Submitting Measures and Activities for MIPS
The ACR will submit data to CMS daily beginning in March. Activities and measures will be submitted once you have attested that you authorize the ACR to release the data and you have marked your selections as “finalized.” We recommend you complete attestation and finalize your selections no later than March 21. See CMS Submission Overview for details on how to complete attestation, and refer to Select Quality Measures and Select Improvement Activities and ACI Measures for details on how to make changes.
MIPS Final Score
CMS will calculate your overall 2017 MIPS score as the weighted average of your Quality, Improvement Activities (IA), and Advancing Care Information (ACI) scores. Scores for each performance category are capped at 100%.
Example: A clinician receives a Quality score of 68.8%, an IA score of 100%, and an ACI score of 85%. The MIPS final score would be
( (68.8% x 60%) + (100% x 15%) + (85% x 25%) ) x 100 = 77.5 points
For clinicians not required to report ACI measures, such as non-patient facing clinicians, CMS will automatically reweight the categories by adding the ACI weight of 25% to the Quality performance category. See ACI Performance Category Requirements for details about which clinicians may qualify for reweighting.
Note: For the 2017 Performance Year, the Cost category is weighted 0% and does not contribute to the MIPS Final Score. However, CMS will still provide Cost feedback for 2017 to help you prepare for the 2018 Performance Year, when Cost will account for 10% of the Final Score.
CMS plans to make MIPS scores available for review via the CMS Quality Payment Program (QPP) portal after the March 31, 2018, submission deadline. EIDM credentials are required to access this portal; consult the EIDM Guide if you do not yet have an account. CMS will release feedback to clinicians and groups via the QPP portal. We encourage clinicians to maximize their final score by selecting activities and measures most favorable to their practice. See MIPS Quality Performance Scoring for details on how quality measures are benchmarked and scored. 
Payment Adjustments
Your final score determines your payment adjustment. For the 2017 transition year CMS has established a performance threshold of 3 points. Clinicians falling below the threshold will receive a negative adjustment of up to 4% on a sliding scale based on where a score falls in the range, such that clinicians with a score of 0 points receive the greatest adjustment of -4%. Clinicians with a score of 3 points receive no adjustment, and those with scores above 3 points may receive a positive adjustment, also on a sliding scale.
An additional payment adjustment “bonus” is available for participants with overall scores of 70 points or greater, with higher scores receiving larger adjustments.
Note: The MIPS is a budget-neutral program, through which lower performers fund incentives for higher performers. For the 2017 Performance Year, CMS established a very low performance threshold of 3.0 points to encourage participation without penalty; consequently, the funds available for incentives may be lower during this transition year for scores above 3.0 points.
All adjustments for the 2017 performance year are to be paid out in 2019.
