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  • MIPS 2023—Improvement Activities: An Overview

    This content is excerpted from EyeNet’s MIPS 2023: A Primer and Reference; 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 2022. Start with this quick overview.

    Default weight in MIPS final score: 15%

    Performance period: At least 90 continuous days for most improvement activities.

    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. (As with all MIPS documentation, keep it for at least six years.)

    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 improvement activities in 2023? The changes that are most relevant to ophthalmologists include the removal of three improvement activities, changes to several activities, and the ability to report more activities via the IRIS Registry.

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