First MIPS reporting deadline January 31
January 17, 2020

First MIPS reporting deadline January 31

The first 2019 MIPS reporting deadline is January 31, 2020. The following items are due to NACOR on this date:

  • Data from January through November 2019. Practices are encouraged to upload data files prior to the deadline to allow time for review, and to submit corrected files if any errors are identified.
  • Attesting to 2019 Improvement Activities (including date ranges that the activities were performed).
  • Reconciliation of provider lists ensuring all NPIs are assigned the proper provider type (MD-Anesthesia, CRNA, DO, AA, SRNA, Resident, etc.).
  • CMS Opt-Out for providers who are reporting as individuals.
  • Provider consents for clinicians reporting as individuals.

Eamil with any questions.

Individual provider consents

AQI's NACOR is collecting consent forms from each Eligible Clinician (EC) who is enrolled in 2019 individual quality reporting, as required by the Centers for Medicare & Medicaid Services (CMS). All providers must sign the consent form by January 31, 2020. AQI will only submit data to CMS for individual quality reporting for providers who have signed consent forms.

Scan and email consents (Exhibit A to the Addendum for Quality Reporting) to Javeria Ali. For practices that submitted paper consent forms and received receipt confirmation from AQI, no further action is required. For questions about consents, email Javeria Ali.

Attesting to Improvement Activities via NACOR

Clinicians can attest to 2019 Improvement Activities using the provider list in the NACOR Dashboard. In this step-by-step tutorial, clinicians learn how to select the Improvement Activity to which they will attest through either the individual or group reporting option. For practices with multiple Tax ID Numbers make sure the correct TIN is listed in the drop-down menu before attesting to the activity.

As participants of NACOR, practices can attest to activity IA_PSPA_1: Participation in an AHRQ-listed patient safety organization. This is a medium-weighted activity worth 10 points. Practices also must document the date range that the Improvement Activity was performed in the practice list in the NACOR dashboard. For more information, email

To earn full credit for the Improvement Activity Component you must earn 40 points. Medium weighted IAs are worth 10 points and high weighted activities are worth 20 points. If the practice or clinician qualifies for a special status these points may be doubled.

Reporting MIPS 404: Anesthesiology Smoking Abstinence

AQI would like to provide clarification on reporting MIPS 404 as we have received several questions from practices over the past several weeks. The denominator eligible population for this measure is for current smokers who have been counseled not to smoke prior to surgery and who abstain from smoking on the day of the procedure. Cases for current smokers should be submitted with code G9642. Current smokers are defined as those who smoke cigarettes, cigars, pipes, e-cigarettes and/or marijuana). Cases for non-smokers should not include code G9642 to remove them from the denominator.

Please refer to the 2019 MIPS measure specification for MIPS 404 for a detailed description.

2019 Reporting Deadlines

NACOR Registration: October 31, 2019

January through November 2019 data submission: January 31, 2020

Individual Quality Reporting Consent Submission: January 31, 2020

Improvement Activity Attestation: January 31, 2020

CMS Opt-Out for Individual Reporting: January 31, 2020

TIN/NPI Reconciliation: January 31, 2020

All data submissions: February 14, 2020

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