You need to get 15 MIPS points to avoid the penalty.
So, you really only need to get 10 more points to avoid the penalty.
Only way to get points- given above assumptions- is to submit quality measures via claims.
So, you will need 4 quality measures (one time, on one patient) to get 12 more points and avoid the penalty.
So, submit measure 130 (documentation of meds in chart with G code G8427)- as you did last year.
That leaves 3 more measures to submit on your claim- asterisks refer to appropriate G codes to submit on your claim (below).
Influenza Immunization not Administered for Documented Reasons
Denominator Exception: G8483: Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)
Influenza Immunization not Administered, Reason not Given
Performance Not Met: G8484: Influenza immunization was not administered, reason not given
Patient Screened for Tobacco Use, Identified as a Tobacco User or Tobacco Non-User