- Quality - 30% of total score: Choose 6 measures, including one Outcome or other High Priority measure, and include 100% of denominator eligible encounters (entire year, all insurances). Report (provide answers for) at least 75% to receive a score based on 2026 National Benchmarks.
ID:130NQF:0419eeMeasure ID:CMS68v11High Priority:Yes
2026 MIPS Measure #130: Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
Measure Type- Process
Specialty- Allergy/Immunology
- Audiology
- Cardiology
- Clinical Social Work
- Dermatology
- Endocrinology
- Family Medicine
- Gastroenterology
- General Surgery
- Geriatrics
- Hospitalists
- Infectious Disease
- Internal Medicine
- Mental/Behavioral Health
- Nephrology
- Neurology
- Neurosurgery
- Nutrition/Dietician
- Obstetrics/Gynecology
- Oncology/Hematology
- Ophthalmology
- Orthopedic Surgery
- Otolaryngology
- Physical Medicine
- Physical Therapy/Occupational Therapy
- Plastic Surgery
- Preventive Medicine
- Pulmonology
- Rheumatology
- Speech/Language Pathology
- Thoracic Surgery
- Urgent Care
- Urology
- Vascular Surgery
ID:226NQF:0028eMeasure ID:CMS138v142026 MIPS Measure #226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period AND who received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period if identified as a tobacco user.
Measure Type- Process
Specialty- Allergy/Immunology
- Audiology
- Cardiology
- Certified Nurse Midwife
- Clinical Social Work
- Dermatology
- Endocrinology
- Gastroenterology
- General Surgery
- Infectious Disease
- Mental/Behavioral Health
- Nephrology
- Neurology
- Neurosurgery
- Nutrition/Dietician
- Oncology/Hematology
- Ophthalmology
- Optometry
- Orthopedic Surgery
- Otolaryngology
- Pediatrics
- Physical Medicine
- Physical Therapy/Occupational Therapy
- Plastic Surgery
- Podiatry
- Pulmonology
- Radiation Oncology
- Rheumatology
- Speech/Language Pathology
- Thoracic Surgery
- Urgent Care
- Urology
- Vascular Surgery
ID:317NQF:eMeasure ID:CMS22v162026 MIPS Measure #317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Percentage of patient visits for patients aged 18 years and older seen during the performance period who were screened for high blood pressure AND a recommended follow-up plan is documented, as indicated, if blood pressure is elevated or hypertensive.
Measure Type- Process
Specialty- Allergy/Immunology
- Audiology
- Cardiology
- Dermatology
- Emergency Medicine
- Gastroenterology
- General Surgery
- Mental/Behavioral Health
- Nephrology
- Neurology
- Oncology/Hematology
- Orthopedic Surgery
- Otolaryngology
- Physical Medicine
- Plastic Surgery
- Podiatry
- Rheumatology
- Skilled Nursing Facility
- Urgent Care
- Urology
- Vascular Surgery
ID:356NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #356: Unplanned Hospital Readmission within 30 Days of Principal Procedure
Percentage of patients aged 18 years and older who had an unplanned hospital readmission within 30 days of principal procedure.
Measure Type- Outcome
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Plastic Surgery
- Thoracic Surgery
ID:357NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #357: Surgical Site Infection (SSI)
Percentage of patients aged 18 years and older who had a surgical site infection (SSI).
Measure Type- Outcome
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Otolaryngology
- Plastic Surgery
- Vascular Surgery
ID:358NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #358: Patient-Centered Surgical Risk Assessment and Communication
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon.
Measure Type- Process
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Orthopedic Surgery
- Otolaryngology
- Plastic Surgery
- Podiatry
- Thoracic Surgery
- Urology
- Vascular Surgery
ID:355NQF:eMeasure ID:High Priority:Yes2026 MIPS Measure #355: Unplanned Reoperation within the 30 Day Postoperative Period
Percentage of patients aged 18 years and older who had any unplanned reoperation within the 30-day postoperative period.
Measure Type- Outcome
SpecificationsRegistry Link
RegistrySpecialty- General Surgery
- Otolaryngology
- Plastic Surgery
- PI: Promoting Interoperability - 25% of total score: For a minimum of 180 days, report all required measures. EHR technology certified to the 2015 Cures Update must be in place by July 5, 2025. There are exclusions available for most of the required measures. Please check your QPP Participation Status to see if you are automatically exempt from PI. If you are exempt, the 25% will be re-weighted to the Quality performance category making it 55% of your score.
- Actions to Limit or Restrict Compatibility or Interoperability of CEHRT Attestation
- e-Prescribing
- Query of Prescription Drug Monitoring Program (PDMP)
- Provide Patients Electronic Access to Their Health Information
- Support Electronic Referral Loops by Sending Health Information (option 1)
- Support Electronic Referral Loops by Receiving and Reconciling Health Information (option 1)
- Health Information Exchange (HIE) Bi-Directional Exchange (option 2)
- Enabling Exchange under TEFCA (Option 3)
- Immunization Registry Reporting
- Syndromic Surveillance Reporting
- Electronic Case Reporting
- Public Health Registry Reporting
- Clinical Data Registry Reporting
- ONC Direct Review Attestation
- IA: Improvement Activities - 15% of total score: Attest that you completed 2 Improvement Activities for a minimum of 90 days. Groups with 15 or fewer participants or if you are in a rural or health professional shortage area: Attest that you completed 1 Improvement Activity for a minimum of 90 days. A group can attest to an activity when at least 50% of the clinicians in the group perform the same activity during any continuous 90-day period (or as specified in the activity description) in the same performance year. Suggestions that might be applicable to your specialty include:
- IA_EPA_3 - Collection and use of patient experience and satisfaction data on access
- IA_AHE_1 - Enhance Engagement of Medicaid and Other Underserved Populations
- IA_BE_14 - Engage patients and families to guide improvement in the system of care
- IA_CC_8 - Implementation of documentation improvements for practice/process improvements
- IA_CC_2 - Implementation of improvements that contribute to more timely communication of test results
- Full list of Improvement Activities