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MIPS for 2018

Merit-Based Incentive Payment System

  • A new CMS payment mechanism

  • Penalties for non-compliance

  • Based on performance of prescribed
    “Practice Improvement Activities” 

  • Graded & reported to CMS.

  • Part B Payments adjusted downward for non-compliance.

We identified the least intrusive measures for you:

  • Usually an annual activity

  • Actually related to wound care

This year’s menu…

DFU Risk Education

DFU Prevention - Proper footwear eval


Care Plan Documented / Discussed


A1c Control (>9.0%)

DFU Risk Education

Identify and educate patients at risk for the development of diabetic foot ulcers (DFUs). 


Patients may not understand their risk factors or the need for preventive care.  Providers must engage patients to attend preventive foot care visits for their diabetes.

DFU Prevention - Proper footwear eval

A foot examination documenting relevant vascular, neurological, dermatological, and structural / biomechanical findings.


Counseling on appropriate footwear should be based on the evaluation. 

Care Plan Documented / Discussed

Patients 65 and older who have an advance care plan or surrogate decision maker documented in the medical record


Documentation that an advance care plan was discussed but the patient did not wish to provide an advance care plan. 

A1c Control (>9.0%)

Percentage of patients 18-75 years of age with diabetes 


Most recent hemoglobin A1c > 9.0% during the measurement period

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