Overview

You can elect to choose any of the following eCQMs to satisfy the MIPS Quality Performance Category. You must report on 6 measures. One of the 6 measures must be an Outcome/Intermediate Outcome Measure.

If an Outcome measure is not applicable to your specialty, you will have to select another High Priority measure which is defined as: Appropriate Use; Patient Experience; Patient Safety; Efficiency; or Care Coordination. The eCQMs will be reported through EHR reporting which can earn you 1 bonus point for each measure submitted.

Reporting Period

The reporting period is for a full calendar year.

Scoring

Each measure will be scored on a scale from 3 -10 points if the measure has meet data completeness (60%), case volume (20 cases) and has an existing benchmark.

If a small practice (15 or fewer clinicians), fails to meet data completeness on a measure they will only earn 3 points. All other clinicians will only earn 1 point.

If data completeness has been meet but there is no benchmark or case volume is not meet on a measure, then the EC or group will only receive 3 points.

The eCQMs will factor in all patients, regardless of payer, who meet the denominator description but you must have at least one Medicare beneficiary within the reported population. The Quality performance category will make up 50% of the ECs composite score. There are some MIPS ECs that will have their ACI category reweighted to 0 and their Quality performance score will count for 75% of their composite score.

CMS138v6 / 0028

CMS147v7 / 0041

Yes

Yes