Overview of MIPS Improvement Activities

• There are 106 total activities available in 2022. Activities may be designated as “high-weighted” or “medium-weighted”; the number of activities of each weight required to reach 15 MIPS points depends on the practice size and any special status designation. For each activity, CMS provides a description and suggested documentation.

How to Participate

• Clinicians are not required to submit supporting documentation at the time of attestation, but they must retain documentation to confirm the completion of the activity for 6 years following the performance period in case of an audit. In 2022, providers are required to attest to Improvement Activities to ensure they reach the new minimum threshold of 75 points to avoid a MIPS penalty. 

Getting Credit for Pursuing this Food Insecurity and Nutrition Risk IA

• Multiple actions can be implemented to receive credit for this IA. They include using quality improvement resources (including those offered by the MQii) to improve screening and subsequent interventions, electronic health record-based clinical decision support tools, staff training, and referrals to and engagements with community-based organizations to meet the needs of patients who screen positively for food insecurity or malnutrition. We created this webpage on the MQii website and the accompany clinical decision support tool to support you in implementing the activity based on the needs of your healthcare team and your patient population. 

QPP Resources

• CMS Quality Payment Program website
• QPP webinar library

Improvement Activities

• Traditional MIPS Improvement Activity requirements
• APM Payment Pathway Improvement Activity requirements
• 2022 Improvement Activities
• MIPS Improvement Activities Fact Sheet
• 2021 MIPS Improvement Activities and Promoting Interoperability Performance Categories Webinar