CMS Updates MIPS Improvement Activities for 2018

CMS Updates MIPS Improvement Activities for 2018

The Quality Payment Program is well into its second performance year. Are your clinicians ready?

Clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) are already behind schedule if they haven’t selected measures on which to submit data to the Centers for Medicare & Medicaid Services (CMS).

CMS has been busy posting on the qpp.cms.gov website information your physician office or group will need to participate in either MIPS or an advanced alternate payment model (APM). Most recently, on May 3, CMS released MIPS Improvement Activities for 2018. CMS has added new improvement activities for 2018, including some that qualify for a bonus in the Advancing Care Information performance category, and has reweighted some activities.

Performance Categories Add Up

Improvement Activities is one of four performance categories under MIPS. Each performance category is worth a predetermined weight:

Category Weight Maximum Final Score
Quality 50 percent 100 points
Cost 10 percent
Improvement Activities 15 percent*
Advancing Care Information 25 percent

Clinicians/groups in a MIPS alternate payment model (APM) will be scored based on the APM Scoring Standard.

Improvement activities are worth a predetermined number of points. For individuals and groups with more than 15 clinicians who aren’t in a rural area or healthcare professional shortage area (HPSA), each activity is weighted either medium (10 points) or high (20 points).

CMS has made it easier for disadvantaged clinicians to meet reporting requirements: Improvement activities for groups with 15 or fewer clinicians, non-patient facing clinicians, and clinicians located in a rural area or HPSA are worth double.

Clinicians can choose any combination of activities to get the maximum score of 40 points.

Improvement Activities Worth Your While

Improvement activities are intended to help clinicians improve their practice and, in turn, improve their patients’ health outcomes. In return, they will earn positive payment adjustments to their Medicare Part B claims – up to 5 percent in 2020 based on quality data collected this year.

In the 2018 performance period, MIPS eligible clinicians have more than 100 activities from which to choose. The activities are separated into nine categories:

  1. Expanded Practice Access
  2. Population Management
  3. Care Coordination
  4. Beneficiary Engagement
  5. Patient Safety and Practice Assessment
  6. Participation in an APM
  7. Achieving Health Equity
  8. Integrating Behavioral and Mental Health
  9. Emergency Preparedness and Response

Clinicians should attest to activities that are most meaningful to them.

What is Macra

Download the full list of 2018 improvement activities to get started.

Renee Dustman

Renee Dustman

Executive Editor at AAPC
Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.
Renee Dustman

Latest posts by Renee Dustman (see all)

About Has 617 Posts

Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.

Leave a Reply

Your email address will not be published. Required fields are marked *