2020 MIPS Quality Measure Scoring

Quality Measures is one of two MIPS categories Physical Therapists, Occupational Therapists and Speech Language Pathologists participate in. This category of MIPS makes up 85% of the overall MIPS score. A minimum of 6 measures need to be collected and submitted for the performance year with CMS using the top performing measure to calculate the final MIPS score.

To earn the maximum score, you need to achieve:

  • 70% data completeness, and
  • at least 20 cases included for each measure

Group and/or Individual providers performance will be determined by comparing each measure with the established national benchmark. Bonus points are available for end-to-end reporting as well reporting on outcome measure.

Outlined below are the 3 scenarios used to calculate the scoring for each outcome measure.

Measure can be scored based on performance

The measure meets all of the following criteria:

  • Has a benchmark
  • Has at least 20 cases, and
  • Meets the 70% data completeness requirement

Scoring rules

Measures will be awarded 3-10 points based on performance compared with the benchmark. 1 bonus point is available for both:

  • Using an outcome measure
  • End-to-end electronic reporting
Measure does not meet 70% data completeness requirement

Scoring rules

Measures will be awarded 1 point, except for small practices, which will receive 3 points. 1 bonus point is available for:

  • End-to-end electronic reporting
Measure meets 70% data completeness requirement but does not have at least 20 cases

Scoring rules

Measures will be awarded 3 points. 1 bonus point is available for:

  • End-to-end electronic reporting