MIPS 2022—Quality: An Overview

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

Default weighting in MIPS final score: 30% (down from 40% in 2021).  

Performance period: Full calendar year.

Performance requirements: 

• Aim to report on at least six quality measures.
• At least one of the six measures should be an outcome measure (or, if no outcome measure is available to you, another type of high-priority measure).
• For each measure, you can score achievement points based on how your performance rate compares to a benchmark.
• New for 2022: You can no longer score high priority or CEHRT bonus points.

Collection types: You can:

• report via IRIS Registry–EHR in­tegration,
• report via manual entry of quality measure data into the IRIS Registry, and/or
• report via your EHR vendors.

Clinicians in small practices—but not large practices—can also report via Medicare Part B claims.

Your quality score's contribution to your MIPS final score (0-100 points): If quality's weighting in your MIPS final score is 30%, that means it can contribute up to 30 points to that score. For example, a quality score of 50% would contribute 15 points to your MIPS final score. However, under certain circumstances, CMS may reweight your performance categories. For example, if you qualify for a promoting interoperability exception and if CMS is not able to score you on any cost measures, quality's weight would be increased to 50% if you are in a small practice and 85% if you are in a large practice.

Previous: The Evolving CMS Policy on MIPS Value Pathways

Next: MIPS 2022—Quality: Pick Your Collection Type 

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