2018 MIPS
Quality Performance Category
- Select 6 Measures
- 1 outcome or high-priority measure
- Alternatively, a specialty or sub-specialty measure set may be used
- Report 60% of applicable visits from a full calendar year
- Population measure automatically calculated, if applicable
You are viewing information about MIPS reporting in 2018.
View 2017 performance categories.
Key Changes from 2017
60% of all patients must be reported on to satisfactorily report a measure.
Measures that don’t meet the data completeness criteria earn 1 point (3 points for small practices).
The 90-day performance period is no longer an option.
Six measures now considered "Highly Topped-Out"
Quality Performance Category Submission Options
An organization may choose to submit measure data to CMS as an individual or as a group through any the options below.
Method | Individual Submisson | Group Submission |
|---|---|---|
Qualified Registry |
| |
QCDR | ||
EHR | ||
Claims | ||
CMS Web Interface | ||
CAHPS for MIPS Survey |
Webinar:
Navigating MIPS in 2018
WATCH OR ATTEND LIVE SESSION
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What Contributes to the Quality Performance Category Score?
As Quality is worth 50% of your total MIPS composite performance score, understanding how to excel in this category is important. Measure performance compared to benchmarks, bonus points, and the types of measures you have selected all impact your Quality score.
1-10 Points per reported measure
+
BONUS
Additional Outcome /
High-Priority Measures
+
BONUS
End-to-end electronic reporting
+
BONUS
Performance Improvement
- Add together points scored and divide by 60 or 70 (for groups eligible for the All-Cause Hospital Readmission measure) to get the final quality score.
- If less than 6 measures are selected, clinicians will receive 0 points for missing measures.
- Quality measures that meet the minimum case requirement, data completeness threshold, and have a benchmark will be worth between 3-10 points. If a measure has no benchmark or does not meet the minimum case requirement, it will only receive 3 points.
- Bonus point categories are capped at 10% of the total possible quality score. This is 7 points for groups eligible for the All-Hospital Readmission Measure, and 6 points in all other circumstances.
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