Quality (30%)
The quality category makes up 30% of the total MIPS score. Points are earned by submitting performance on quality measures.
Reporting quality measures
In 2025, achieving the minimum score required to avoid penalties is not possible without an electronic health record (EHR) or an exemption for the Promoting Interoperability (PI) category. The Academy strongly recommends adopting an EHR, as the requirements will make it increasingly difficult to achieve the minimum score without one in the future.
The Academy provides a variety of EHR resources, and the Academy's reporting registry DataDerm™ can work with any EHR and integrates with several.
Measures can be reported via DataDerm, EHRs, or claims (for small practices of 15 providers or fewer only).
Reportable measures
There is a set of dermatology-specific measures that can be reported via DataDerm, EHR, or administrative claims (for small practice of 15 providers or fewer). Most dermatology-specific measures can only be reported via a registry such as DataDerm. Find information on 2025 MIPS quality measures.
MIPS measure selection tool
Access the 2025 version of the Academy’s quality measure selection tool.
Measure scoring
Up to 60 points can be earned in the Quality category for reporting on quality measures.
The more eligible encounters you report, the more points you can earn.
For each quality measure, you can earn a maximum of 10 points, but only if the measure is not already “topped out” (meaning capped at 5 or 7 points).
You can report as many quality measures as you want, and CMS will select the ones that score the highest to calculate your final score.
Data completeness and case minimum for 2025
20-Case Minimum: You must report at least 20 eligible cases for each quality measure you select, regardless of payer.
75% Data Completeness: You must report on 75% of eligible cases for each quality measure across all payers (Medicare, Medicaid, private insurance, etc.).
If you treat fewer than 20 eligible cases for a measure, choose a different measure that meets the minimum.
Ensure both the 20-case minimum and 75% data completeness to avoid penalties and maximize your score.
Points per measure in 2025 without meeting data completeness
Small Practice (15 providers or fewer): Can earn 3 points per measure by reporting just one patient, without needing to meet data completeness or the 20-case minimum.
Large Practice (16 providers or more): Must meet data completeness (75% of eligible cases) to earn points for a quality measure. If data completeness is not met, 0 points will be earned.
Quality Category Bonus Points for 2025
Small Practice Bonus: Clinicians in small practices who submit at least one quality measure (individually, as a group, or virtual group) will have 6 bonus points added to the numerator of their Quality category score.
Improvement Points: Clinicians can earn up to 10 additional points for improvement in the Quality category from the previous year. These points are capped at 10% of the total available points in the Quality category.
The measures below are topped out measures. The bold measures have a 7-point cap.
Registry reporting | Claims reporting | EHR reporting |
|---|---|---|
MIPS 47 | MIPS 47 | MIPS 130 |
MIPS 130 | MIPS 226 | |
MIPS 176 | MIPS 317 | |
MIPS 226 | MIPS 397 | |
MIPS 358 | ||
MIPS 374 | ||
MIPS 397 | ||
MIPS 440 | ||
AAD 6 | ||
AAD 16 | ||
AAD 17 | ||
AAD 18 | |
A subset of the measures is capped at 5 or 7 points due to them being new measures without established benchmarks.
| Capped at 7 points | Capped at 5 points |
|---|---|
MIPS 509 |
MIPS 485 |
AAD 20 |
MIPS 503 |
A subset of the measures is capped at 3 points for small practices, or 0 points for other practice types.
| Capped at 3 or 0 points |
|---|
AAD 8 |
AAD 12 |
Reporting Options
Individual: Claims (15 providers or fewer only), QCDR, Qualified Registry, EHR, CMS QPP Submission Portal
If you are a small practice of 15 providers or fewer and reporting via claims, the Academy has prepared step-by-step instructions on how to select a claims-based quality measure and complete the claim form. The example demonstrates how to complete the claim form for Measure 130: Medication Reconciliation, a commonly reported claims measure. Download claims reporting instructions (PDF).
Group or virtual group: QCDR, Qualified Registry, EHR, CMS QPP Submission Portal, CMS-approved survey vendor for CAHPS (used in conjunction with another reporting mechanism), Claims (15 providers or fewer only)
MIPS Value Pathways (MVPs)
MVPs are a new way to report MIPS that group related measures into meaningful categories, streamlining reporting and improving care quality.
Learn more about the Dermatological Care MVP.
Additional MIPS scoring information
PI for MIPS reporting.
IA for MIPS reporting.
Cost for MIPS reporting.
