Which is NOT a MIPS category under MACRA?

• A. Quality
• B. Cost
• C. Patient Satisfaction
• D. Promoting Interoperability

Answer: (C)

Under MACRA, MIPS is organized into four performance areas: Quality, Cost, Improvement Activities, and Promoting Interoperability. Patient satisfaction is not one of these four categories. While patient experience is important and can influence overall quality, it isn’t scored as a separate MIPS domain. The other options fit the MIPS structure: Quality covers clinical performance measures, Cost deals with Medicare spending, Promoting Interoperability focuses on EHR use and data sharing, and Improvement Activities include tasks to enhance care processes and patient engagement. Therefore, patient satisfaction is not a MIPS category.