2021 MIPS IA_BE_23: Integration of patient coaching practices between visits

Activity ID


Activity Weighting


Subcategory Name

Beneficiary Engagement

Activity Description

Provide coaching between visits with follow-up on care plan and goals.


Provide additional direct support to patients in achieving their goals, thus improving patient satisfaction, adherence to plans, and health outcomes.

Suggested Documentation

Documented use of coaching provided between visits with follow-up on care plan and goals, for a population of the eligible clinician’s choosing (e.g., patients with a specific condition). Include the population identified for this activity and at least one of the following elements:

1) Use of coaching codes – Medical claims with codes for coaching provided between visits; OR
2) Coaching plan and goals – Copy of documentation provided to patients (e.g., letter, email, portal screenshot) that includes coaching on care plan and goals; OR
3) Coaching tools used – Examples of coaching tools used by staff (e.g., coaching scripts, tools, materials).


Clinician coaching https://clinicalhealthcoach.com/coaching-conversation-example/

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