Merit-Based Incentive Payment System (MIPS) for General Practice/Family Medicine

Work with Able Health to track performance for MIPS and submit data to CMS

The first performance period for the Medicare Merit-Based Incentive Payment System (MIPS) began January 1, 2017. With CMS combining multiple Medicare Part B programs into one performance-based payment system, provider organizations must stay on top of requirements in order to maintain and increase Medicare payments over the next decade. Able Health can greatly reduce the administrative cost of participating in MIPS and help you improve performance in order to maximize your payment adjustment.MIPS is a budget-neutral program with an additional $500 million pool allocated for exceptional performers. Providers who prepare ahead of their peers will be able to earn higher payment adjustments and bonuses

MIPS in a Box

Track performance using patient-level data

Able Health calculates quality measures using patient-level data from EHRs, claims, and other sources. Easily enter performance data for Cost, Advancing Care Information, and Improvement Activities to track your MIPS Composite Performance Score over time. If you are participating in a MIPS APM, Able Health can replace MIPS measures with applicable measures from your APM.

Educate your team about MIPS as they use the product

In-app tooltips and articles explain how measures are calculated, how to form a valid quality measure set, how the Composite Score is calculated, and more—when and where you need it. Our guidance can reduce the cost of training, time to research requirements, and the negative impact of potential mistakes.

Improve performance with care tools

Identify clinicians and patients who need your attention—and take action to improve performance. Deliver scorecards to clinicians, including patient-level measure results and EHR source records. Generate call lists of patients who need care, including specific actions required for each patient.

Submit directly to CMS

Submit data across the four performance categories to CMS via the Able Health Qualified Registry. When you track performance throughout the year, end-of-year reporting becomes a simpler—and cheaper—task.

Quality Measures for General Practice/Family Medicine

Able Health can calculate and submit all registry measures in the General Practice/Family Medicine specialty-specific measure set, which are listed below.

Click here to view all MIPS measures across the Quality, Advancing Care Information, and Improvement Activities performance categories

ID Name Type High Priority
093 Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use Process Yes
331 Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) Process Yes
332 Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) Process Yes
333 Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) Efficiency Yes
334 Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse) Efficiency Yes
387 Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users Process No
009 Anti-Depressant Medication Management Process No
066 Appropriate Testing for Children with Pharyngitis Process Yes
065 Appropriate Treatment for Children with Upper Respiratory Infection (URI) Process Yes
326 Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy Process No
116 Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis Process Yes
112 Breast Cancer Screening Process No
321 CAHPS for MIPS Clinician/Group Survey Patient Engagement/Experience Yes
047 Care Plan Process Yes
309 Cervical Cancer Screening Process No
113 Colorectal Cancer Screening Process No
236 Controlling High Blood Pressure Intermediate Outcome Yes
007 Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%) Process No
370 Depression Remission at Twelve Months Outcome Yes
117 Diabetes: Eye Exam Process No
163 Diabetes: Foot Exam Process No
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) Intermediate Outcome Yes
119 Diabetes: Medical Attention for Nephropathy Process No
130 Documentation of Current Medications in the Medical Record Process Yes
412 Documentation of Signed Opioid Treatment Agreement Process No
181 Elder Maltreatment Screen and Follow-Up Plan Process Yes
414 Evaluation or Interview for Risk of Opioid Misuse Process No
155 Falls: Plan of Care Process Yes
154 Falls: Risk Assessment Process Yes
005 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) Process No
008 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Process No
401 Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis Process No
338 HIV Viral Load Suppression Outcome Yes
394 Immunizations for Adolescents Process No
204 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet Process No
444 Medication Management for People with Asthma Process Yes
443 Non-Recommended Cervical Cancer Screening in Adolescent Females Process Yes
400 One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk Process No
408 Opioid Therapy Follow-up Evaluation Process No
398 Optimal Asthma Control Outcome Yes
109 Osteoarthritis (OA): Function and Pain Assessment Process Yes
418 Osteoporosis Management in Women Who Had a Fracture Process No
342 Pain Brought Under Control Within 48 Hours Outcome Yes
442 Persistence of Beta-Blocker Treatment After a Heart Attack Process No
128 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan Process No
110 Preventive Care and Screening: Influenza Immunization Process No
134 Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan Process No
317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Process No
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Process No
431 Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling Process No
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Process No
402 Tobacco Use and Help with Quitting Among Adolescents Process No
337 Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier Process No
050 Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older Process Yes
312 Use of Imaging Studies for Low Back Pain Process Yes

Select a Different Specialty

Select your specialty to find MIPS measures supported by Able Health relevant to your specialty.