This content is excerpted from EyeNet’s MIPS 2023: A Primer and Reference; also see the Academy’s MIPS hub page.
If you score more achievement points for quality measures in 2023 than you did in 2022, you may be able to earn a quality improvement percent score.
CMS checks whether your score for measure performance has improved. CMS compares your 2023 performance with your 2022 performance to determine your improvement percent score. 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 2022 quality performance.)
How CMS determines your improvement percent score. Your improvement percent score = ([your increase in quality performance category achievement percent score from 2022 to 2023] ÷ your 2022 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 stayed the same or declined, your improvement percent score would be 0%.
Previous: Quality Scoring: Some Benchmarks Are "Flat"
Next: Quality Scoring: How CMS Calculates Your Quality Score
DISCLAIMER AND LIMITATION OF LIABILITY: All information provided by the American Academy of Ophthalmology, its employees, agents, or representatives participating in the Academy’s efforts to explain regulatory and reimbursement issues is as current and reliable as reasonably possible. The Academy does not provide legal or accounting services or advice. You should seek legal and/or accounting advice if appropriate to your situation.
Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that either public or private payers will agree with the Academy’s information or recommendations.
The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from any such information provided by the Academy, its employees, agents, or representatives.
COPYRIGHT© 2023, American Academy of Ophthalmology, Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmology ®, American Academy of Ophthalmic Executives®, IRIS®, the Focus logo, and Protecting Sight. Empowering Lives ®, among other marks, are trademarks of the American Academy of Ophthalmology®.
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).