How to Use This Tool
This tool has been created to help you get familiar with the available measures and activities for each performance category under traditional MIPS. It’s for planning purposes only and will not submit anything to CMS. To get the most out of the tool, follow the steps below:
- Explore (Search, browse, or filter) available measures
- Add measures you’re interested in to your list
- Download your list of interested measures for reference
Performance Year
Select your performance year to view across all tabs.
2024 Quality Measures: Traditional MIPS
30% of final score
This percentage can change due to special statuses, exception applications, Alternative Payment Model (APM) Entity participation, or reweighting of other performance categories.
You must collect measure data for the 12-month performance period (January 1 - December 31, 2024). The amount of data that you must submit (‘data completeness’) depends on the collection type of the measure.
NEW: Beginning in the 2024 performance period, the data completeness threshold has increased to 75%.
TIP: Make sure that your selected quality measures can be reliably scored against a benchmark. Reporting a measure that doesn't meet case minimum, data completeness, or a benchmark (historical or performance period) is unavailable will result in 0 out of 10 points (3 points for small practices).
Read more about quality requirements for traditional MIPS.
Note: This tool does not include these QCDR Measures (XLSX)
Acute posterior vitreous detachment and acute vitreous hemorrhage appropriate examination and follow-up
Percentage of patients with a diagnosis of acute posterior vitreous detachment (PVD) and acute vitreous hemorrhage in either eye who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: None
- Quality ID: 501
Specialty Measure Set
- Ophthalmology
Primary Measure Steward
American Society of Retina Specialists
Acute posterior vitreous detachment appropriate examination and follow-up
Percentage of patients with a diagnosis of acute posterior vitreous detachment (PVD) in either eye who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: None
- Quality ID: 500
Specialty Measure Set
- Ophthalmology
Primary Measure Steward
American Society of Retina Specialists
Adherence to Antipsychotic Medications For Individuals with Schizophrenia
High Priority Measure:Intermediate OutcomePercentage of individuals at least 18 years of age as of the beginning of the performance period with schizophrenia or schizoaffective disorder who had at least two prescriptions filled for any antipsychotic medication and who had a Proportion of Days Covered (PDC) of at least 0.8 for antipsychotic medications during the performance period.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: 1879
- Quality ID: 383
Specialty Measure Set
- Clinical Social Work
- Family Medicine
- Internal Medicine
- Mental/Behavioral Health
Primary Measure Steward
Centers for Medicare & Medicaid Services
Adult Immunization Status
Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: 3620
- Quality ID: 493
Specialty Measure Set
- Allergy/Immunology
- Cardiology
- Endocrinology
- Family Medicine
- Geriatrics
- Infectious Disease
- Internal Medicine
- Nephrology
- Obstetrics/Gynecology
- Oncology
- Otolaryngology
- Preventive Medicine
- Pulmonology
- Rheumatology
- Skilled Nursing Facility
Primary Measure Steward
National Committee for Quality Assurance
Adult Kidney Disease: Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy
Percentage of patients aged 18 years and older with a diagnosis of chronic kidney disease (CKD) (Stages 1-5, not receiving Renal Replacement Therapy (RRT)) and proteinuria who were prescribed ACE inhibitor or ARB therapy within a 12-month period.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: 1662
- Quality ID: 489
Specialty Measure Set
- Geriatrics
- Nephrology
Primary Measure Steward
Renal Physicians Association
Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery
High Priority Measure:OutcomePatients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment who did not require a return to the operating room within 90 days of surgery.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: None
- Quality ID: 384
Specialty Measure Set
- Ophthalmology
Primary Measure Steward
American Academy of Ophthalmology
Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery
High Priority Measure:OutcomePatients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment and achieved an improvement in their visual acuity, from their preoperative level, within 90 days of surgery in the operative eye.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: None
- Quality ID: 385
Specialty Measure Set
- Ophthalmology
Primary Measure Steward
American Academy of Ophthalmology
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
High Priority Measure:ProcessPercentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: None
- Quality ID: 331
Specialty Measure Set
- Allergy/Immunology
- Emergency Medicine
- Family Medicine
- Internal Medicine
- Otolaryngology
- Urgent Care
Primary Measure Steward
American Academy of Otolaryngology - Head and Neck Surgery Foundation
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
High Priority Measure:ProcessPercentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis.Collection Type and Documentation
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: None
- Quality ID: 332
Specialty Measure Set
- Allergy/Immunology
- Emergency Medicine
- Family Medicine
- Internal Medicine
- Otolaryngology
- Urgent Care
Primary Measure Steward
American Academy of Otolaryngology - Head and Neck Surgery Foundation
Advance Care Plan
High Priority Measure:ProcessPercentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.Collection Type and Documentation
- Medicare Part B claims measuresSpecifications (PDF)
- MIPS clinical quality measures (MIPS CQMs)Specifications (PDF)
Measure Numbers
- CMS eCQM ID: None
- NQF eCQM ID: None
- NQF: 0326
- Quality ID: 047
Specialty Measure Set
- Cardiology
- Certified Nurse Midwife
- Clinical Social Work
- Family Medicine
- Gastroenterology
- General Surgery
- Geriatrics
- Hospitalists
- Internal Medicine
- Nephrology
- Neurology
- Obstetrics/Gynecology
- Oncology
- Orthopedic Surgery
- Otolaryngology
- Physical Medicine
- Preventive Medicine
- Pulmonology
- Rheumatology
- Skilled Nursing Facility
- Thoracic Surgery
- Urology
- Vascular Surgery
Primary Measure Steward
National Committee for Quality Assurance
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There is no submission requirement for Cost. Cost measures are evaluated automatically through administrative claims data.
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