American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

The Centers for Medicare & Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS) is the default pathway of the Quality Payment Program (QPP) where eligible clinicians (ECs) submit quality data to earn a performance-based adjustment on their Medicare payments. There are four components/categories of MIPS:

  • Quality component (replaces the Physician Quality Reporting System (PQRS) program)
  • Promoting Interoperability (PI) component (formerly known as the Advancing Care Information component; replaces the EHR Incentive Program and Meaningful Use)
  • Improvement Activities (IA) component (new program)
  • Cost component (replaces the Value-based Payment Modifier (VM) program)

For the 2018 MIPS program year, the SSR is supporting the Quality and Improvement Activities components for ECs to participate in, and reporting these components through the SSR is considered registry-based reporting. 

The PI component can only be fulfilled through the use of a Certified EHR Technology (CEHRT) system (learn more), and for the 2018 performance year only there are no reporting requirements for the Cost component.

To determine if you are eligible to participate in MIPS 2018, visit the CMS QPP website and use the “check your participation status” tool by entering your National Provider Identifier (NPI) number.

For more information about QPP and MIPS as it relates to surgeons, visit the ACS Division of Advocacy and Health Policy’s QPP Resource Center.