MIPS Measures and Activities



Quality Measures

The MIPS Quality Performance Category is closely related to its predecessor, the Physician Quality Reporting System (PQRS). Much like PQRS, the Quality Performance Category is able to be reported individually or as a group, and requires the submission of quality measure information to CMS.

The most important change is that once your data is reviewed, the reimbursement incentive / penalty is based not just on successful reporting, but how the reported quality scores compare to other providers. Each measure is worth up to ten points. The points are determined by assessing how the score stacks up compared to all other providers. Learn More

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ACI Measures

This category is Meaningful Use updated to make it more customizable, flexible, and focused on patient engagement and interoperability.

Providers can achieve half of the category score by reporting at least one use case for each available measure. Additional points are available for high performance scores on the reported measures and public health reporting. This is a major simplification to the current convoluted regulations for Meaningful Use. Learn More

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Improvement Activities

The Improvement Activities category is worth 15% of your MIPS Composite Performance Score. Participants must either report two high-weight improvement activities, or four medium-weight improvement activities.

Eligible clinicians and groups from small practices, rural practices, or practices located in geographic health professional shortage areas (HPSAs), and non-patient facing MIPS-eligible clinicians will only have to report one high-weight improvement activity or two medium-weight activities. Activities that utilize CEHRT will not only count for the improvement activities performance category score, but the ACI performance category score as well. Learn More

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All Quality Measures

Measure Recommendations

Specialty Measure Sets

To successfully report the MIPS quality performance category, participants must report 6 quality measures (or one specialty measure set) that includes an outcome measure. If an outcome measure does not apply to any MIPS-eligible patient visits, a high-priority measure can be used alternatively. Learn More

Quality measure resources from past performance year: 2017 Quality Measures | 2017 Specialty Recommendations

All ACI Measures

All Improvement Activities

Providers can achieve half of the category score by reporting at least one use case for each required measure, referred to as a base measure. Additional points are available for performance scores on the reported measures or by achieving bonus points through one of three available methods. Learn More

ACI measures from past performance year: 2017 ACI Measures

Participants must either report two high-weight improvement activities, or four medium-weight improvement activities, or two medium-weight activities and one high-weight activity. Eligible clinicians and groups from small practices, rural practices, or practices located in geographic health professional shortage areas (HPSAs), and non-patient facing MIPS-eligible clinicians will only have to report one high-weight improvement activity or two medium-weight activities. Learn More

Improvement activities from past performance year: 2017 Improvement Activities

Do you have questions about MIPS measures or categories?

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