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

MIPS 2019 Improvement Activities Options through the SSR

The Surgeon Specific Registry (SSR) has been approved by the CMS to provide MIPS Improvement Activities (IA) through registry-based reporting for the 2019 performance year. Eligible clinicians** (ECs) may attest to and submit IA data through the SSR for 2019 MIPS with 88 surgically relevant IAs to choose from.

Each IA must be attested to for a minimum of 90 days to earn full credit. To earn the maximum score for the IA component of MIPS, an EC must attest to 40 points worth of IAs, and each IA is assigned one of two weightings:

  • High (20–40 points)
  • Medium (10–20 points)

How many IAs an individual EC must attest to and the amount of points an IA is worth is then dependent on the size of the group for which the EC is a part of:

  • Individual ECs in groups with more than 15 clinicians must select from one of the following combinations (high-weighted activities = 20 points; medium-weighted activities = 10 points):
    • 2 high-weighted activities
    • 1 high-weighted activity and 2 medium-weighted activities
    • Up to 4 medium-weighted activities
  • Individual ECs in groups with 15 or fewer clinicians, in a small practice or a rural setting, must select from one of the following combinations (high-weighted activities = 40 points; medium-weighted activities = 20 points):
    • 1 high-weighted activity
    • 2 medium-weighted activities

Download the full list of MIPS 2019 Improvement Activities available through the SSR.