CMS Releases 2017 Final MIPS Payment Numbers
- July.9, 2018
CMS jumped on a special call with MIPS Registry vendors on July 5 to discuss scoring, benchmarking and the cost performance category. Here’s what you need to know:
At the meeting it was brought up that maximum MIPS payment adjustment (where the EC had a MIPS score of 100) for calendar year 2017 (payment year 2019) that includes both budget neutral and exceptional bonus pools was a little over 2%. See below for details on where to find your scores on the CMS website.
CMS also released information on how to request a MIPS score review, and details on an upcoming webinar.
Final scores and performance feedback for 2017 participants are available on the Quality Payment Performance (qpp.cms.gov) website. If you believe there’s been an error in payment adjustment calculation, you can request a targeted review until September 30.
The review will be based on circumstances that can be justified with supporting documentation and include:
- Errors in calculation
- Inadvertent exclusion from APM participation
- Assigned EC status rather than low-volume threshold status
- Automatic reweighting due to special circumstances not applied
Eligible clinicians and groups (or their designated support staff) must have an EIDM account and appropriate role. EIDM credentials should be secured no later than July 31, 2018 to ensure timely processing of targeted reviews. Supporting documentation must be received by CMS within 30 calendar days of CMS’s initial request for the documentation. Targeted review decisions are final.
Public Reporting on Physician Compare Webinar – CMS is targeting late 2018 for public reporting of CY2017 scores and other data on the Physician Compare website. For more information about public reporting and to register for the CMS webinar, visit the cms.gov/medicare and scroll down to the Quality Initiatives section.
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