Advancing Care Information (ACI) Component of the MIPS Composite Score

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This Merit-Based Incentive Payment System (MIPS) category evaluates whether a clinician is a meaningful user of certified electronic health record technology (CEHRT) and accounts for 25% of the MIPS Composite Score. It relies on many of the same measures used under the EHR Incentive Program, although CMS has substantially reduced the performance threshold for several measures. Clinicians opting to report under this category may use 2014 or 2015 (or a combination thereof) CEHRT data in 2017. However, under current regulations, clinicians will be required to use 2015 edition CEHRT in 2018.

CMS has more information about how the agency will score this category, including bonus points.


Important Note for Hospital-Based Clinicians

CMS has expanded the definition of “hospital-based” clinicians under MIPS to include those who furnish 75% or more of their covered professional services in sites of service identified by inpatient hospital (POS 21), on-campus outpatient hospital (POS 22), or emergency room (POS 23) setting.

These clinicians are not required to comply with the ACI portion of MIPS, although they are allowed to do so if desired. Those who do will be scored in the traditional manner, with ACI performance contributing 25% to their total MIPS Composite Score. If a hospital-based clinician opts not to participate in the ACI portion of MIPS, CMS will redistribute the weight of this category to the Quality category.

STS anticipates that most cardiac surgeons will qualify as hospital-based clinicians, while it will vary for general thoracic surgeons. If you are not considered a hospital-based clinician, you will need to report on the ACI category unless CMS approves a request to reweight this category (see the CMS fact sheet for more information). CMS is expected to notify clinicians of their status in spring 2017.

Last updated: 5/16/2017