Improvement Activities (IA) is one of the four performance categories required for reporting in the Merit-based Incentive Payment System (MIPS). Understanding the correct combination of both high and medium-weighted activities to report is a crucial step in successful MIPS reporting. The Improvement Activities category assesses your engagement in activities that support the improvement of clinical practice, care delivery, and outcomes. This article outlines the IA reporting requirements, explains the importance of reviewing the IA descriptions and suggested documentation, and offers tips on selecting activities that are right for your practice.