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MIPS and QCDR Measures, Specifications and Submission Overview


An important first step in determining whether your practice will use the NRDR Qualified Clinical Data Registry (QCDR) for MIPS participation is to review the available measures and select those relevant to your practice.  This article provides an overview of the different types of measures along with measure details and documents.

Measures Types

Two types of measures are available for MIPS reporting: 

  • MIPS measures: These quality measures are officially included in the CMS MIPS program and are available to all MIPS participants regardless of the submission method.

  • QCDR measures: These CMS-approved quality measures include:

    1. Measures from the Dose Index Registry (DIR) and the General Radiology Improvement Database (GRID)--two of the registries under the ACR's National Radiology Data Registry (NRDR)

    2. Simplified QCDR measures 

    3. Licensed QCDR measures 

Measure Selection Guidance

The CMS MIPS program requires individuals or groups to report six quality measures with at least one outcome measure (or high-priority measure if an outcome measure is unavailable). However, to maximize your MIPS final score, the ACR recommends submitting data for more than six measures throughout the performance year and selecting as many as possible for final submission to CMS at the end of the reporting period to maximize your score. You can submit data for as many measures as you want, but the ACR will only submit data to CMS for the measures you officially select for MIPS reporting

Note: Submit measure data as early as possible so that you can track your performance throughout the year.

Measure Submission Process Overview

The data submission process and requirements differ depending on the type of measure.

Monitoring Performance

The ACR recommends you submit data frequently and regularly monitor your performance to 

stay on top of MIPS reporting requirements and get valuable feedback on opportunities for improving patient care.

  • To review GRID and DIR measures' performance: See the GRID Available Reports and DIR Available Reports articles. 

  • To review MIPS, QCDR simplified, and licensed measures' performance: Physicians can review MIPS and QCDR performance scores at the TIN and National Provider Identifier (NPI) level through the MIPS Participation Portal.

Measure Documents 

The current and past reporting year measure documents are described and listed in the table below.

MIPS Measures

  • The MIPS Measures document lists MIPS quality measures supported in the ACR's MIPS Participation Portal. Data for these measures is organized by modality with links to reporting instructions and detailed specifications for each measure.

  • The MIPS Measure Code document details the MIPS measures and their relevant numerator and denominator codes for populating the upload template with measure data before upload to the MIPS Participation Portal.

QCDR Quality Measures

  • The QCDR Measures document lists measures from the DIR and GRID, CCDR simplified measures, and licensed measures.

  • QCDR Measures Specifications document provides details for each QCDR measure, including numerator and denominator criteria, exclusions, and data sources.

Measures and Documentation
2024 MIPS Reporting Year
2024 MIPS Measures Supported
2024 QCDR Measures Supported
2024 QCDR Measure Specification
2024 Simplified Measure Specification
2023 MIPS Reporting Year
2023 MIPS Measures Supported
2023 MIPS Measures CPT Code List
2023 QCDR Measures Supported
2023 QCDR Measure Specification
2023 Simplified Measure Specification

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