Systems USA/RSNA Research Grants
News | Radiology Imaging | November 13, 2018
The Radiological Society of North America (RSNA) Research & Education (R&E) Foundation recently announced the...
MDW Unveils First Radiology Blockchain Platform at RSNA 2018
News | Radiology Business | November 13, 2018
Medical Diagnostic Web (MDW) will debut the first radiology blockchain platform designed to connect all players in the...
Charles Ananian, M.D.

Charles Ananian, M.D.

Sponsored Content | Case Study | Digital Radiography (DR) | November 07, 2018
Whether it’s a premature baby or a critically ill child, treating little patients is a huge responsibility.
An enhanced patient experience can reduce providers’ exposure to liability, increase care compliance and positively impact providers’ reputations in the care community.

An enhanced patient experience can reduce providers’ exposure to liability, increase care compliance and positively impact providers’ reputations in the care community.

Feature | Radiology Business | November 06, 2018 | By Casey Williams
Two unrelenting forces are on a crash-course in healthcare: The rising volume of patient out-of-pocket payments and i
Results of the vertebrae-based analysis (383 vertebrae in 34 patients) for detection of BME.

Results of the vertebrae-based analysis (383 vertebrae in 34 patients) for detection of BME.

Sponsored Content | Case Study | Computed Tomography (CT) | November 06, 2018
The following is a summary of a study published in the
National Radiologic Technology Week Celebrates Being "Powerful Together" in 2018

Image courtesy of the American Society of Radiologic Technologists

News | Radiology Business | November 02, 2018
Radiologic technologists perform hundreds of millions of diagnostic imaging and radiation therapy procedures every year...