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Reporting Options Overview

The Merit-based Incentive Payment System (MIPS) is one way to participate in the Quality Payment Program (QPP). Under MIPS, you earn a  for Medicare Part B- based on our evaluation of your performance across different performance categories. These categories focus on the quality and cost of the patient care you provide, improvements to your clinical care processes and patient engagement, and your use of  (CEHRT) to support and promote the electronic exchange of health information.

If you’re eligible for MIPS for a given :

  • You generally have to report measure and activity data for the quality, improvement activities, and Promoting Interoperability performance categories, collected during the performance year.
  • Your performance across the MIPS performance categories, each with a specific weight, will result in a MIPS final score of 0 to 100 points.
  • Your MIPS  will determine if the payment adjustment applied to your Medicare Part B-covered professional services is negative, neutral, or positive.

MIPS Reporting Options

There are 3 MIPS reporting options available to  to meet MIPS reporting requirements:

  • Traditional MIPS, established in the first year of QPP, is the original reporting option for MIPS. You select the quality measures and improvement activities that you'll collect and report from all of the quality measures and improvement activities finalized for MIPS. You’ll also report the complete Promoting Interoperability measure set. We collect and calculate data for the cost performance category for you.
  • The Alternative Payment Model (APM) Performance Pathway (APP) is a streamlined reporting option for clinicians who participate in a MIPS APM. The APP is designed to reduce reporting burden, create new scoring opportunities for participants in MIPS APMs, and encourage participation in APMs. You’ll report a predetermined measure set made up of quality measures in addition to the complete Promoting Interoperability measure set (the same as reported in traditional MIPS). MIPS APM participants currently receive full credit in the improvement activities performance category, though this is evaluated on an annual basis.
  • MIPS Value Pathways (MVPs) are the newest reporting option that offer clinicians a subset of measures and activities relevant to a specialty or medical condition. MVPs offer more meaningful groupings of measures and activities, to provide a more connected assessment of the quality of care. You’ll select, collect, and report on a reduced number of quality measures and improvement activities (as compared to traditional MIPS). You’ll also report the complete Promoting Interoperability measure set (the same as reported in traditional MIPS). We collect and calculate data for the cost performance category and population health measures for you.