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MIPS - Quality

In 2018, the Quality category is worth 50% of the total MIPS score. (Note: This performance category replaced the PQRS program that ended in 2016.)

Participation in 2018 requires reporting on at least 6 of the listed measures (or 15 if reporting data as a group via the CMS web interface), including one outcome measure. If none of the outcome measures are applicable, one of the “High Priority” measures may be substituted. You will need to select a reporting method and appropriate quality measures. Not all measures are available for all reporting methods.

Measures reported must meet data completeness requirements.  This means that data must be submitted for 60% of the applicable patients.  Below is a summary of the requirements for this category:

 
POLICY
2018

Measures required

6 measures

Special Requirements

1 outcome/high priority measures
Data Completeness
60% for full credit
Others get 1 or 3 points for small spractices
Performance Period
Full year
Population-based Measures
All-cause readmissions