MIPS

A MIPS topped-out measure is a quality measure where almost all reporting clinicians are already performing at a very high level — meaning there’s little room left for improvement, and performance rates are clustered near the top.

Description: Measure 487 Social Drivers of Health measures the percentage of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. These particular issues could have a direct impact on the outcome of the care we provide. This is a good measure to participate in because it has podiatric implications

Description: REGCLR5 measures the percentage of patients with a plantar foot ulcer who were compliant with offloading and healed their ulcer in 10 weeks. This measure requires the utilization of remote monitoring where you put the patient in a boot that has a gyrometer in it and you are able to track how many hours a day that the patient is utilizing the boot. You are measuring that the patient is being compliant with the treatment plan.

Description: For MEX 5, the patient must be seen at least twice: once at the time of diagnosis to document the pain scale, and a second time to assess any decrease in pain. In order to document the patient’s pain, you must use the standardized pain scale 1-10. This measure tracks pain levels from the first visit to the last. No specific treatment is required—any intervention that effectively reduces the patient's pain is acceptable, the hammer toe diagnosis must be a part of the claim. Treatments may include surgery, changes in shoe gear, padding, and debride corns.

REGCLR1 measures the improvement in function of the patients with a diagnosis of Heel Pain that have a reduction in pain after an intervention. No specific treatment is required to meet this measure; it simply requires a significant decrease in the patient's pain as a result of your intervention. Treatments may include custom orthotics, prefabricated orthotics, injections for heel pain, night splints, stretching, and physical therapy.

The Doctors and Clinicians Preview Period is open officially as of today, Tuesday, May 27, 2025. You can now preview your 2023 Quality Payment Program (QPP) performance information before it appears on the profile pages of clinicians and groups on the Medicare.gov compare tool and in the Provider Data Catalog (PDC). You can access the secure preview on the QPP website.

CMS has suspended Eight Improvement Activities for MIPS They intend to remove the activities from the program in future rulemaking.

Description: REGCLR3 measures the improvement in functions of patients with a diagnosis of Bunion Pain . Improvement is measured as a reduction in pain after an intervention. The patient must be treated, it is up to the medical provider to select the medically appropriate treatment. Treatments may include surgical intervention, shoe wear modifications, orthotics, and physical therapy.

Registry Clearinghouse

MIPS consists of 4 components Quality Reporting, Promoting interoperability, Improvement Activities and Cost. Another way to participate in MIPS is through an MVP. When reporting traditional MIPS you can report on individual measure or you can report a MIPS Value Pathway (MVP). Each year CMS updates the MIPS program.