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Small Practice Spotlight: Spine & Nerve Diagnostic Center

Friday, December 11 2020

Dr.  Surekha ReddyDr.  Surekha Reddy is an internal medicine physician and office administrator for Spine & Nerve Diagnostic Center, a small pain management clinic with multiple locations in the greater Sacramento, California area. The providers at Spine & Nerve Diagnostic Center have been participating in MIPS for several years, but had to make adjustments to the clinic’s workflow to continue collecting MIPS measure data in light of the COVID-19 pandemic. Thanks to support from its technical assistance (TA) contractor (HSAG), the practice has been able to continue collecting MIPS measure data during the 2020 performance year. Below are two examples of how Dr. Reddy’s practice has adjusted its MIPS workflows.  

Dr. Reddy’s practice reports on the Body Mass Index (BMI) quality measure (Quality ID 128 – BMI Screening and Follow-up Care Plan). While providers normally record the height and weight of patients during in-office visits, Dr. Reddy shared that the practice now relies on patients participating in telehealth visits to tell providers if their weight has changed, and providers document that change in the medical record, being careful to note that this information is self-reported. This data collection approach allows her practice to continue to get credit for the BMI MIPS quality measure.

Spine & Nerve Diagnostic Center also reports on the Depression Screening quality measure (Quality ID 134 – Screening for Depression and Follow-up Plan). Before the pandemic, patients used to fill out a depression screening questionnaire in the waiting room prior to seeing the provider. Now, during telehealth visits, providers verbally ask the questions in the survey, which Dr. Reddy notes is more time consuming, especially given that the practice must document the information in the medical record on the same day as the office visit. While providers have had to alter their data collection processes, they have continued to successfully gather data for these and other MIPS measures.

Dr. Reddy recommends that small practices start by selecting one or two measures to focus on improving so as not to overwhelm providers with instructions on data collection and documentation. Dr. Reddy strongly recommends reaching out to your regional TA contractor for free customized assistance. Dr. Reddy’s TA contractor has been invaluable for her clinic. She meets with her TA contractor approximately three times a year and particularly values its resources summarizing the year-over-year changes in MIPS.

If you are a small provider in Indiana, your TA is Purdue Healthcare Advisors operating under the QPP Resource Center for the Midwest. Contact us by phone at 844-742-7771 (1-844-PHA-QPP1) or by email at

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