2024 QPP Playbook

The RadNet Quality Payment Program (QPP) Playbook website is a resource designed to assist team members in understanding their role for each of the Quality Measures to be reported under MIPS (Merit-Based Incentive Payment System). Each Quality Measure is listed with a general summary of the measure and applicable CPT codes (denominators). Radiologists, transcriptionists, technologists and coders should utilize each measure page to find their specific responsibility for documentation necessary in achieving 100% completeness for every final report.

MIPS is the Merit-based Incentive Payment System outlined by Medicare in the MACRA (Medicare Access and CHIP Re-Authorization Act) legislation of April 2015. The MIPS program was designed to link fee-for-service (FFS) payments to value and quality. The MIPS program replaces the older Meaningful Use, PQRS and Value-Based Modifier programs.

All clinicians are scored in 4 categories under MIPS: Quality, Promoting Interoperability, Clinical Improvement Activities and Cost. Each category is weighted and scored for an overall MIPS composite score between 0-100. Depending on how a practice scores will determine their pay adjustments for Medicare Part B services. Pay adjustments can be negative, neutral or positive.