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  • MIPS 2022—What’s New With Improvement Activities

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    Excerpted from “MIPS—What’s New for 2022, Part 1: Scoring, Bonuses, and Penalties” (EyeNet, January 2022). Also see, EyeNet’s MIPS Manual 2022: A Primer and Reference.

    The improvement activities perfor­mance category is largely the same as in previous years, though some activities have been removed and others have been revised.

    CMS has removed some improve­ment activities. A few of the improve­ment activities that had been most relevant to ophthalmology will no longer be available in 2022:

    • IA_BE_13: Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. This activity has been removed because CMS said that it is duplicative of IA_BE_6: Collection and follow-up on patient experience and satisfaction data on beneficiary engagement.
    • IA_BE_17: Use of tools to assist patient self-management. This activity has been removed because CMS said that it is duplicative of IA_BE_16: Evidence-based techniques to promote self-management into usual care.
    • IA_PSPA_11: Participation in CAHPS or other supplemental ques­tionnaire. This activity has been removed because CMS said that it is duplicative of IA_BE_6. 

    CMS made changes to several im­provement activities. Of the improve­ment activities that are most relevant to ophthalmology, activities that have un­dergone changes include the following:

    • IA_AHE_1: Engagement of new Medicaid patients and follow-up
    • IA_AHE_5: MIPS eligible clinician leadership in clinical trials or CBPR [community-based participatory research]
    • IA_BE_1: Use of certified EHR to capture patient reported outcomes
    • IA_BE_6: Collection and follow-up on patient experience and satisfaction data on beneficiary engagement
    • IA_BE_16: Evidence-based tech­niques to promote self-management into usual care
    • IA_CC_14: Practice improvements that engage community resources to support patient health goals
    • IA_EPA_1: Provide 24/7 access to MIPS eligible clinicians or groups who have real-time access to patient’s medi­cal record
    • IA_EPA_2: Use of telehealth services that expand practice access
    • IA_PM_6: Use of toolsets or other resources to close healthcare disparities across communities
    • IA_PM_11: Regular review practices in place on targeted patient population needs
    • IA_PSPA_6: Consultation of the Prescription Drug Monitoring Program
    • IA_PSPA_18: Measurement and improvement at the practice and panel level

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