MIPS Performance Categories
Each clinician or group will have a MIPS composite performance score (CPS) which will factor in performance in 4 weighted performance categories on a 0-100 point scale. The four performance categories include:
Each clinician or group will have a MIPS composite performance score (CPS) which will factor in performance in 4 weighted performance categories on a 0-100 point scale. The four performance categories include:
60% of total score
This category replaces the PQRS program.
Individual clinicians or groups will choose six measures to report. This includes our exclusive Sports Medicine Surgery Measures
The measures must include at least one outcome measure (if available) or another high priority measure.
The quality reporting threshold is 50% of the patients in 2017 (will increase to 60% in 2018).
View the list of Quality Measures: https://qpp.cms.gov/measures/quality
This category replaces the PQRS program.
Individual clinicians or groups will choose six measures to report. This includes our exclusive Sports Medicine Surgery Measures
The measures must include at least one outcome measure (if available) or another high priority measure.
The quality reporting threshold is 50% of the patients in 2017 (will increase to 60% in 2018).
View the list of Quality Measures: https://qpp.cms.gov/measures/quality
25% of total score
This category replaces the EHR Meaningful Use.
Clinicians will be required to use certified EHR technology and will choose to report customizable measures that reflect how they use technology in their day-to-day practice.
There are 90 day reporting periods in 2017 and 2018.
Bonuses available for registry reporting.
Visit the list of Advancing Care Information measures: https://qpp.cms.gov/measures/aci
This category replaces the EHR Meaningful Use.
Clinicians will be required to use certified EHR technology and will choose to report customizable measures that reflect how they use technology in their day-to-day practice.
There are 90 day reporting periods in 2017 and 2018.
Bonuses available for registry reporting.
Visit the list of Advancing Care Information measures: https://qpp.cms.gov/measures/aci
15% of total score
This category is new.
It will reward clinical practice improvements, such as activities focused on care coordination, beneficiary engagement, and patient safety (e.g.,expanded practice access, such as same-day appointments for urgent needs).
Clinicians can select activities that match their practices’ goals from a list of more than 90 options.
Performance in this category is calculated based on the provider's attestation to completing 2 high-weighted activities or 4 medium-weighted activities for a minimum of 90 days.
View the list of Improvement Activity measures: https://qpp.cms.gov/measures/ia
This category is new.
It will reward clinical practice improvements, such as activities focused on care coordination, beneficiary engagement, and patient safety (e.g.,expanded practice access, such as same-day appointments for urgent needs).
Clinicians can select activities that match their practices’ goals from a list of more than 90 options.
Performance in this category is calculated based on the provider's attestation to completing 2 high-weighted activities or 4 medium-weighted activities for a minimum of 90 days.
View the list of Improvement Activity measures: https://qpp.cms.gov/measures/ia
0% of total score
This category has no reporting requirements for clinicians.
This will be calculated by CMS based on claims submitted.
This category has no reporting requirements for clinicians.
This will be calculated by CMS based on claims submitted.