Low Back Pain (Episode-Based Cost Measure)
Identifying Attributes
Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Traditional Merit-based Incentive Payment System (MIPS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Pain
Defining Attributes
Definition
Episode-Based Cost Measures represent the cost to Medicare for the items and services furnished to a patient during an episode of care ("episode"). They can be used to inform clinicians on the costs related to the role of the attributed clinician in providing a particular type of care during a defined period.
Numerator
Total cost of care for a care episode.
Denominator
This is a continuous outcome.
Exclusions
Use of Risk Adjustment
No
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Administrative data
Data Collection Methods
Merit-Based Incentive Payment System traditional reporting
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025
Contents
Actions
Date Modified 02 December 2025