--- title: Data Completeness for MIPS Quality Measures [Infographic] description: Over the last two weeks, we've shown you how to select quality measures. Now that you've decided which measures to collect data for, it's time to start reporting! If you have reported PQRS in the past, the process will be similar with a few major changes. image: https://blog.healthmonix.com/hubfs/Images/Vectors/Eligible%20Instances%20Infographic.jpg --- ![logo-light](https://blog.healthmonix.com/hubfs/logo-light.png "logo-light") - [Who we help](https://healthmonix.com/who-we-help/) - [Overview](https://healthmonix.com/who-we-help/) - [ACOs](https://healthmonix.com/acos/) - [Health systems](https://healthmonix.com/health-system/) - [Healthcare technology](https://healthmonix.com/healthcare-technology/) - [Physician practices](https://healthmonix.com/physician-practice/) - [Health system VPs](https://healthmonix.com/health-system-vice-presidents/) - [Chief financial officers](https://healthmonix.com/chief-financial-officers/) - [Chief medical officers](https://healthmonix.com/chief-medical-officers/) - [Chief quality officers](https://healthmonix.com/chief-quality-officers/) - [ACO executive directors](https://healthmonix.com/aco-executive-directors/) - [Solutions](https://healthmonix.com/prism/) - [MIPSpro](https://healthmonix.com/product/mips-pro/) - [Cost](https://healthmonix.com/product/cost/) - [ACO Impact](https://healthmonix.com/product/aco-impact/) - [Analytics](https://healthmonix.com/product/analytics/) - [Ambulatory Specialty Model](https://healthmonix.com/ambulatory-specialty-model-asm/) - [TEAM](https://healthmonix.com/team-program/) - [HealthConnect](https://healthmonix.com/health-connect/) - [Data integration](https://healthmonix.com/dataintegration/) - [Consulting](https://healthmonix.com/consulting-services/) - [Score optimization](https://healthmonix.com/score-optimization/) - [Patient matching](https://healthmonix.com/patient-deduplication-and-matching/) - [Outcomes](https://healthmonix.com/outcomes/) - [Company](https://healthmonix.com/company/) - [Our story](https://healthmonix.com/company/) - [Team](https://healthmonix.com/team/) - [Careers](https://healthmonix.com/healthmonix-careers/) - [Resources](https://healthmonix.com/resources/) - [Help and support](https://healthmonix.com/customer-support/) - [Healthmonix Advisor](https://blog.healthmonix.com/) - [Webinars](https://healthmonix.com/our-webinars/) - [Educational resources](https://healthmonix.com/mips-education/) - [Help and support](https://healthmonix.com/customer-support/) - [Contact us](https://healthmonix.com/contact-us/) - [Measures](https://healthmonix.com/mips-measures/) - [Quality](https://healthmonix.com/mips-measures/mips-quality-measures/) - [CMS specialty sets](https://healthmonix.com/cms-mips-specialty-measure-sets/) - [Promoting Interoperability](https://healthmonix.com/mips-measures/mips-promoting-interoperability-measures/) - [Improvement Activities](https://healthmonix.com/mips-measures/mips-improvement-activities/) - [Cost](https://healthmonix.com/mips-measures/mips-cost-performance-category/) - [Log in](https://healthmonix.com/login/) # Healthmonix Advisor # Data Completeness for MIPS Quality Measures \[Infographic\] Posted by [Christina Zink](https://blog.healthmonix.com/author/christina-zink) on August 25, 2017 ![](https://app.hubspot.com/settings/avatar/1e386ff4e65c2b2e78f1dd6f6c67a86d) Find me on: [LinkedIn](https://www.linkedin.com/in/christina-zink-062b4457) - [Tweet](https://twitter.com/share) ![Ipad being used cropped.jpg](https://blog.healthmonix.com/hs-fs/hubfs/Ipad%20being%20used%20cropped.jpg?width=1024&name=Ipad%20being%20used%20cropped.jpg) Over the last two weeks, we've shown you how to [select quality measures](https://blog.healthmonix.com/selecting-quality-measures). Now that you've decided which measures to collect data for, it's time to start reporting! If you have reported PQRS in the past, the process will be similar with a few major changes. Eligible clinicians who are new to reporting may want to first check out our article on the [basics of quality measures](https://blog.healthmonix.com/what-are-quality-measures) prior to understanding how to completely report a quality measure. #### Data Completeness Threshold Like PQRS, the data completeness threshold for each quality measure is 50% of all eligible instances. However, unlike PQRS, **all payers must be included **(instead of just Medicare Part B) and the reporting period can be anywhere between **90 consecutive days and a full year**. ##### What exactly does 50% of all eligible instances mean? With all the terminology surrounding CMS's Quality Payment Program, it can be hard to track the meaning of program vocabulary. The guide below walks you through what an eligible instance is, and how to determine what 50% of your eligible instances would be. ![Eligible Instances Infographic.jpg](https://blog.healthmonix.com/hs-fs/hubfs/Images/Vectors/Eligible%20Instances%20Infographic.jpg?width=800&name=Eligible%20Instances%20Infographic.jpg "Eligible Instances Infographic.jpg") #### Getting Credit for Your Completed Quality Measures ##### Reporting More Than One MIPS Performance Category Although meeting the data completeness threshold of 50% of all eligible instances is sufficient for complete reporting in the Quality Performance Category, **you will not receive more than 3% towards your MIPS final score** (out of the possible 60% for Quality) **unless you also successfully report either Advancing Care Information or Improvement Activities**. CMS explains their logic behind this choice by explaining that they believe reporting the completion of an Improvement Activity is achievable for any practice. Improvement Activities are comparatively easier to complete, only require an attestation and documentation of completion in case of audit. We've previously written a [guide to selecting Improvement Activities](https://blog.healthmonix.com/improvement-activity-selection). ##### Understanding Quality Measure Scoring Much like in the Value-Based Modifier Program, quality measures will be scored and assessed based on peer benchmarking from a prior performance period. At minimum, each measure will receive 3 out of the possible 10 points. If you wish to receive a maximized score for your efforts, be sure to chose measures with achievable performance benchmarks. If you have questions about quality measure reporting or any other aspect of MIPS reporting, check out our free [educational resources](http://healthmonix.com/mips-pro/mips-training-resources/) or [subscribe](https://blog.healthmonix.com/) to our blog for weekly updates and tips. You can also request a [free consultation](https://app.hubspot.com/meetings/afanean?__hssc=208995469.4.1501822456525&__hstc=208995469.a87bd91a8d4436b3b46e86b4c2188fde.1475255527024.1501127791942.1501822456525.72&__hsfp=1674733363&hsCtaTracking=1d3652f2-cbbd-4261-96ae-7cf240ece2f0%7Cbbe7ffab-7f72-443e-b754-40a56fbb2772) with a Healthmonix team member at any time. [![Open a MIPSPRO account!](https://no-cache.hubspot.com/cta/default/2017045/e6e0abc1-68ae-4612-91be-5ae9bf84532d.png)](https://cta-redirect.hubspot.com/cta/redirect/2017045/e6e0abc1-68ae-4612-91be-5ae9bf84532d) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Policy](https://blog.healthmonix.com/topic/policy), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category) ### Subscribe Here! ### Search the Healthmonix Advisor - [MACRA & MIPS (132)](https://blog.healthmonix.com/topic/macra-mips) - [Policy (77)](https://blog.healthmonix.com/topic/policy) - [PRO Tips (57)](https://blog.healthmonix.com/topic/pro-tips) - [CMS (34)](https://blog.healthmonix.com/topic/cms) - [Quality Performance Category (32)](https://blog.healthmonix.com/topic/quality-performance-category) - [Industry insights (29)](https://blog.healthmonix.com/topic/industry-insights) - [VBC (20)](https://blog.healthmonix.com/topic/vbc) - [ACO (19)](https://blog.healthmonix.com/topic/aco) - [Healthmonix (19)](https://blog.healthmonix.com/topic/healthmonix) - [MIPS Reporting (19)](https://blog.healthmonix.com/topic/mips-reporting) - [Cost Performance Category (16)](https://blog.healthmonix.com/topic/cost-performance-category) - [Health IT (16)](https://blog.healthmonix.com/topic/health-it) - [APMs (15)](https://blog.healthmonix.com/topic/apms) - [Eligibility (15)](https://blog.healthmonix.com/topic/eligibility) - [Interoperability (14)](https://blog.healthmonix.com/topic/interoperability) - [Value-Based Care (14)](https://blog.healthmonix.com/topic/value-based-care) - [IA Performance Category (11)](https://blog.healthmonix.com/topic/ia-performance-category) - [ROI (11)](https://blog.healthmonix.com/topic/roi) - [COVID-19 (10)](https://blog.healthmonix.com/topic/covid-19) - [ACI Performance Category (9)](https://blog.healthmonix.com/topic/aci-performance-category) - [EHR (9)](https://blog.healthmonix.com/topic/ehr) - [PQRS (9)](https://blog.healthmonix.com/topic/pqrs) - [APM Performance Pathway (7)](https://blog.healthmonix.com/topic/apm-performance-pathway) - [Hospitals & Health Systems (7)](https://blog.healthmonix.com/topic/hospitals-health-systems) - [MIPS CQMs (7)](https://blog.healthmonix.com/topic/mips-cqms) - [PI Performance Category (6)](https://blog.healthmonix.com/topic/pi-performance-category) - [Bundled Payments (5)](https://blog.healthmonix.com/topic/bundled-payments) - [MIPS Value Pathways (5)](https://blog.healthmonix.com/topic/mips-value-pathways) - [Small Practice (5)](https://blog.healthmonix.com/topic/small-practice) - [2021 PFS Proposed Rule (4)](https://blog.healthmonix.com/topic/2021-pfs-proposed-rule) - [Accountable Care Organization (4)](https://blog.healthmonix.com/topic/accountable-care-organization) - [Conference (4)](https://blog.healthmonix.com/topic/conference) - [Physician Compare (4)](https://blog.healthmonix.com/topic/physician-compare) - [2022 PFS Final Rule (3)](https://blog.healthmonix.com/topic/2022-pfs-final-rule) - [APG (3)](https://blog.healthmonix.com/topic/apg) - [Administrative Burden (3)](https://blog.healthmonix.com/topic/administrative-burden) - [RCM (3)](https://blog.healthmonix.com/topic/rcm) - [certified electronic health record technology (3)](https://blog.healthmonix.com/topic/certified-electronic-health-record-technology) - [eCQMs (3)](https://blog.healthmonix.com/topic/ecqms) - [2015 Edition CEHRT (2)](https://blog.healthmonix.com/topic/2015-edition-cehrt) - [2021 PFS Final Rule (2)](https://blog.healthmonix.com/topic/2021-pfs-final-rule) - [2022 PFS Proposed Rule (2)](https://blog.healthmonix.com/topic/2022-pfs-proposed-rule) - [2023 PFS Final Rule (2)](https://blog.healthmonix.com/topic/2023-pfs-final-rule) - [2023 Proposed Rule (2)](https://blog.healthmonix.com/topic/2023-proposed-rule) - [AI (2)](https://blog.healthmonix.com/topic/ai) - [Medicare Shared Savings Program (2)](https://blog.healthmonix.com/topic/medicare-shared-savings-program) - [Merit-based Incentive Payment System (2)](https://blog.healthmonix.com/topic/merit-based-incentive-payment-system) - [Promoting Interoperability (2)](https://blog.healthmonix.com/topic/promoting-interoperability) - [health equity (2)](https://blog.healthmonix.com/topic/health-equity) - [healthcare (2)](https://blog.healthmonix.com/topic/healthcare) - [2015 (1)](https://blog.healthmonix.com/topic/2015) - [2015 Edition Cures Update (1)](https://blog.healthmonix.com/topic/2015-edition-cures-update) - [2015 Edition Cures Update certification (1)](https://blog.healthmonix.com/topic/2015-edition-cures-update-certification) - [2023 MIPS Reporting for Large Practices (1)](https://blog.healthmonix.com/topic/2023-mips-reporting-for-large-practices) - [ACCESS (1)](https://blog.healthmonix.com/topic/access) - [AMGA (1)](https://blog.healthmonix.com/topic/amga) - [Gaps in Care - New Quality Measures (1)](https://blog.healthmonix.com/topic/gaps-in-care-new-quality-measures) - [Health Equity Adjustment (1)](https://blog.healthmonix.com/topic/health-equity-adjustment) - [Improvement Activities (1)](https://blog.healthmonix.com/topic/improvement-activities) - [MIPS Cost (1)](https://blog.healthmonix.com/topic/mips-cost) - [MVPs (1)](https://blog.healthmonix.com/topic/mvps) - [NPPES (1)](https://blog.healthmonix.com/topic/nppes) - [Practice Reopening (1)](https://blog.healthmonix.com/topic/practice-reopening) - [Primary Care First (1)](https://blog.healthmonix.com/topic/primary-care-first) - [Strategic Health IT Partnerships (1)](https://blog.healthmonix.com/topic/strategic-health-it-partnerships) - [billing companies (1)](https://blog.healthmonix.com/topic/billing-companies) - [submission (1)](https://blog.healthmonix.com/topic/submission) - [universal foundation of quality measures (1)](https://blog.healthmonix.com/topic/universal-foundation-of-quality-measures) see all Search ### Recent Posts ## Outcomes focused: Improving the quality and delivery of care ![logo-icon](https://blog.healthmonix.com/hubfs/logo-icon.png "logo-icon") © 2024 Healthmonix. All Rights Reserved.