September 04, 2018
Area(s) of Interest: Public Payors Payor Issues and Reimbursement
If you participated in the Medicare Merit-Based Incentive Payment System (MIPS) in 2017, your MIPS final score and performance feedback are available now on the Quality Payment Program (QPP) website.
The payment adjustment you will receive in 2019 is based on this final score. A positive, negative or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished under the Medicare physician fee schedule in 2019.
Physicians, physician groups and accountable care organizations (and their authorized representatives) can access their performance feedback by logging into qpp.cms.gov with the same EIDM credentials used to submit and view their data during the submission period.
If you believe an error was made in the calculation of your 2019 MIPS payment adjustment, you can request a targeted review from the Centers for Medicare and Medicaid Services (CMS) via your EIDM account on the QPP website. Targeted reviews can be submitted until October 1, 2018.
CMS has posted the 2017 Performance Feedback User Guide on CMS.gov to help eligible clinicians and groups understand their 2017 MIPS performance feedback.
To learn more about the steps for requesting a targeted review, please review the following: