List of Core Measures

MIPS Core Measures

Review the core measures that best fit your practice.

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List of Core Measures

  • Acute Otitis Externa (AOE): Topical Therapy
  • ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
  • Adherence to Antipsychotic Medications For Individuals with Schizophrenia
  • Adult Kidney Disease: Blood Pressure Management
  • Adult Kidney Disease: Catheter Use at Initiation of Hemodialysis
  • Adult Kidney Disease: Catheter Use for Greater Than or Equal to 90 Days
  • Adult Kidney Disease: Referral to Hospice
  • Adult Major Depressive Disorder (MDD): Coordination of Care of Patients with Specific Comorbid Conditions
  • Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
  • Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery
  • Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery
  • Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse)
  • Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
  • Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
  • Adult Sinusitis: More than One Computerized Tomography (CT) Scan Within 90 Days for Chronic Sinusitis (Overuse)
  • Age Appropriate Screening Colonoscopy
  • Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
  • Age-Related Macular Degeneration (AMD): Dilated Macular Examination
  • All-cause Hospital Readmission
  • Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences
  • Anastomotic Leak Intervention
  • Anesthesiology Smoking Abstinence
  • Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users
  • Anti-Depressant Medication Management
  • Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal
  • Appropriate Follow-up Imaging for Incidental Abdominal Lesions
  • Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients
  • Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
  • Appropriate Testing for Children with Pharyngitis
  • Appropriate Treatment for Children with Upper Respiratory Infection (URI)
  • Appropriate Treatment of Methicillin-Sensitive Staphylococcus Aureus (MSSA) Bacteremia
  • Appropriate Workup Prior to Endometrial Ablation
  • Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
  • Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis
  • Barrett's Esophagus
  • Basal Cell Carcinoma (BCC)/Squamous Cell Carcinoma: Biopsy Reporting Time - Pathologist to Clinician
  • Biopsy Follow-Up
  • Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use
  • Breast Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade
  • Breast Cancer Screening
  • CAHPS for MIPS Clinician/Group Survey
  • Cardiac Rehabilitation Patient Referral from an Outpatient Setting
  • Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Preoperative Evaluation in Low Risk Surgery Patients
  • Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Routine Testing After Percutaneous Coronary Intervention (PCI)
  • Cardiac Stress Imaging Not Meeting Appropriate Use Criteria: Testing in Asymptomatic, Low-Risk Patients
  • Care Plan
  • Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vitrectomy)
  • Cataract Surgery: Difference Between Planned and Final Refraction
  • Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
  • Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
  • Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
  • Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery
  • Cervical Cancer Screening
  • Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
  • Childhood Immunization Status
  • Children Who Have Dental Decay or Cavities
  • Chlamydia Screening and Follow Up
  • Chlamydia Screening for Women
  • Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
  • Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
  • Clinical Outcome Post Endovascular Stroke Treatment
  • Closing the Referral Loop: Receipt of Specialist Report
  • Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
  • Colorectal Cancer Resection Pathology Reporting: pT Category (Primary Tumor) and pN Category (Regional Lymph Nodes) with Histologic Grade
  • Colorectal Cancer Screening
  • Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older
  • Controlling High Blood Pressure
  • Coronary Artery Bypass Graft (CABG): Deep Sternal Wound Infection Rate
  • Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure
  • Coronary Artery Bypass Graft (CABG): Preoperative Beta-Blocker in Patients with Isolated CABG Surgery
  • Coronary Artery Bypass Graft (CABG): Prolonged Intubation
  • Coronary Artery Bypass Graft (CABG): Stroke
  • Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration
  • Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery
  • Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF < 40%)
  • Coronary Artery Disease (CAD): Antiplatelet Therapy
  • Coronary Artery Disease (CAD): Beta-Blocker Therapy-Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <40%)
  • Dementia: Caregiver Education and Support
  • Dementia: Cognitive Assessment
  • Dementia: Counseling Regarding Safety Concerns
  • Dementia: Functional Status Assessment
  • Dementia: Management of Neuropsychiatric Symptoms
  • Dementia: Neuropsychiatric Symptom Assessment
  • Depression Remission at Six Months
  • Depression Remission at Twelve Months
  • Depression Utilization of the PHQ-9 Tool
  • Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
  • Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
  • Diabetes: Eye Exam
  • Diabetes: Foot Exam
  • Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
  • Diabetes: Medical Attention for Nephropathy
  • Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
  • Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
  • Documentation of Current Medications in the Medical Record
  • Documentation of Signed Opioid Treatment Agreement
  • Door to Puncture Time for Endovascular Stroke Treatment
  • Elder Maltreatment Screen and Follow-Up Plan
  • Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
  • Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years
  • Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy
  • Evaluation or Interview for Risk of Opioid Misuse
  • Falls: Plan of Care
  • Falls: Risk Assessment
  • Falls: Screening for Future Fall Risk
  • Follow-Up After Hospitalization for Mental Illness (FUH)
  • Functional Outcome Assessment
  • Functional Status Assessment for Total Hip Replacement
  • Functional Status Assessment for Total Knee Replacement
  • Functional Status Assessments for Congestive Heart Failure
  • Functional Status Change for Patients with Elbow, Wrist or Hand Impairments
  • Functional Status Change for Patients with Foot or Ankle Impairments
  • Functional Status Change for Patients with General Orthopaedic Impairments
  • Functional Status Change for Patients with Hip Impairments
  • Functional Status Change for Patients with Knee Impairments
  • Functional Status Change for Patients with Lumbar Impairments
  • Functional Status Change for Patients with Shoulder Impairments
  • Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
  • Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
  • Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry
  • Hematology: Multiple Myeloma: Treatment with Bisphosphonates
  • Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow
  • Hematology: Myelodysplastic Syndrome (MDS): Documentation of Iron Stores in Patients Receiving Erythropoietin Therapy
  • Hepatitis C: Discussion and Shared Decision Making Surrounding Treatment Options
  • Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis
  • HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2-Targeted Therapies
  • HIV Medical Visit Frequency
  • HIV Viral Load Suppression
  • HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis
  • HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and Syphilis
  • HRS-12: Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation
  • HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate
  • HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision
  • Hypertension: Improvement in Blood Pressure
  • Image Confirmation of Successful Excision of Image-Localized Breast Lesion
  • Immunizations for Adolescents
  • Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy
  • Inflammatory Bowel Disease (IBD): Preventive Care: Corticosteroid Related Iatrogenic Injury - Bone Loss Assessment
  • Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
  • Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control)
  • Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
  • KRAS Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy
  • Lung Cancer Reporting (Biopsy/Cytology Specimens)
  • Lung Cancer Reporting (Resection Specimens)
  • Maternal Depression Screening
  • Maternity Care: Elective Delivery or Early Induction Without Medical Indication at >= 37 and < 39 Weeks (Overuse)
  • Maternity Care: Post-Partum Follow-Up and Care Coordination
  • Medication Management for People with Asthma
  • Medication Reconciliation Post-Discharge
  • Melanoma Reporting
  • Melanoma: Continuity of Care - Recall System
  • Melanoma: Coordination of Care
  • Melanoma: Overutilization of Imaging Studies in Melanoma
  • Non-Recommended Cervical Cancer Screening in Adolescent Females
  • Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy

  • Oncology: Medical and Radiation - Pain Intensity Quantified

  • Oncology: Medical and Radiation - Plan of Care for Pain

  • Oncology: Radiation Dose Limits to Normal Tissues

  • One-Time Screening for Hepatitis C Virus (HCV) for Patients at Risk

  • Operative Mortality Stratified by the Five STS-EACTS Mortality Categories

  • Opioid Therapy Follow-up Evaluation

  • Optimal Asthma Control

  • Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines

  • Optimizing Patient Exposure to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison Purposes

  • Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies

  • Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry

  • Optimizing Patient Exposure to Ionizing Radiation: Search for Prior Computed Tomography (CT) Studies Through a Secure, Authorized, Media-Free, Shared Archive

  • Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description

  • Osteoarthritis (OA): Function and Pain Assessment

  • Osteoporosis Management in Women Who Had a Fracture

  • Overuse Of Neuroimaging For Patients With Primary Headache And A Normal Neurological Examination

  • Pain Assessment and Follow-Up

  • Pain Brought Under Control Within 48 Hours

  • Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment

  • Parkinson's Disease: Parkinson's Disease Medical and Surgical Treatment Options Reviewed

  • Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease

  • Parkinson's Disease: Rehabilitative Therapy Options

  • Patient-Centered Surgical Risk Assessment and Communication

  • Patients with Metastatic Colorectal Cancer and KRAS Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies

  • Pediatric Kidney Disease: Adequacy of Volume Management

  • Pediatric Kidney Disease: ESRD Patients Receiving Dialysis: Hemoglobin Level < 10 g/dL

  • Pelvic Organ Prolapse: Preoperative Assessment of Occult Stress Urinary Incontinence

  • Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy

  • Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury

  • Perioperative Anti-platelet Therapy for Patients Undergoing Carotid Endarterectomy

  • Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

  • Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

  • Perioperative Temperature Management

  • Persistence of Beta-Blocker Treatment After a Heart Attack

  • Photodocumentation of Cecal Intubation

  • Pneumococcal Vaccination Status for Older Adults

  • Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

  • Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)

  • Pregnant women that had HBsAg testing

  • Preoperative Diagnosis of Breast Cancer

  • Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections

  • Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy

  • Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

  • Preventive Care and Screening: Influenza Immunization

  • Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

  • Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

  • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

  • Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

  • Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists

  • Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

  • Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

  • Proportion Admitted to Hospice for less than 3 days

  • Proportion Admitted to the Intensive Care Unit (ICU) in the Last 30 Days of Life

  • Proportion Not Admitted To Hospice

  • Proportion of Patients Sustaining a Bladder Injury at the Time of any Pelvic Organ Prolapse Repair

  • Proportion of Patients Sustaining a Bowel Injury at the time of any Pelvic Organ Prolapse Repair

  • Proportion of Patients Sustaining a Ureter Injury at the Time of any Pelvic Organ Prolapse Repair

  • Proportion of Patients who Died from Cancer with more than One Emergency Department Visit in the Last 30 Days of Life

  • Proportion Receiving Chemotherapy in the Last 14 Days of Life

  • Prostate Cancer: Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer

  • Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients

  • Psoriasis: Clinical Response to Oral Systemic or Biologic Medications

  • Quality of Life Assessment For Patients With Primary Headache Disorders

  • Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
  • Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
  • Radical Prostatectomy Pathology Reporting
  • Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
  • Radiology: Inappropriate Use of "Probably Benign" Assessment Category in Screening Mammograms
  • Radiology: Reminder System for Screening Mammograms
  • Radiology: Stenosis Measurement in Carotid Imaging Reports
  • Rate of Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2)
  • Rate of Carotid Endarterectomy (CEA) for Asymptomatic Patients, without Major Complications (Discharged to Home by Post-Operative Day #2)
  • Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) Who Die While in Hospital
  • Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post Operative Day #2)
  • Rate of Open Repair of Small or Moderate Abdominal Aortic Aneurysms (AAA) Where Patients Are Discharged Alive
  • Rate of Open Repair of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #7)
  • Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Artery Stenting (CAS)
  • Rate of Postoperative Stroke or Death in Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA)
  • Rate of Surgical Conversion from Lower Extremity Endovascular Revascularization Procedure
  • Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness
  • Rh Immunoglobulin (Rhogam) for Rh-Negative Pregnant Women at Risk of Fetal Blood Exposure
  • Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis
  • Rheumatoid Arthritis (RA): Functional Status Assessment
  • Rheumatoid Arthritis (RA): Glucocorticoid Management
  • Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
  • Rheumatoid Arthritis (RA): Tuberculosis Screening
  • Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG)
  • Screening Colonoscopy Adenoma Detection Rate
  • Screening for Osteoporosis for Women Aged 65-85 Years of Age
  • Sentinel Lymph Node Biopsy for Invasive Breast Cancer
  • Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
  • Sleep Apnea: Assessment of Sleep Symptoms
  • Sleep Apnea: Positive Airway Pressure Therapy Prescribed
  • Sleep Apnea: Severity Assessment at Initial Diagnosis
  • Statin Therapy at Discharge after Lower Extremity Bypass (LEB)
  • Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
  • Stroke and Stroke Rehabilitation: Discharged on Antithrombotic Therapy
  • Stroke and Stroke Rehabilitation: Thrombolytic Therapy
  • Surgical Site Infection (SSI)
  • Tobacco Use and Help with Quitting Among Adolescents
  • Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report
  • Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet
  • Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy
  • Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation
  • Trastuzumab Received By Patients With AJCC Stage I (T1c) - III And HER2 Positive Breast Cancer Receiving Adjuvant Chemotherapy
  • Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier
  • Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
  • Unplanned Hospital Readmission within 30 Days of Principal Procedure
  • Unplanned Reoperation within the 30 Day Postoperative Period
  • Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
  • Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
  • Use of High-Risk Medications in the Elderly
  • Use of Imaging Studies for Low Back Pain
  • Varicose Vein Treatment with Saphenous Ablation: Outcome Survey
  • Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents