Quality & Practice

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If not, email us at healthpolicy@aapmr.org.

Within the Quality Payment Program, there are 2 paths providers can choose and use to report quality data:

ALERT: 2020 MIPS Hardship and Uncontrollable Circumstances Exemption Applications Now Available


MIPS-eligible clinicians and groups can now apply for the 2020 Promoting Interoperability (PI) Hardship Exception or the MIPS Program Extreme and Uncontrollable Circumstances Exception.

To further support clinicians during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) is extending the 2020 Merit-based Incentive Payment Services (MIPS) Extreme and Uncontrollable Circumstances Exception application deadline to February 1, 2021. It's easy to apply and applications are being processed in a timely fashion. Exceptions will be available to those who meet certain criteria established by CMS. Learn more about the deadline extension. 

Tip: The 2020 application requires clinicians to provide a justification for why they should be excepted. To ensure a speedy review, applicants should specifically reference that they have been impacted by the COVID-19 public health emergency.

View the 2020 Quality Payment Program Exception Applications Fact Sheet.


Contact the Quality Payment Program at 1-866-288-8292, Monday through Friday, 8 am - 8 pm (EST) or by e-mail at QPP@cms.hhs.gov. Those who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

Your Academy is advocating for changes to the 2020 Reporting year as well. We will keep you informed of that progress. Email healthpolicy@aapmr.org with any questions or concerns.


The Quality category of MIPS is responsible for 45% of your total MIPS score.



In order to comply with 2020 reporting requirements, most eligible clinicians must report on 6 quality measures, including 1 outcome measure. If an outcome measure is not available, you must then select 1 high priority measure. AAPM&R has created a MIPS Quality Measures Guide to help members explore the measures that may be most applicable to the specialty.