Succeeding in MIPS: Quick Start Guide

MIPS participation with Keet is as easy as 1, 2, 3

Whether you’re a seasoned pro with reporting data or embarking on your first year, reporting MIPS data is easy with Keet. 

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MIPS Overview


Improvement Activities 

Patient Reported Outcome Questionnaires

Succeeding in MIPS with Keet


MIPS Overview

The Merit-based Incentive Payment System (MIPS) is one of two tracks under the Quality Payment Program, which moves Medicare Part B providers to a performance-based payment system. MIPS was designed to tie payments to quality and cost-efficient care, drive improvement in care processes and health outcomes, increase the use of healthcare information, and reduce the cost of care.

MIPS is comprised of four performance categories: cost, improvement activities, promoting interoperability, and quality. Unlike many providers, physical therapists, occupational therapists, and speech-language pathologists are evaluated and scored in 2 categories, quality and improvement activities. 

The MIPS performance categories have different “weights” and the scores from each of the categories are added together to give you a MIPS Final Score.

  1. Quality - 85%
  2. Improvement Activities - 15%

The 2021 MIPS performance period is from January 1, 2021 to December 31, 2021. Following the performance period, if you submit 2021 data for MIPS by March 31, 2022 you’ll receive a positive, negative, or neutral payment adjustment in the 2023 payment year, which will be based on your MIPS Final Score.



The Quality Performance category covers the quality of the care you deliver based on performance measures created or approved by CMS. This category has a 12-month performance period (January 1 – December 31, 2021) which means you must collect data for each measure for the full calendar year.

To meet the Quality performance category requirements, you have to report a minimum of 6 quality measures (including at least 1 outcome measure or high-priority measure in absence of an applicable outcome measure). 

This category of MIPS makes up 85% of the overall MIPS score. To earn the maximum score, you need to:

  • submit data on at least 70% of eligible patients, inclusive of all payers (data completeness), and
  • have at least 20 cases included for each measure (minimum case volume)

Group and/or Individual provider performance will be determined by comparing each eligible measure with the established national benchmark. Bonus points are available for end-to-end reporting as well as reporting on outcome measures.


Improvement Activities

The Improvement Activities performance category assesses your participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Improvement activities have a continuous 90-day performance year unless otherwise stated in the activity description.

To earn full credit in this performance category, you must generally submit one of the following combinations of activities:

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


In order to earn the maximum points for quality measures in the 2021 performance year, clinicians and groups must satisfy the CMS data completeness requirement. To satisfy data completeness you must submit data for 70% of eligible patients from ALL-PAYERS (not just Medicare Part B). 


Patient Reported Outcomes Questionnaires 

Questionnaires are survey forms that include Patient Reported Outcome (PRO) measures which allow you to evaluate a patient's classification and track their progress over the course of their case. There are ten CMS-approved ROMS measures used in Keet. This set of measures is comprised of five widely-used patient reported outcomes surveys paired with a numerical pain rating scale (NPRS) for each measure. 


5 MIPS PRO Questionnaires - Available in English and Spanish 

  • Disabilities of the Arm Shoulder and Hand (Quick DASH) Outcomes 
    • Includes NPRS for Upper Extremity Injuries
  • Knee Outcomes Survey (KOS)
    • Includes NPRS for the Knee
  • Lower Extremity Functional Scale (LEFS)
    • Includes NPRS for the Lower Extremity 
  • Modified Oswestry Low Back Pain Disability (MDQ)
    • Includes NPRS for Low Back Pain
  • Neck Pain & Disability Index (NDI)
    • Includes NPRS for Neck Pain


Succeeding in MIPS with Keet

Keet offers a single platform and mobile application to communicate with and engage patients in their care. With Keet, you’ll be able to improve collaboration, foster participation, and influence patient behavior—producing continuous quality improvements and measurably better outcomes. 

1. Evaluate All Patient Cases for MIPS Eligibility

Evaluate every patient case that arrives for an initial evaluation for MIPS eligibility.


2. Capture an Initial PRO

For any MIPS eligible patient case, capture an initial PRO measure for any corresponding PRO.

3. Capture a Subsequent PRO

For MIPS patient cases, capture a subsequent PRO (best practice is to capture PROs throughout the plan of care as well as at discharge).