2022 MIPS Quality Measure Specification Updates

What's the same for Keet Outcomes Quality Measures in 2022?

Keet Outcomes Measures are as easy as 1..2..3! 

Review Eligibility → Provision initial PRO → Capture Subsequent Pros:

  1. Review patient for eligibility, if ineligible for any MIPS approved surveys, mark patient as OTHER.
  2. Provision the first PRO on, or as close to the Initial Evaluation as possible.
  3. Capture subsequent PRO’s on a regular cadence (every visit or at least 1x a week) and a final PRO on or as close to the discharge visit as possible.

What’s new for the Keet Outcomes Quality Measures in 2022?

  1. Neck Disability Index updates:
    • New MCID: The Minimum Clinically Important Difference (MCID) for the Neck Disability Index (NDI) was decreased from 10 points to 7.5 points to better reflect the average score change realized by the QCDRs using Keet Outcomes and as corroborated via recent research. 
    • New Measure ID: Starting in 2022 CMS has requested Keet Outcomes QCDR to update the NDI Measure ID from "IROMS15" to "Keet01"  to delineate between the historical and new measure results corresponding with the updated MCID from 10 to 7.5.
  1. Denominator Exception updates
    • New Denominator Exception for KOS, LEFS, NDI, MDQ, and QDASH measures: Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only, or discharged due to significant decline in medical status as documented in the medical record)”.
    • New requirement for the Clinical Judgement Exception: “The provider must clearly document in the medical record the specific medical complexity/complexities present to qualify for this exception.” 
  1. Denominator Exclusion updates:
    • New Denominator Exclusion for KOS, LEFS, NDI, MDQ, and QDASH measures:  “Patients that have a life expectancy of 6 months or less”.
    • Denominator Exclusion removed: “Patients that are unable to Read”.


Please review the Maximizing your MIPS Quality Measure Score diagram for actions to take with Denominator Exclusions and Exceptions. It is the clinician’s responsibility to ensure documentation is noted in the medical record to support exclusion and exception criteria.

What is the new Quality Measure supported by Keet Outcomes QCDR?

*New for 2022* Dizziness Handicap Index (DHI) Quality Measure (HM7)

What should I know about the DHI?:

  • Use the same “1,2,3” method to collect outcome data: review eligibility → provision initial PRO → capture subsequent PROs
  • Eligibility criteria include:
    • Patient aged ≥14 years of age at any time during the episode of care
    • Two face-to-face patient encounters during the episode of care. 
    • The patient has a diagnosis indicated by one of the ICD-10 codes specified in the measure specifications.
    • A Physical Therapy or Occupational Therapy evaluation CPT code is billed during the episode of care.


Keet does not record ICD-10 or CPT codes. It is the clinician's responsibility to ensure that these codes are documented in the medical record in the case of a CMS audit.


The DHI does not have the denominator exclusion of “Patients who did not complete 2 or more surveys”, therefore patients with only one completed PRO will be included in your reporting population and may negatively impact your failure to progress rate.