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2019 Merit based Incentive Payment Program
(MIPS) Improvement Activities Performance
Category Fact Sheet
Updated 10/16/2019
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRO) ended the
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How to fill out improvement activities performance category

How to fill out improvement activities performance category
01
Start by selecting the Improvement Activities performance category in your reporting system.
02
Read the instructions and guidelines provided for filling out this category.
03
Identify the improvement activities that are most relevant to your practice or organization.
04
Determine the duration and frequency of each selected improvement activity.
05
Fill out the necessary fields for each improvement activity, including the activity name, description, and start/end dates.
06
Provide any additional supporting documentation or evidence required to demonstrate your engagement in the activities.
07
Submit the completed improvement activities for review and validation.
08
Monitor and track your progress throughout the performance period to ensure compliance and achievement of your improvement goals.
09
Periodically evaluate the effectiveness of the improvement activities and make adjustments as necessary.
10
Keep records of your improvement activities and outcomes for future reference or reporting.
Who needs improvement activities performance category?
01
The Improvement Activities performance category is required for clinicians and healthcare organizations participating in the Merit-based Incentive Payment System (MIPS) under the Medicare Access and CHIP Reauthorization Act (MACRA).
02
This category is applicable to various eligible clinicians, such as physicians, nurse practitioners, physician assistants, clinical nurse specialists, and certified registered nurse anesthetists.
03
It is also relevant for group practices, accountable care organizations (ACOs), and other entities that participate in value-based care models.
04
The purpose of the Improvement Activities category is to promote the implementation of activities that improve clinical practice, care coordination, patient engagement, and population health management.
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What is improvement activities performance category?
Improvement activities performance category focuses on activities that improve clinical practice or patient care.
Who is required to file improvement activities performance category?
Eligible clinicians participating in the Quality Payment Program are required to report on improvement activities performance category.
How to fill out improvement activities performance category?
Improvement activities performance category can be filled out through a qualified registry, qualified clinical data registry, electronic health record, or attestation.
What is the purpose of improvement activities performance category?
The purpose of improvement activities performance category is to promote improvement in clinical practice and patient outcomes.
What information must be reported on improvement activities performance category?
Information such as the description of the improvement activities that were completed, dates of participation, and the outcome measures must be reported on improvement activities performance category.
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