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Review and Submit Improvement Activities and PI Measures for CMS Submission

Review Improvement Activities

Improvement Activities (IA) selections are made through the Improvement Activities page. You can review your selections by clicking the IA section of the CMS Submission tab. As with the Quality section, physicians are listed by Physician Group TIN, and GPRO/Non GPRO designation is displayed, as determined by the GPRO section. MIPS Portal - CMS Submission - Improvement Activities


To make changes to selected activities, or if you have not yet made any selections, click the Review Improvement Activities button in the TIN header (for GPRO TINs) or in the physician NPI header (for Non GPRO TINs).



Note: If you are reporting using the Group Practice Reporting Option (GPRO) and are accessing the MIPS portal as a Physician user, please ask your Facility Administrator or a Facility user to make any changes on your behalf.


The Improvement Activities page opens for that TIN/NPI. Review and make your changes on the IA page, click Save, and then select Go CMS Submission Page from the Go Back selector to get back to the CMS Submission page.MIPS Portal - IA - Go Back CMS Submission Page


Note: If you do not see your changes upon returning to the CMS Submission page, click the Refresh Data button at the top of the screen.


Clinicians are required to submit one to four activities, depending on their designation and the type of activity. Refer to IA Performance Category Requirements for details.


Once you have selected your activities, you may use the Submit to CMS button next to your TIN to submit your data to CMS. If you need to make any changes, simply go back to the IA tab, deselect your current activities and select the ones you would like to submit, and then re-click the Submit to CMS button to update your submission. You may do this until March 31.


Attest for Promoting Interoperability

You must complete a separate attestation for Promoting Interoperability (PI) before the ACR can submit your PI measures. Open the PI section by clicking on the header, review the attestation statement, enter your e-mail address, and click the I Attest button.MIPS Portal - CMS Submission - ACI Attestation



Review PI Measures

PI measures are selected via the Promoting Interoperability page. Your current selections are visible on the CMS Submission page under the PI section. Use the Review Measures button after you expand your TIN to open the Promoting Interoperability page, make and save changes, and then return to the CMS Submission page. You may submit your measure selection to CMS by using the Submit to CMS button. After submission, you can use the View Score button to see your preliminary PI score.



Note: If you are reporting using the Group Practice Reporting Option (GPRO) and are accessing the MIPS portal as a Physician user, please ask your Facility Administrator or a Facility user to make any changes on your behalf.


Base measures are required in order to receive credit for the PI category. For details on PI scoring, refer to PI Performance Category Requirements.



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