Identify the four MIPS performance categories used under MACRA.

• A. Quality, Cost, Improvement Activities, and Promoting Interoperability.
• B. Quality, Technology, Compliance, Interoperability.
• C. Safety, Equity, Experience, Cost.
• D. Quality, Access, Efficiency, Outcome.

Answer: (A)

MACRA's approach for rewarding clinicians centers on four performance categories that together capture quality, cost, improvement efforts, and health IT use. The four categories are Quality, Cost, Improvement Activities, and Promoting Interoperability. Quality measures gauge how well care aligns with evidence and best practices. Cost looks at the actual resources used to treat attributed patients. Improvement Activities reward steps a practice takes to enhance care delivery, coordination, and population health. Promoting Interoperability focuses on the use of certified EHR technology and the ability to exchange health information securely. These four areas combine into the MIPS composite score that determines Medicare payment adjustments. The other options mix terms that aren’t official MIPS categories, so they don’t reflect how MACRA organizes performance measurement.