• MIPS Manual 2017—ACI: First, Meet ACI’s Base Score Requirements

    Written By: Rebecca Hancock, Flora Lum, MD, Chris McDonagh, Cherie McNett, Jessica Peterson, MD, MPH, and Sue Vicchrilli, COT, OCS

    This content was excerpted from EyeNet’s MIPS Manual 2017.


    You must achieve full marks for the ACI base score, which is worth 50% of the maximum ACI score. To be successful with this core level of ACI participation, you should do the following.

    Report either 4 or 5 base score measures, depending on which measure set you use. The 2017 ACI transition measure set includes 4 base score measures (see “2017 ACI Transition Measures” or download Table 11 [PDF]) and the ACI measure set includes 5 (see “ACI Measures” or download Table 12 [PDF]).

    All or nothing: Successfully report all the required measures to earn the full base score (50%). If you fall short, even if just for 1 measure, you will score 0% for both the base score and for the overall ACI score.

    Editor’s note: A base score of 50% doesn’t indicate that you only got half of the points available for the base score; 50% is the maximum possible base score and represents 50% of the maximum ACI score.

    Report the Security Risk Analysis measure by submitting a “yes.” You will be attesting that you conducted or reviewed a security risk analysis, implemented security updates as necessary, and corrected security deficiencies as part of your risk management process. You need to attest “yes” to successfully report this measure.

    Other base score measures involve reporting a numerator and denominator. You need a numerator of at least 1 to successfully report these measures. For the e-Prescribing measure, for example, the denominator is the number of prescriptions written for drugs during the performance period and the numerator is the number of those prescriptions that were 1) generated, 2) queried for a drug formulary, and 3) transmitted using a certified EHR. For the base score, you don’t get any extra credit if your numerator is greater than 1.

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    Next: ACI: Next, You Can Earn an ACI Performance Score

    Note: Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that regulators and public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from, any such information provided by the Academy, its employees, agents, or representatives.

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