This content is excerpted from EyeNet’s MIPS 2021; also see the Academy’s MIPS hub page.
If you score more achievement points for quality measures in 2021 than you did in 2020, you may be able to earn a quality improvement percent score.
CMS checks whether your score for measure performance has improved. CMS compares your 2021 performance with your 2020 performance to determine your improvement percent score. In doing so, the agency only takes into account achievement points, not bonus points. For each of the two years, it assigns you a quality performance category achievement percent score, which it calculates by dividing your total measure achievement points by your total available measure achievement points. (Note: When making its calculation, CMS sets a floor of 30% for your 2020 quality performance.)
How CMS determines your improvement percent score. Your improvement percent score = ([your increase in quality performance category achievement percent score from 2020 to 2021] ÷ your 2020 quality performance category achievement percent score) × 10.
The improvement percent score is capped at 10%. If you doubled your measure achievement points, you would get the maximum score of 10%.
You can’t get a negative score. If your performance declined, your improvement percent score would be 0%.
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