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MIPS Coding in Clario

With Clario’s integrated Voice Recognition, you can now automatically code your reports to meet MIPS Quality reporting requirements required by MACRA.

Clario has implemented rulesets for 10 MIPS Quality Measures to automatically identify the required language to meet the quality measure performance. These rulesets are checked in real time as your radiologist’s dictates a report.

How it works:

1. You select the Quality Measures you want to report on and map these rulesets to your templates.
2. When the radiologist opens a study and loads a template, the applicable Quality Measure rulesets are loaded. The applicable measures are also dependent on the CPT code and Diagnosis codes.
3. As the radiologist dictates Clario checks the report against the rulesets and applies the appropriate code in real time.
4. The radiologist or billing staff can review the applied codes from Clario.
5. Then Clario generates your ACR NRDR registry report for upload to the ACR.


Clario’s Integrated Peer Review


Implementing a peer review program is something that all radiology groups need to do for ACR accreditation. However, it is often resisted because it takes time away from the radiologist reading exams and requires large administration overhead. So why implement a peer review system that does more than the minimum? Because your peer review system provides a foundation for measuring quality in your group. With a strong quality foundation, you can monitor quality as you make improvements to your business, processes and radiology workflow.

You can change peer review from a have-to situation to a want-to situation. How? With Clario’s integrated peer review and robust analytics.

Clario’s ongoing peer review assigns radiologists exams to review on a monthly, weekly or daily basis. The process would go as such: a radiologist is assigned a set of exams to review. If the rating is unfavorable, the reporting radiologist evaluates their review. And if the reporting radiologist disagrees with their review, the exam is flagged for arbitration by a peer review administrator.

Clario’s focused peer review allows for peer reviews to be focused on one or more specific areas. The peer review can be focused only on exam type, radiologist on-boarding, certain sites, or all three. You can setup focused peer review programs in addition to your ongoing peer review program.

Radiology groups can now have all the data they need to evaluate their group’s quality. Knowing who, what site, or type of exam needs closer attention gives your practice a world of insight into where to make improvements, which overall increases the quality. Clario encourages radiology groups to look at their peer review as not just a box to check off but as a way of keeping up with their overall quality.