Now Available: 2025 MIPS Resources 

As healthcare providers gear up for the 2025 performance year of the Merit-based Incentive Payment System (MIPS), the Centers for Medicare & Medicaid Services (CMS) has rolled out essential resources to aid in successful participation. These resources are designed to streamline the data submission process, enhance the quality of care, and ultimately improve patient outcomes. We provide an overview of the new resources available, the importance of these measures, and how providers can effectively leverage this information. 

Overview of MIPS and Its Importance 

MIPS is a component of the Quality Payment Program (QPP) that aims to promote high-quality, efficient care. Providers participating in MIPS are evaluated based on four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities. The cumulative scores from these categories determine the payment adjustments for participating clinicians and groups. 

The introduction of new resources for the 2025 performance year is a significant step towards helping providers navigate MIPS successfully. By accessing and understanding these resources, clinicians can enhance their performance, ensuring compliance with CMS guidelines while improving the overall quality of care for their patients. 

New Resources for 2025 MIPS 

CMS has updated the QPP Resource Library with vital resources specifically for the 2025 performance year. While some documents may show incorrect posting dates due to a technical issue, CMS assures users that all materials are the most current versions. 

Key Resources Available: 

1. 2025 MIPS Quality Measure Specifications: 

• 2025 MIPS Quality Measures List (XLS, 804KB): A comprehensive list of quality measures applicable for the upcoming performance year. 

• 2025 Medicare Part B Claims Measure Specifications (ZIP, 29MB): Detailed specifications and requirements for quality measures based on Medicare Part B claims. 

• 2025 MIPS Clinical Quality Measure Specifications (ZIP, 68MB): Documents providing in-depth information on clinical quality measures for MIPS. 

• 2025 Qualified Clinical Data Registry (QCDR) Measure Specifications (XLS, 680KB): Specifications for measures available through QCDRs, which facilitate reporting for MIPS. 

• 2025 Cross-Cutting Quality Measures (ZIP, 267KB): Specifications for measures that apply across multiple clinical areas. 

• 2025 MVP Quality Measure Specifications (ZIP, 2MB): Specifications for the MIPS Value Pathways, which encourage a more streamlined reporting approach. 

• 2025 Hip Arthroplasty and Knee Arthroplasty Complications Measure (ZIP, 556KB): Specific measure focusing on complications from hip and knee arthroplasties. 

• 2025 All-Cause, Unplanned Hospital-Wide Readmission Measure (ZIP, 854KB): This measure addresses unplanned readmissions across hospitals. 

2. Upcoming Measure Specifications: 

• CMS will soon post specifications for the following measures: 

• 2025 Acute Cardiovascular-Related Admission Rates for Patients with Heart Failure 

• 2025 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions 

3. Electronic Clinical Quality Measure Specifications: 

• The 2025 Electronic Clinical Quality Measure Specifications have been available on the Electronic Clinical Quality Improvement (eCQI) website since Spring 2024, providing essential information for electronic reporting. 

4. Webinar Resources: 

• The slide deck and recording from the 2025 QPP Final Rule Webinar are available in the QPP Webinar Library, offering insights directly from CMS experts. 

Additional Resources for MIPS Performance Categories: 

Alongside quality measure specifications, CMS has released resources related to other MIPS performance categories to support providers in comprehensive performance assessment: 

• 2025 Promoting Interoperability Measure Specifications (ZIP, 4MB): Guidelines for implementing and reporting on interoperability measures. 

• 2025 Improvement Activities Inventory and Activity Descriptions (ZIP, 831KB): A detailed list of activities providers can engage in to meet the Improvement Activities performance category. 

• 2025 MIPS Summary of Cost Measures (PDF, 340KB): An overview of cost measures applicable to MIPS. 

• 2025 Cost Measure Information Forms (ZIP, 19MB): Forms detailing the information required for cost measures. 

• 2025 MIPS Cost Measure Codes Lists (ZIP, 21KB): Lists of codes relevant to cost measures for reporting. 

Explore Measures & Activities Tool 

The Explore Measures & Activities tool on the QPP website will soon be updated for the 2025 performance year, providing an interactive way for providers to navigate available measures and activities. Additionally, the 2025 Quality Historical Benchmarks will be available in the upcoming month, allowing providers to compare their performance against historical data. 

How to Access and Use the Resources 

To access the newly released resources, providers can visit the QPP Resource Library on the CMS website. It is crucial for clinicians to familiarize themselves with these materials to ensure accurate reporting and successful participation in the MIPS program. 

Signing In and Submitting Data 

To submit MIPS data, clinicians must have a Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) account along with a QPP role. It is advisable for clinicians to log in to the QPP website early, ensuring they retain access to the necessary features for data submission. 

Importance of Early Submission 

Providers are encouraged to submit their 2025 MIPS performance data early during the submission period. Early submission allows ample time to address any issues and seek assistance from the QPP Service Center if necessary. Remember, data can be submitted and updated until March 31, 2025, but correcting errors post-submission is not an option. 

The availability of new 2025 MIPS resources marks a pivotal moment for healthcare providers looking to optimize their participation in the Quality Payment Program. By leveraging these resources, clinicians can improve their performance across all MIPS categories, leading to enhanced patient care and potential financial incentives. 

As the 2025 performance year approaches, it is essential for providers to take proactive steps in understanding and implementing these measures. By staying informed and utilizing available resources, clinicians can ensure they are well-prepared to meet the demands of MIPS and continue delivering high-quality care to their patients.