Composite Performance Score Categories

1. Promoting Interoperability (0% of CPS)

Most clinicians must collect data using certified electronic health record technology (CEHRT) on the required measures for the same continuous 90 (+)-day in the current performance period. This performance category replaced the Medicare EHR Incentive Program for EPs, commonly known as "Meaningful Use".

In years past, CMS has re-weighted this category to 0% for all anesthesia providers based on their status as "non-patient facing". There is no requirement for anesthesia EPs to use CEHRTs. Instead, the weight for this category is transferred to the Quality category (see below).

2. Cost (30% of CPS)

This performance category replaces the VBM. The cost of the care you provide will be calculated by CMS based on your Medicare claims. MIPS uses cost measures to gauge the total cost of care during the year or during a hospital stay. This is a bit of a black box, in that there is no current way to track or review this component score. Fortunately, there is no additional data submission requirement either.

3. Improvement Activities (15% of CPS)

This category includes an inventory of activities that assess how you improve your care processes, enhance patient engagement in care, and increase access to care. The inventory allows you to choose the activities appropriate to your practice from categories such as, enhancing care coordination, patient and clinician shared decision-making, and expansion of practice access.

This entails a single end-of-year attestation of the following available activities to verify to CMS that the data collected is being used to improve patient care. These are subject to CMS audits. Please be diligent in the selection for your providers. (For more detailed information for required validation documentation: https://qpp.cms.gov/mips/improvement-activities)

The improvement activity (IA) category accounts for 15% of the Final CPS. To earn full credit in this category, participants must attest to one of the following combinations of activities (each activity must be performed for 90 days or more during the reporting period, unless otherwise stated in the activity description):

• 2 high-weighted activities

• 1 high-weighted activity and 2 medium-weighted activities

• At least 4 medium-weighted activities