2019 MIPS Improvement Activity IA_PM_4: Glycemic management services


Activity Description

For outpatient Medicare beneficiaries with diabetes and who are prescribed antidiabetic agents (e.g., insulin, sulfonylureas), MIPS eligible clinicians and groups must attest to having, for the first performance year, at least 60 percent of medical records with documentation of an individualized glycemic treatment goal that:

  • a) Takes into account patient-specific factors, including, at least: 1) age, 2) comorbidities, and 3) risk for hypoglycemia, and
  • b) Is reassessed at least annually.

The performance threshold will increase to 75 percent for the second performance year and onward. Clinicians would attest that 60 percent for the first year, or 75 percent for the second year, of their medical records that document individualized glycemic treatment represent patients who are being treated for at least 90 days during the performance period.

Activity ID Activity Weighting Sub-Category Name
IA_PM_4 High Population Management

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