MSSP Quality Reporting

A Survey to Assess Your Clinic's MSSP Quality Reporting Capabilities

As part of NHN’s analysis of adding practices to our Medicare Shared Savings Plan, we evaluate your capabilities to meet CMS’s Promoting Interoperability and Quality reporting requirements. To assist us in this evaluation, please answer the questions below. We will be in touch after we receive your information.

Section One: Promoting Interoperability

If you did not check any of the above boxes, you may be required to report MIPS Promoting Interoperability (PI). Please answer the questions below.

Section Two: Medicare Shared Savings Program

PY 2025 Required Measures
  1. CMS122v13 – Diabetes: Glycemic Status Assessment Greater Than 9% (MCQM ID: 001)
  2. CMS2v14 – Preventive Care and Screening: Screening for Depression and Follow-up Plan (MCQM ID: 134)
  3. CMS165v13 – Controlling High Blood Pressure (MCQM ID: 236)
  4. CMS125v13 – Breast Cancer Screening (MCQM ID: 112)

Historical MIPS Scores

If known, please enter your 2023 and 2024 MIPS scores. If unsure, please leave the fields blank.

CMS122v13 – Diabetes: Glycemic Status Assessment Greater Than 9% (MCQM ID: 001)
CMS2v14 – Preventive Care and Screening: Screening for Depression and Follow-up Plan (MCQM ID: 134)
CMS165v13 – Controlling High Blood Pressure (MCQM ID: 236)
CMS125v13 – Breast Cancer Screening (MCQM ID: 112)
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