IAC Accreditation Satisfies MIPS Improvement Activity for 2025 Payment Year
Physicians may utilize IAC accreditation as a Centers for Medicare & Medicaid Services (CMS) MIPS Improvement Activity to satisfy a component of the MIPS Improvement Activity score under an existing category IA_PSPA_19, Patient Safety And Practice Assessment for Quality Payment Program . Physicians will need to document a component of the accreditation requirement for 90 days (such as patient dose tracking in CT) to satisfy the improvement activity and report via attestation to CMS.
The IAC Quality Improvement (QI) Tool is an independent option that may also be utilized to satisfy MIPS Improvement Activity and MOC. More information about MIPS improvement activities can be found at qpp.cms.gov/mips/improvement-activities.
| 2025 Payment Year |
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| I. Quality Measures (30% of Final Score)
You must collect measure data for the 12-month performance period (January 1 – December 31, 2025). Read more |
| II. Promoting Interoperability (25% of Final Score)
You must collect data for the required measures in your certified electronic health record technology (CEHRT) for a minimum of 180 continuous days during the calendar year and answer “yes” to all required attestation statements. Read more |
| III. Improvement Activities (15% of Final Score)
NEW: Beginning in the 2025 performance period, improvement activities won’t be weighted. You must perform 1 or 2 improvement activities depending on your reporting requirements. Improvement activities have a continuous 90-day performance period (during the 2025 performance year) unless otherwise stated in the activity description. The IAC QI Self-Assessment Tool (Implementation of formal quality improvement methods, practice changes, or other practice improvement processes, Activity ID IA_PSPA_19) or the IAC QI MOC Activity (Participation in MOC Part IV, Activity ID IA_PSPA_2) satisfy the requirements of the Patient Safety and Practice Assessment Subcategory. Read more |
| IV. Cost Measures (30% of Final Score)
You do not need to submit data for the cost performance category. Cost measures are evaluated automatically through administrative claims data. Read more |
| 2024 Payment Year |
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| I. 2024 Quality Measures (30% of Final Score)
You must collect measure data for the 12-month performance period (January 1 – December 31, 2024). Read more |
| II. 2024 Promoting Interoperability (25% of Final Score)
NEW: Beginning with the 2024 performance period, you must submit collected data for required measures from each objective (unless an exclusion is claimed) and answer “yes” to all required attestations for the same 180 continuous days (or more) during the calendar year. Read more |
| III. 2024 Improvement Activities (15% of Final Score)
You must perform between 1 and 4 improvement activities depending on your reporting requirements. Improvement activities have a 90 continuous day performance period (during the 2024 performance year) unless otherwise stated in the activity description. The IAC QI Self-Assessment Tool (Implementation of formal quality improvement methods, practice changes, or other practice improvement processes, Activity ID IA_PSPA_19) or the IAC QI MOC Activity (Participation in MOC Part IV, Activity ID IA_PSPA_2) satisfy the requirements of the Patient Safety and Practice Assessment Subcategory. Read more |
| IV. Cost Measures (30% of Final Score)
You do not need to submit data for the cost performance category. Cost measures are evaluated automatically through administrative claims data. Read more |
IAC Resources
- IAC QI Self-Assessment Tool – The IAC QI Self-Assessment Tool is a free feature, created to help your facility document and analyze continuous process improvement and meet the quality measures required by the IAC Standards.
- IAC QI MOC Activity – A Quality Improvement (QI) self-assessment activity to provide interpreting physicians with an online tool to assess quality metrics as required by the IAC Standards and Guidelines.
- Article – Quality Payment Program Compliance and Vein Center Accreditation
(Journal of Vascular Surgery: Venous and Lymphatic Disorders – May 2018)
MIPS Overview
This information was referenced directly from the CMS Quality Payment Program website (qpp.cms.gov).
CMS is required by law to implement a quality payment incentive program, referred to as the Quality Payment Program, which rewards value and outcomes in one of two ways: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Under MIPS, clinicians are included if they are an eligible clinician type and meet the low volume threshold, which is based on allowed charges for covered professional services under the Medicare Physician Fee Schedule (PFS) and the number of Medicare Part B patients who are furnished covered professional services under the Medicare Physician Fee Schedule. Performance is measured through the data clinicians report in four areas – Quality, Improvement Activities, Promoting Interoperability (formerly Advancing Care Information), and Cost. CMS designed MIPS to update and consolidate previous programs, including: Medicare Electronic Health Records (EHR) Incentive Program for Eligible Clinicians, Physician Quality Reporting System (PQRS), and the Value-Based Payment Modifier (VBM).
There are four performance categories that make up the final score. The final score determines what your payment adjustment will be. These categories are: Quality, Promoting Interoperability, Improvement Activities and Cost.
The MIPS Performance Year begins on January 1 and ends on December 31 each year. Program participants must report data collected during one calendar year by March 31 of the following calendar year.
For future deadlines and submission dates, refer to qpp.cms.gov/about/deadlines.