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  • MIPS 2021—Improvement Activities: An Overview

    This content is excerpted from EyeNet’s MIPS 2021; also see the Academy’s MIPS hub page.


    You should decide how you will report improvement activities, understand how to score 100% for the performance category, and then select, perform, and document your improvement activities for 2020. Start with this quick overview.

    Default weight in MIPS final score: 15%

    Performance period: Typically, at least 90 continuous days.

    How to score 100%: Practices with a special status—such as small or rural practices—should perform one high-weighted activity or two medium-weighted activities. Other practices should perform two high-weighted activities or one high-weighted and two medium-weighted activities or four medium-weighted activities.

    Document your performance: Make sure you include dates.

    Group reporting: If your practice is reporting as a group, each improvement activity must be performed by at least 50% of the group’s clinicians.

    What’s new for 2021? The improvement activities performance category is largely the same as it was in 2020. The most changes that are most relevant to ophthalmologists this year involve changes to two activities:

    Previous: PI’s Scoring Methodology

    Next: How You’ll Be Scored 

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    All of the American Academy of Ophthalmology (AAO)–developed quality measures are copyrighted by the AAO’s H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).