This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page.
For each quality measure, you typically can score up to 10 achievement points based on performance, but you may also be able to score additional bonus points.
Bonus points for reporting high-priority measures. You get no bonus points for your first high-priority measure (whch should be an outcome measure, if one is available), but after that you can get:
- 2 points for an outcome or patient experience measure, and/or
- 1 point for the following measures: appropriate use, care coordination, efficiency, or patient safety.
Note: There is no bonus point for the first high-priority measure because you are required to report at least 1 outcome measure (or, if no outcome measure is available, an alternate high-priority measure).
You can score high-priority bonus points for measures that don’t contribute to your measure achievement points. If you report more than 6 quality measures, CMS will base your total measure achievement points on the 6 measures that score highest, but you also can earn high-priority bonus points for quality measures that aren’t among those 6.
You must meet the 2 submission thresholds. To score high-priority bonus point(s) for a measure, you must meet the case minimum requirement (at least 20 patients) and the data completeness criteria (at least 60% of applicable patients during 2018), and have a performance rate greater than zero.
Bonus points for using CEHRT. You also can earn 1 bonus point for each measure that is submitted using “end-to-end electronic reporting” by means of CEHRT. This can include measures reported via IRIS Registry/EHR integration or your EHR vendor.
You can earn bonus points for topped out measures. Although CMS limits your ability to get a high number of achievement points for topped out measures, they can still earn you both CEHRT and high-priority bonus points.
You can score up to 12 (or 14) bonus points. Your high-priority and CEHRT bonuses are each capped at 6 points or, in the unlikely event that you are scored on the All-Cause Hospital Readmission (ACR) measure, 7 points.
Previous: Quality: Watch for Measures That Are Topped Out.
Next: Quality: You Can Earn an Improvement Percent Score.
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