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  • MIPS 2022—Performance Periods

    This content is excerpted from EyeNet’s MIPS 2022: A Primer and Reference; also see the Academy’s MIPS hub page.


    Your score for a performance category will depend on how you perform over a performance period. The performance period for each performance category must take place between Jan. 1, 2022, and Dec. 31, 2022, and its length depends on the category:

    • quality: 12 months (full calendar year)
    • promoting interoperability: 90 consecutive days or longer (up to the full calendar year)
    • improvement activities: typically, 90 consecutive days or longer (up to the full calendar year)
    • cost: 12 months (full calendar year)

    You don’t have to tackle promoting interoperability measures and improvement activities at the same time. Each of those two performance categories could have a different performance period. For example, you could pick June-August for improvement activities and September-November for promoting interoperability—but you would need to perform all your improvement activities within that June-August time frame and all your scored promoting interoperability measures within that September-November time frame, though they could also extend beyond that period.

    Note: For promoting interoperability, the unscored Security Risk Analysis measure and the unscored SAFER Guide measures are exceptions—they have to be performed during the calendar year, but don’t have to be performed during the same 90-day performance period as your scored promoting interoperability measures.

    Reporting as a group? If you are reporting an improvement activity as a group, at least half of the group must perform the activity for 90 or more days, but they can each pick their own 90+-day date range.

    Previous: Reweighting the Performance Categories

    Next: Bonuses and Penalties 

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