This content was excerpted from EyeNet’s MIPS 2019; also see the Academy’s MIPS hub page.
As well as scoring achievement points based on your performance rate, you may also be able to score bonus points.
Bonus points for reporting high-priority measures. You get no bonus points for your first high-priority measure, but for additional high-priority measures, you get: 2 points for an outcome or patient experience measure, and 1 point for an appropriate use, care coordination, efficiency, patient safety, or opioid-related measure. Note: There is no bonus point for the first high-priority measure because you are required to report at least one outcome measure (or, if no outcome measure is available, an alternate high-priority measure).
You must meet the data 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 denominator-eligible patients) and have a performance rate greater than zero.
You can score high-priority bonus points for measures that don’t contribute to your measure achievement points. If you report more than six quality measures, CMS will base your total measure achievement points on the six measures that score highest, but you also can earn high-priority bonus points for quality measures that aren’t among those six.
Bonus points for using CEHRT. You can earn 1 bonus point for each measure that you report electronically, even if you don’t meet the data submission thresholds. This can include measures reported via IRIS Registry–EHR integration or your EHR vendor. However, your data submission must be done using a 2015-edition CEHRT, and you must meet CMS’ criteria for “end-to-end electronic reporting.”
You can score up to 12 (or 14) bonus points. Your high-priority and CEHRT bonuses are each typically capped at 6 points or—in the unlikely event that you are scored on the ACR measure—7 points.
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