2019 MIPS Performance Categories

For performance year 2019, four categories will be used to evaluate provider performance. Each category is weighted differently and is part of an overall possible score of 100 percent.

  • Quality: 45% of MIPS Final Score: Pick 6 performance measures that best fit your practice or group. This category measures the quality of care delivered based on performance of quality measures utilized by CMS. Learn more
  • Promoting Interoperability: 25% of MIPS Final Score:  Previously known as the Advancing Care Information category, this focuses on patient engagement and electronic exchange of health information using certified EHR technology. Learn more
  • Cost: 15% of MIPS Final Score: Looks at the cost of care provided by a provider based on Medicare claims information collected throughout the year. Learn more
  • Improvement Activities: 15% of MIPS Final Score: Assesses activities used to improve your care processes, patient engagement in care, and access to care. Learn more

Achieving a final MIPS score of at least 30% is required to avoid a penalty adjustment in 2021. Scoring between 30 -100% can make you eligible for a possible positive payment adjustment in 2021. Information and data for performance year 2019 is reported to CMS in the Spring of 2020.

Please use the Quality Payment Program (QPP) website and QPP Resource Library to obtain more detailed information about MIPS in 2019.

Click here to view a MIPS 101 webinar for more information about the program for 2019.

MIPS Reporting Timeline – Performance Year 2018

  • January 2, 2019
    • Submission window opens for performance year 2018 reporting
  • January 22, 2019
    • CMS web interface submission period begins for registered groups 
  • March 2, 2019 
    • MIPS claims data submission deadline
  • March 22, 2019
    • CMS web interface submission window closes to report performance year 2018 data
  • April 2, 2019
    • Submission window closes to report performance year 2018 information
  • July 1, 2019
    • CMS will provide performance feedback based on the data you submitted for performance year 2018
  • January 2, 2020
    • Positive or negative payments adjustments  based on performance year 2018 go into effect
Click for more information regarding MIPS dates and deadlines