Imaging Efficiency Measures

For Calendar Year (CY) 2014 payment determinations, six imaging efficiency measures are included in the Hospital Outpatient Quality Reporting (OQR) Program reporting requirements: OP-8, OP-9, OP-10, OP-11, OP-13, and OP-14.

As indicated in the most recent Outpatient Prospective Payment System (OPPS) rule, published December 10, 2013 (Federal Register, Volume 78, Issue 237, p. 75096), the Centers for Medicare & Medicaid Services (CMS) postponed public reporting of OP-15 in order to allow time for thoughtful refinement of the measure in collaboration with a technical expert panel and stakeholders. Public reporting for OP-15 will occur in July 2016 at the earliest, and this measure will not be used for CY 2015 payment determinations. CMS will confirm the inclusion or exclusion of this measure in future rulemaking.

These six publicly reported imaging efficiency measures, listed below, are calculated from hospital Medicare fee-for-service claims data paid under the OPPS. Hospitals need not submit any additional data for the six imaging efficiency measures.

Measure Specifications

  *Beginning with the CY 2013 payment determination, OP-10 and OP-11 are reported as percentages, not ratios.

Environmental Scans will be updated for all measures in July 2014.

Measure Specifications Under Revision

 **Public reporting of OP-15 is postponed in order to allow time for thoughtful refinement of the measure in collaboration with a technical expert panel and stakeholders.

See Measures for a complete listing of the Hospital OQR measures and measures resources.

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