2020 MIPS Year-End Action Items

Kristen Gurney & Jeanette MiniOctober 1, 2020

medical staff

We are in the home stretch for the 2020 MIPS Reporting year. This has been an exceptional year; your group may be eligible to apply for an exception due to uncontrollable circumstances or a public health emergency (i.e. COVID-19 reduced case volume, which led to reduced quality measures reported). If approved, the exception will allow reweighting of any or all the performance categories.


CMS Exception Application Link: https://qpp.cms.gov/mips/exception-applications#extremeCircumstancesException-2020


It is very important to review and track the following items in these final months:

2019 Targeted Review Period Deadline

Action: Access your 2019 MIPS Performance Feedback data using your CMS HARP account credentials and if you believe that there is a discrepancy, request a targeted review by October 5, 2020. ECs and groups can request a targeted review by visiting the Quality Payment Program (QPP) website and logging in with HARP credentials. For more information about how to request a targeted review, review the Targeted Review User Guide.

ASA Membership Renewal

Action: If you’re an American Society of Anesthesiologists (ASA) member, be sure to check your membership renewal deadline.

Review your 2020 Quality Measures

Action: Utilize your registry dashboard and/or reach out to your group’s quality champion to make sure you are on-track. 

Example registries: AQI NACOR, ABG

Track Improvement Activity Attestations

Action: Review the activities that you attested in 2019 and confirm that they are still available for the 2020 reporting year. It is also very important to collect documentation supporting your attestations to be prepared for data validation or potential audits.

AQI NACOR Quality Reporting Registration

Action: If you are using the AQI NACOR registry, be sure to complete your registration: https://form.jotform.com/93156242924155


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