• MIPS Manual 2017—ACI: Several Routes to a High ACI Score

    Written By: Rebecca Hancock, Flora Lum, MD, Chris McDonagh, Cherie McNett, Jessica Peterson, MD, MPH, and Sue Vicchrilli, COT, OCS

    This content was excerpted from EyeNet’s MIPS Manual 2017.


    Although your ACI score is capped at 100%, a total of 155 percentage points are available—50% from the ACI base score, 90% from the performance score, 5% from the registry bonus score, and 10% from the CEHRT for improvement activities bonus score. CMS designed this scoring system so that you would have more than 1 way to achieve a high score.

    Example: Suppose, for instance, you successfully meet the requirements for:

    • the base score (50%),
    • the registry bonus (5%), and
    • the CEHRT for improvement activities bonus (10%).

    So far, you have attained an ACI score of 65% (50% + 5% +10%), which means you would only need to accrue a performance score of 35% (from the 90% available) to get a perfect score (100%) for ACI. If you reported all the available performance score measures—and did OK on all of them, even if you didn’t excel in any—you would be able to achieve a high ACI score. Alternatively, you may decide to focus your efforts on just those performance score measures where you’re most likely to be successful.

    Your ACI score (0%-100%) contributes up to 25 points to your MIPS final score. For example, if your ACI score was 80%, it would contribute 20 points to your MIPS final score.

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    Next: ACI: Some Clinicians May Be Exempt From ACI

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