MIPS 2018—Quality: Why It Helps to Report More Than 6 Measures
This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page.
What if you report on more than 6 quality measures? If you report on 7 or more measures, CMS will determine which 6 of those measures will give you the highest number of measure achievement points based on your performance rates. Furthermore, if you report high-priority quality measures, the high-priority bonus points for those measures can contribute to your score regardless of whether they are among the 6 measures that contribute to your measure achievement score. The high-priority bonus is subject to a 6- or 7-point cap (see Bonuses for High-Priority Measures and CEHRT).
Report more than 6 quality measures to give yourself a margin of error. You can hedge your bets by reporting more than 6 quality measures. Suppose, for example, you are reporting a measure that doesn’t yet have a benchmark. Once the performance year is over, CMS will attempt to calculate a benchmark for that measure. If it doesn’t have enough data to create that benchmark, you won’t be able to score more than 3 points for that measure (see Watch for Measures That Don’t Yet Have Benchmarks).
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