I am requesting information to best interpret reporting requirements for providers in my practice. This year we will be filing MIPS across several states with small groups of providers (NP's/PHDs/LICSWs) in each group. In many instances our patients receive care from more than one of our providers (visits may be conducted by a therapist and nurse practitioner for example).

Question 1:

If one provider in the group satisfies a measure we are using, does the other provider also need to satisfy that measure or is it captured by the fact that another provider within the group satisfied it?

Example:

Patient is seen by both a therapist and a nurse practitioner and the patient is eligible for MIPS Measure 134. The therapist completes a depression screen and appropriate follow up plan and meets criteria for Measure 134. Does the nurse practitioner who is within the same group and also seeing that same patient therefore meet that measure by default? Or, do they also need to complete the depression screen and follow up?

Question 2

If a patient is identified as an exception during one visit, are they then considered an exception for entire reporting period or might they become eligible again for each subsequent visit after they were identified as an exception? "

For measures,

290- Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease

286-Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia

291- Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease

134- Preventive Care and Screening: Screening for Depression and Follow-Up Plan

047- Advance Care Plan

Thank you