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Cost Measures

  • Medicare Spending per Beneficiary (MSPB)
  • Total per Capita Cost measure for all attributed beneficiaries (TPCC), AND
  • 123 episode based measures (15 Procedural episode based measures, 2 chronic condition episode based measures and 6 acute inpatient medical condition episode based measures).

CMS will calculate the Cost category score based on MIPS eligible providers’ performance compared to the measure benchmark. Individual MIPS eligible providers and groups do not have to submit any other information for the Cost performance category.

MRO is transforming the way clinical data is exchanged...