MIPS improvement activities performance category
Summary of the Improvement Activities (IA) Performance Category
- Minimum of one Improvement Activity out of the 90+ proposed activities to be selected
- Activities are weighted as "high" (20 points) or "medium" (10 points)
- A full score in the Improvement performance category is 40 points (or 20 for small or rural practices)
- View Improvement Activities for 2019
Improvement Activities Data Submission
An organization may choose to submit measure data to CMS as an individual or as a group through any of the options below.
CMS Web Interface
IA Performance Category Scoring
- Worth 15% of total MIPS CPS
- Most Improvement Activities are medium-weight activities, and are worth 10 points.
- There are a few high-weight improvement activities, and those will be worth 20 points.
- You can use any combination of medium- and high-weight activities.
Improvement Activities Performance Category Exemptions
- Non-patient-facing eligible clinicians and groups, practices of 15 or fewer professionals, and practices located in rural areas and geographic health professional shortage areas can report two medium-weight activities or one high-weight activity to achieve the full 40 points.
- Certified patient-centered medical homes, comparable specialty practices, or Medical Homes receive full credit in this category automatically.
- APMs automatically receive 20 points (half of the highest potential score) for this category.
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Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Proposed Rule, 42 CFR § 414 (2016).
The Centers for Medicare and Medicaid Services. (2016). Clinical Practice Improvement Activities Performance Category [PowerPoint slides]. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/CPIA-Performance-Category-slide-deck.pdf