--- title: Blog – The Healthmonix Advisor | Quality Performance Category (2) description: Quality Performance Category | The Healthmonix Advisor - A Blog for healthcare professionals, health systems, and hospitals (2) --- ![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 ## [Why You'll Be in For a MIPS Shock - No More Bonus Points or Loopholes](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on December 6, 2021 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/shutterstock_1836789979.jpg)](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes) On November 2, 2021, the Centers for Medicare & Medicaid Services (CMS) released the [2022 Physician Fee Schedule (PFS) Final Rule](https://public-inspection.federalregister.gov/2021-14973.pdf) which governs MIPS and other [quality payment programs](https://qpp.cms.gov/about/qpp-overview). Anticipated changes were made to MIPS, making the program more challenging in 2022 and signaling additional changes to the program in coming years. [Read More](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes) 1 Comment [Click here to read/write comments](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [IA Performance Category](https://blog.healthmonix.com/topic/ia-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [PI Performance Category](https://blog.healthmonix.com/topic/pi-performance-category), [MIPS Value Pathways](https://blog.healthmonix.com/topic/mips-value-pathways), [2022 PFS Final Rule](https://blog.healthmonix.com/topic/2022-pfs-final-rule) ## [This Could Be Your First Year to Receive a MIPS Penalty. Here's Why.](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on November 18, 2021 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/shutterstock_595755389.jpg)](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why) With the release of the 2020 feedback report detailing the 2.2% maximum possible payment adjustment and the release of the [2022 Final Rule](https://public-inspection.federalregister.gov/2021-14973.pdf), CMS has demonstrated that [MIPS will be](https://healthmonix.com/mips-pro/) both financially rewarding and challenging, in terms of reporting requirements, in 2021 and beyond.     [Read More](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why) 1 Comment [Click here to read/write comments](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why#comments-listing) Topics: [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [IA Performance Category](https://blog.healthmonix.com/topic/ia-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [PI Performance Category](https://blog.healthmonix.com/topic/pi-performance-category), [2022 PFS Final Rule](https://blog.healthmonix.com/topic/2022-pfs-final-rule) ## [New Challenges Brought on by Changes to MIPS Threshold & Performance Categories](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on September 24, 2021 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Prepared.jpg)](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories) With the release of the 2020 feedback report detailing the 2.2% maximum possible payment adjustment and the release of the [2022 Proposed Rule](https://public-inspection.federalregister.gov/2021-14973.pdf), MIPS participants find themselves wrestling with lingering disappointment from participation in the program in previous years, and resistance to the idea that [MIPS will be financially rewarding and challenging](https://healthmonix.com/mips-pro/), in terms of reporting requirements, in 2021 and beyond.     This is the second in a series of blog posts on the 2020 payment adjustment and the 2022 Proposed Rule, that will address this sense of disappointment and show how the future of MIPS will contain much more rigorous program requirements and create greater financial rewards.  To see financial and program success, you will need to be prepared to meet the new challenges.  We have the guidance you need to succeed in 2021 and beyond.     [Read More](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [2022 PFS Proposed Rule](https://blog.healthmonix.com/topic/2022-pfs-proposed-rule) ## [What to Do in the Last 90 Days of MIPS 2020](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) Posted by [Phillip Spence](https://blog.healthmonix.com/author/phillip-spence) on September 30, 2020 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/MIPSblog.png)](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) The last 90 days of the year. Many might be ready to say goodbye to 2020 as a year filled with challenges, adjustments and ever-shifting expectations in our personal and professional lives. For those clinicians who are eligible for participation in the Merit-Based Incentive Payment System (MIPS), the last 90 days of the year also represents the beginning of some measurement periods and the final opportunity to improve in others. [Read More](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [IA Performance Category](https://blog.healthmonix.com/topic/ia-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [PI Performance Category](https://blog.healthmonix.com/topic/pi-performance-category) ## [Quality Payment Program COVID-19 Response - Update April 6](https://blog.healthmonix.com/quality-payment-program-covid-19-response) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on April 6, 2020 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/shutterstock_1642467388.jpg)](https://blog.healthmonix.com/quality-payment-program-covid-19-response) The Centers for Medicare & Medicaid (CMS) is working rapidly to update policies and allow healthcare providers to flexibly apply best practices in response to the COVID-19 pandemic.  Programs such as [Hospitals without Walls](https://www.washingtonexaminer.com/news/trump-administration-announces-hospitals-without-walls-program-to-expand-capacity-amid-coronavirus) and the existing [Patients over Paperwork](https://www.cms.gov/About-CMS/Story-Page/patients-over-paperwork) have been deployed.  Removal of barriers have resulted in exponential growth of [telehealth and remote patient monitoring](https://healthmonix.com/mips_ia/ia_epa_2-use-of-telehealth-services-that-expand-practice-access-2019).   Advanced payments to healthcare providers are being provided to counter the effects of changing patterns of healthcare use,  reduction in elective procedure, increase in ICU utilization and other ongoing unanticipated changes. [Read More](https://blog.healthmonix.com/quality-payment-program-covid-19-response) 1 Comment [Click here to read/write comments](https://blog.healthmonix.com/quality-payment-program-covid-19-response#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [COVID-19](https://blog.healthmonix.com/topic/covid-19), [submission](https://blog.healthmonix.com/topic/submission) ## [Everything You Need To Know About MIPS Quality in 2019 Part 2: Scoring](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019-0) Posted by [Christina Zink](https://blog.healthmonix.com/author/christina-zink) on May 30, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Stock%20Images%201200%20x%20628/2019/hush-naidoo-535092-unsplash.jpg)](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019-0) In our last blog we gave an overview of the MIPS Quality Performance Category and discussed its reporting requirements. This week, we'll look more in-depth at how this category will be scored for the 2019 performance year. [Read More](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019-0) 1 Comment [Click here to read/write comments](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019-0#comments-listing) 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) ## [Everything You Need To Know About MIPS Quality in 2019: Reporting Requirements (1/2)](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019) Posted by [Christina Zink](https://blog.healthmonix.com/author/christina-zink) on May 23, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Stock%20Images%201200%20x%20628/2019/marlon-lara-1169091-unsplash.jpg)](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019) The CY 2019 Medicare Physician Fee Schedule Final Rule involves a slew of regulatory changes that will apply to the 2019 performance year. Of course, wading through the final rule to find and understand the most important features of the policy can be grueling; but you’re in luck, because we’ve already done it so you don’t have to! In today’s blog, we’re focusing on the MIPS Quality Performance category. [Read More](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019) 3 Comments [Click here to read/write comments](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-quality-in-2019#comments-listing) 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) ## [Everything You Need To Know About MIPS Facility-Based Quality and Cost Performance Categories](https://blog.healthmonix.com/mips-facility-based-scoring) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on January 4, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Stock%20Images%201200%20x%20628/2019/marlon-lara-1151955-unsplash.jpg)](https://blog.healthmonix.com/mips-facility-based-scoring) As laid out in the [2019 MACRA final rule](https://www.cms.gov/newsroom/fact-sheets/final-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year)\*, one of the ways CMS hopes to expand participation options in the program’s third year is by offering certain facility-based clinicians, if they participate as a group, the option to use facility-based Quality and Cost performance measures. CMS expects to release a facility-based scoring preview for this option, which does not require any data submission, in Q1 of 2019. In today’s blog, we’ll take an in-depth look at the details of facility-based scoring and how it will be applied. [Read More](https://blog.healthmonix.com/mips-facility-based-scoring) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/mips-facility-based-scoring#comments-listing) 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), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category) ## [How to Hit the 60% Reporting Rate for MIPS Quality](https://blog.healthmonix.com/how-to-hit-the-60-reporting-rate-for-mips-quality) Posted by [Phillip Spence](https://blog.healthmonix.com/author/phillip-spence) on June 7, 2018 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/austin-schmid-37423-unsplash.jpg)](https://blog.healthmonix.com/how-to-hit-the-60-reporting-rate-for-mips-quality) For many practices, one of the biggest differences between MIPS reporting for 2017 and 2018 is the amount of information that needs to be reported to achieve a high score. Gone is the test option that allowed clinicians to simply report on 90 days worth of patient visit information for the Quality performance category—**now clinicians need to report on 60% of eligible patient visits per measure for all payers**. This is typically a phrase I repeat a few times when discussing MIPS with practices who reported minimally for 2017. [Read More](https://blog.healthmonix.com/how-to-hit-the-60-reporting-rate-for-mips-quality) 1 Comment [Click here to read/write comments](https://blog.healthmonix.com/how-to-hit-the-60-reporting-rate-for-mips-quality#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [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) ## [Interested in providing feedback to CMS about the burden that MIPS places on your practice?](https://blog.healthmonix.com/interested-in-providing-feedback-to-cms-about-the-burden-that-mips-places-on-your-practice) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on February 25, 2018 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/raiseYourHands.jpg)](https://blog.healthmonix.com/interested-in-providing-feedback-to-cms-about-the-burden-that-mips-places-on-your-practice) Apply to help CMS in its new study, running from April 2018 through March 2019, and make your voice heard. CMS is looking for groups and individuals that are eligilbe for MIPS to help study the burden that the MIPS program, particularly the Quality component, place on eligible clinicians. In return, successful participants will receive full credit for the Improvement Activity component of MIPS this year (2018). [Read More](https://blog.healthmonix.com/interested-in-providing-feedback-to-cms-about-the-burden-that-mips-places-on-your-practice) 4 Comments [Click here to read/write comments](https://blog.healthmonix.com/interested-in-providing-feedback-to-cms-about-the-burden-that-mips-places-on-your-practice#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [CMS](https://blog.healthmonix.com/topic/cms), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [Administrative Burden](https://blog.healthmonix.com/topic/administrative-burden) [Previous](https://blog.healthmonix.com/topic/quality-performance-category/page/1) [All posts](https://blog.healthmonix.com/all) [Next](https://blog.healthmonix.com/topic/quality-performance-category/page/3) ### Subscribe Here! ### Search the Healthmonix Advisor - [MACRA & MIPS (132)](https://blog.healthmonix.com/topic/macra-mips) - [Policy (77)](https://blog.healthmonix.com/topic/policy) - 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