Now available: 2018 MIPS final scores impacting 2020 payments

July 12, 2019

From the Medical Group Management Association (www.mgma.com):

If your group practice submitted 2018 Merit-based Incentive Payment System (MIPS) data, you can now view performance feedback, final scores, and 2020 payment adjustments by logging into the Quality Payment Program (QPP) website. MIPS participants that feel there is an error in their 2020 payment adjustment may submit a “targeted review” request by Sept. 30. More information on the targeted review process and FAQs on 2018 performance feedback/2020 payment adjustments can be found on the QPP website in the Resource Library.

The Centers for Medicare & Medicaid Services (CMS) estimates that 98% of MIPS eligible clinicians avoided a negative payment adjustment based on 2018 performance. Because MIPS is a budget neutral program, positive payment adjustments will be low even for very high scores. For example, based on inaugural performance year data from 2017, 95% of eligible clinicians avoided a payment penalty and the maximum payment adjustment in 2019 was 1.88% for a perfect score. By statute, the maximum payment adjustment is 4% for 2017 reporting and 5% for 2018 reporting, plus an additional 10% for exceptional performance.

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