Clinical Quality Measures for MIPS Reporting Period 2019

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. 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 45% of the ECs MIPS Final score. This percentage can change due to Special Statuses, Exception Applications, reweighting of other performance categories, or Alternative Payment Model (APM) participation.

eCQM / NQF ID:

CMS75v7 / None

CMS122v7 / 0059

CMS165v7 / 0018

Measure Type

Outcome

Intermediate Outcome

Intermediate Outcome

2019 Benchmark

Yes

Yes

Yes

eCQM / NQF ID:

CMS550v7 / None

CMS68v8 / 0419

CMS90v8 / None

CMS139v7 / 0101

CMS146v7 / None

CMS154v7 / 0069

CMS156v7 / 0022

Measure Type

High Priority

High Priority

High Priority

High Priority

High Priority

 High Priority

High Priority

2018 Benchmark

Yes

Yes

No

Yes

Yes

Yes

Yes