MACRA Resources

What is the Merit-Based Incentive Payment System?

If you participate in traditional Medicare fee-for-service rather than an Advanced APM, you will earn a performance-based payment adjustment to your Medicare payment through MIPS.

MIPS allows Medicare clinicians to be paid for providing high-quality, efficient care through success in four performance categories as shown below. Each category is weighted and added into a final performance score. Weights shown are for 2017.

1. Quality (60%) – Replaces Physician Quality Reporting System (PQRS) Most radiologists will report up to six quality measures including an outcome measure.
   Download a list of MIPS measures relevant to radiologists
    
2. Advancing Care Information (25%) – Replaces the Medicare EHR Incentive Program, also known as Meaningful Use
   Most ACR members would likely be automatically reweighted to zero for the ACI category as non-patient-facing eligible clinicians or hospital-based eligible clinicians.
    
3. Improvement Activities (15%) – New performance category
   Most participants will be required to complete up to four improvement activities. Small, rural and shortage area practices or non-patient-facing MIPS clinicians need half that requirement to meet the full performance criteria.
   Download a list of MIPS improvement activities suggested for radiology
    
4. Cost (0%) – Replaces cost component of Value Modifier program
   CMS reweighted the cost category to zero, thereby exempting the category from the performance criteria for the first performance year (2017) as it implements new episode-based cost measures.