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Mid-Week MACRA Minute – Quality Measure: Tips n Tricks

Helping you put the MIPS pieces together each week!

Quality Measures: Tips ‘n’ Tricks

We created a list of a few tips on how to successfully attest for the Quality Measures performance category in the 2017.

Tips ‘n’ Tricks:

  • Quality Measures are NOT restricted by specialty.
  • Only 1 reporting mechanism can be used to report the Quality Measures performance category of MIPS.
  • Attest to more than one Quality Measure or Improvement Activity to provide additional safety against a penalty and possibly earn an incentive.
  • In order to score more than 3 points for reporting a Quality Measure, you must meet both the care minimum requirement and the data completeness criteria.
    • The case minimum requirement: Submit data on at least 20 patients
    • The data completeness criteria: varies depending on reporting mechanism
      • Submit data on at least 50% of applicable patients who were seen during a performance period of at least 90 consecutive days
        • For claims submission: Medicare patients for whom the measure applies
        • For registry submission: Medicare AND non-Medicare patients for whom the measure applies
      • Report at least 1 Medicare patient for at least 1 measure
    • For 2017, if you fail to meet the data completeness criteria or the case minimum requirements, you will receive 3 points for that measure.
  • Earn 1 bonus point for each measure that is submitted using Certified EHR Technology (CEHRT) using end-to-end electronic reporting. This includes reporting via a registry, of through your EHR vendor. ***MediSYS EHR qualifies for this BONUS!***

REMINDER: The quality Performance Category score will be published on the Physician Compare website.

For more details regarding Quality Measure criteria visit the Resource Library on the QPP website at or visit the MediSYS website at

Question? The Quality Payment Program Service Center can be reached at 1-866-288-8292 (TTY 1-877-715- 6222), Monday through Friday, 8:00 AM-8:00 PM Eastern Time or via email at [email protected].

Contact us to find out more about MediSYS at [email protected] or 205-631-5969.