2017 MIPS Performance Weightage

Performance Category

Performance Category

Reporting Requirements

Quality Reporting Requirements

Criteria

MIPS Quality

Measure Group Submission

Measure Group Submission is not allowed, instead Physicians can use Specialty Measure sets to ensure simplicity in reporting.

Submission Eligibility

Eligible Clinicians can submit from the specialty measure set. In addition Groups can also submit their applicable measure sets or select the best applicable measures.

Submission Criteria

Individuals and Groups have to report 6 measures including one Outcome Measure or a High priority if an Outcome Measure is not available from the Specialty Measure set.
If Specialty specific measure set has fewer than 6 measures, Eligible Clinicians have to report for all the applicable measures.

Performance Criteria

Measures with 0% performance rate will qualify for 3 points under Quality performance category in 2017.

Patient Sample

Minimum 20 patients per measure is required.

Reporting Requirements

Quality Reporting Requirements

Criteria

MIPS Quality

Measure Group Submission

Measure Group Submission is not allowed, instead Physicians can use Specialty Measure sets to ensure simplicity in reporting.

Submission Eligibility

Eligible Clinicians can submit from the specialty measure set. In addition Groups can also submit their applicable measure sets or select the best applicable measures.

Submission Criteria

Individuals and Groups have to report 6 measures including one Outcome Measure or a High priority if an Outcome Measure is not available from the Specialty Measure set.
If Specialty specific measure set has fewer than 6 measures, Eligible Clinicians have to report for all the applicable measures.

Performance Criteria

Measures with 0% performance rate will qualify for 3 points under Quality performance category in 2017.

Patient Sample

Minimum 20 patients per measure is required.

ACI Reporting Requirements

In 2017, There are 2 measure set for reporting based on EHR edition:

Advancing Care Information
Objectives & Measures

2017 Advancing Care
Information Transition
Objectives & Measures

Advancing Care Information

Replaces the Medicare EHR Incentive Program, also known as Meaningful Use.

Fulfill the required measures for a minimum of 90 days:

  • Security Risk Analysis
  • e-Prescribing
  • Provide Patient Access
  • Send Summary of Care
  • Request/Accept Summary of Care

Choose to submit up to 9 measures for a minimum of 90 days for additional credit.

For bonus credit, you can:

  • Report Public Health and Clinical Data Registry Reporting measures
  • Use certified EHR technology to complete certain Improvement Activities in the Improvement Activities performance category

OR

You may not need to submit Advancing Care Information if these measures do not apply to you.

IA Reporting Requirements

The Improvement Activities(IA) performance category focuses on one of the MIPS strategic goals, to use a patient-centered approach to program development that leads to better, smarter, and healthier care.

Improvement Activities emphasize activities that have a proven association with better health outcomes.

MIPS would reward Improvement Activities such as Care coordination, Beneficiary engagement, and Patient safety, which Clinicians could select from a list of 92 activities.