PQRS to MIPS Quality Metric Mapping

November 8, 2016
Value Based Care

The 2,171-page final rule contains several differences that crosswalk existing PQRS measures to new finalized metrics. The simplest way to ensure your PQRS-to-MIPS transition goes smoothly is to search each quality metric and data submission method here.

Several important tables for your reference from the final rule:

Table A (Page 1,902) outlines each of the available MIPS Quality measures.
Table D (Page 2,019) explains each of the brand-new MIPS Quality measures.
Table F (Page 2,114) contains each of the PQRS measures that are no longer available in the MIPS Quality Program.
Table G (Page 2,126) identifies PQRS that were subjected to “substantial changes,” for the MIPS Quality Program.

Keep in mind, to submit enough data for a “moderate positive adjustment,” in the 2017 Performance Year, you need to submit 6 measures, including one outcome measure, or one high-priority measure for a minimum of a continuous 90-day period. Specialists can also report specialty-specific sets, some of which contain fewer than 6 measures but many include 10+ measures.