In today's rapidly evolving transition to value-based care, healthcare providers face the challenge of delivering high-quality care while simultaneously managing costs and improving patient outcomes. One initiative that aims to address these goals is the Quality Payment Program (QPP).

One of the reporting tracks under QPP is the Merit-based Incentive Payment System (MIPS). Under MIPS, clinicians earn a payment adjustment for Medicare Part B-covered professional services based on CMS’ evaluation of performance across four different performance categories: Quality, Promoting Interoperability, Improvement Activities, and Cost. Each category contributes to a composite performance score (CPS), which is used to determine whether providers receive positive, neutral, or negative payment adjustments. These categories focus on the quality and cost of patient care, improvements to clinical care processes and patient engagement, and use of certified electronic health record technology (CEHRT) to support and promote the electronic exchange of health information.