June 06, 2022

Quality Measures and MIPS: Early Adopters of Measures

Ensure that the quality measures you use for the Merit-Based Incentive Payment System (MIPS) are available for full scoring.

The ACR® understands the increasing difficulties of participating in MIPS and the uncertainty that practices experience when selecting new quality measures that are clinically meaningful but lack benchmark data. The Centers for Medicare & Medicaid Services (CMS) caps measure scores without benchmark data, limiting radiology practices’ quality performance category scores. Ultimately, radiology practices can either adopt new quality measures and limit their total quality category score or select less meaningful measures that illustrate little about their quality.

Take heart! CMS policy states that new measures and measures without historical benchmarks could be available for same-year benchmark scoring if 20 instances of the measure are reported using the same collection type by individual clinicians, groups and/or virtual groups. Further, reporting on such measures enables you to meet the performance year 2022 data completeness (70%) and case minimum requirements (20 cases).

Become an Early Adopter

The ACR is recruiting radiology practices to support same-year benchmarking during the 2022 performance year by adopting the following quality measures available in MIPS. These measures are either available as CMS clinical quality measures (measures available to all MIPS clinicians) or Qualified Clinical Data Registry measures.

Quality ID Number (QID)

Measure Title

CMS Valued Trait



Door to Puncture Time for Endovascular Stroke Treatment

Outcome Measure

High Priority


Osteoporosis Management in Women Who Had a Fracture

NQF Endorsed


Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal



Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries

High Priority


QACRad 36

Incidental Coronary Artery Calcification Reported on Chest CT

High Priority


QACRad 37

Interpretation of CT Pulmonary Angiography (CTPA) for Pulmonary Embolism (PE)

High Priority

QACRad 39

Use of Low-Dose CT Studies for Adults with Suspicion of Urolithiasis or Nephrolithiasis

High Priority

QACRad 40

Use of Structured Reporting in Prostate MRI

High Priority

QACRad 41

Use of Quantitative Criteria for Oncologic FDG PET Imaging

High Priority

The ACR is also recruiting early adopters to use the new Closing the Recommendations Follow-up Loop on Actionable Incidental Findings measure set. This an excellent opportunity to support plans to include the new measures in the ACR General Radiology Improvement Database.

To participate as an early adopter for any of these measures, please contact Samantha Shugarman at sshugarman@acr.org.