Today, we are going to talk about the Quality Performance Category of MIPS which represents 45% of your total MIPS score. Points-wise, Quality Performance represents the largest flapjack in the MIPS stack.
The minimum reporting requirements are 6 measures or a complete specialty set. At least one measure must be an outcome measure or a high priority measure if no outcome measure is applicable to your practice. Reporting must be over the full calendar year.
There are 250 Quality Measures to choose from, which can be daunting. However, they are sorted into 7 types of measures:
One bonus point can be earned per each additional high priority measure. Two bonus points can be earned per each additional outcome and patient experience measure. There are up to 10 bonus points available based on the rate of improvement compared to the previous year. The total score is determined by dividing the points earned by the maximum points you could achieve.
Quality Performance is a complex category and this blog is not intended to be an all-encompassing definitive authority on the subject. For details, we strongly suggest you utilize the following CMS resources:
Blog posts in this series:
Part 1 (Overview of 2019 MIPS)
Part 2 (Promoting Interoperability)
Part 3 (Health Information Objective )
Part 4 (Quality Performance Category)
The minimum reporting requirements are 6 measures or a complete specialty set. At least one measure must be an outcome measure or a high priority measure if no outcome measure is applicable to your practice. Reporting must be over the full calendar year.
There are 250 Quality Measures to choose from, which can be daunting. However, they are sorted into 7 types of measures:
- Efficiency
- Intermediate Outcome
- Outcome
- Patient Engagement Experience
- Patient Reported Outcome
- Process
- Structure
One bonus point can be earned per each additional high priority measure. Two bonus points can be earned per each additional outcome and patient experience measure. There are up to 10 bonus points available based on the rate of improvement compared to the previous year. The total score is determined by dividing the points earned by the maximum points you could achieve.
Quality Performance is a complex category and this blog is not intended to be an all-encompassing definitive authority on the subject. For details, we strongly suggest you utilize the following CMS resources:
- https://qpp.cms.gov/mips/quality-measures
- https://qpp.cms.gov/mips/explore-measures/quality-measures?py=2019#measures (for details, including all specifications, quality benchmarks, etc.)
- https://qpp.cms.gov/about/resource-library (for even more resources)
Blog posts in this series:
Part 1 (Overview of 2019 MIPS)
Part 2 (Promoting Interoperability)
Part 3 (Health Information Objective )
Part 4 (Quality Performance Category)
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