2022 Reporting Year

The GIQuIC 2022 Qualified Clinical Data Registry (QCDR) is approved to report for individual eligible providers, groups, and virtual groups to the CMS Merit-based Incentive Payment System (MIPS), specifically the Quality, Promoting Interoperability, and Improvement Activities performance categories.

If you are considering using the GIQuIC QCDR to report to CMS’ MIPS program for the 2022 reporting year, please watch the GIQuIC MIPS 2022 Action Plan webinar. It outlines the steps you need to take now in order to report to MIPS through GIQuIC in 2022.

  • Click here for GIQuIC 2022 MIPS Action Plan webinar
  • Click here for GIQuIC 2022 MIPS Action Plan slides

If a physician is MIPS-eligible in 2022:

  • They must submit data for three performance categories, including:
  • CMS will collect and calculate data for the Cost Performance Category – 30% of MIPS score
  • Individual eligible providers, groups, and virtual groups can report to the Quality, Promoting Interoperability, and Improvement Activities performance categories via the GIQuIC 2022 QCDR
  • A final MIPS score of 0 to 100 points will be calculated according to performance across the four MIPS performance categories
  • The final score determines whether a physician or group receives a negative, neutral, or positive MIPS payment adjustment; 75 points overall is needed to avoid a negative payment adjustment
  • A MIPS payment adjustment that reflects performance during 2022 will be applied to payments for covered professional services in 2024

MIPS Performance Categories

Quality Performance Category

The Quality Performance Category uses measures to evaluate clinician performance reflecting the quality of healthcare that is being provided to patients and accounts for 30% of the final MIPS score. Reporting GI-specific quality measures is a key benefit of participating in GIQuIC and reporting to the MIPS via the GIQuIC 2022 QCDR.

2022 GIQuIC QCDR Measures

Measure NumberTitleOutcome/
GIQIC25Screening Colonoscopy Adenoma Detection Rate – FemaleOutcome
GIQIC24Screening Colonoscopy Adenoma Detection Rate – MaleOutcome
GIQIC23Appropriate follow-up interval based on pathology findings in screening colonoscopyHigh-Priority
NHCR4Repeat screening or surveillance colonoscopy recommended within one year due to inadequate/poor bowel preparationHigh-Priority
QPP320Appropriate follow-up interval for normal colonoscopy in average risk patientsHigh-Priority
QPP425Photodocumentation of Cecal IntubationN/A
QPP439Age Appropriate Screening ColonoscopyHigh-Priority
GIQIC10Appropriate management of anticoagulation in the peri-procedural period rate – EGDHigh-Priority

Click here for complete numerator/denominator descriptions of each of the 2022 GIQuIC QCDR measures.

Getting Started with Quality

Click here for CMS’ 2022 Quality Performance Category Quick Start Guide.

Then, put together your Quality Plan of Action:

CMS requires physicians to review their performance at least four times throughout the
2022 performance year.

For more information about the Quality Performance Category for the 2022 Performance Year, please visit: https://qpp.cms.gov/mips/quality-requirements.

Improvement Activities Performance Category

The Improvement Activities performance category rewards participants for activities that improve clinical practice and accounts for 15% of the final MIPS score. There is a list of activities that are weighted as either medium (worth 10 points each) or high (worth 20 points each). To earn full credit in this category, participants must submit one of the following combinations of activities:

  • 2 high-weighted activities
  • 1 high-weighted activity and 2 medium-weighted activities, or
  • 4 medium-weighted activities

Small practices and practices in rural areas complete two medium-weight activities or one high-weight activity for maximum score.

CMS provides a list of more than 100 suggested activities in their Improvement Activities Inventory so you can select those that best fit your practice to improve patient engagement, safety, and care. A PDF of the 2022 Improvement Activities Inventory is available for download here.

In addition, there are  CMS-approved Improvement Activities that are specific to QCDRs, as noted in the inventory.

GIQuIC Registry Favorite Improvement Activities

A clinician or group may report any improvement activity listed on the CMS inventory. Following are popular improvement activities reported via the GIQuIC CQDR.

IA_PSPA_17Implementation of analytic capabilities to manage total cost of care for practice population
IA_PSPA_18Measurement and improvement at the practice and panel level
IA_PSPA_28Completion of an Accredited Safety or Quality Improvement Program
IA_PSPA_28Participation in MOC Part IV
IA_PSPA_7Use of QCDR data for ongoing practice assessment and improvements
IA_PM_7Use of QCDR for feedback reports that incorporate population health

Getting Started with Improvement Activities

Click here for CMS’ 2022 Improvement Activities Performance Category Quick Start Guide.

Then, put together your Improvement Activities Plan of Action:

For more information about the Improvement Activities Performance Category for the 2022 Performance Year, please visit: https://qpp.cms.gov/mips/improvement-activities.

Promoting Interoperability Performance Category

The Promoting Interoperability Performance Category emphasizes the use of certified electronic health record technology (CEHRT) to facilitate the exchange of information between clinicians, pharmacies, and patients to improve outcomes. It accounts for 25% of the final MIPS score.

Getting Started with Promoting Interoperability

For a full list of the current objectives and measures of the Promoting Interoperability performance category, please refer to CMS’ 2022 Promoting Interoperability Performance Category Quick Start Guide by clicking here.

Then, put together your Promoting Interoperability Plan of Action:

For more information about the Promoting Interoperability Performance Category for the 2022 Performance Year, please visit: https://qpp.cms.gov/mips/promoting-interoperability.