MIPS and Utilization Management

Instructions

Welcome everyone to Week $1!$ This week we are covering Chapter $3$ in both books and chapters $1$ and $4$ of Peden$$s Comparative Health Information Management. After getting familiar with the course layout, reviewing the course syllabus, description, objectives, assignment due dates, and after reviewing this week$$s chapters, introduce yourself to your classmates and include the following information in your initial discussion post:

What is a physician quality reporting system $($PQRS$),$ now known as MIPS, and who created it$?$

Distinguish between the two basic approaches to utilization management: Prospective review$/$precertification and retrospective review.

Finally, explain the concept of the medical home.