Here is news for all MIPS participants who have successfully finished the MIPS 2022 PY. Time is running very fast, and now MIPS PY 2023 reporting is almost at its halfway point. But the participants were excitedly waiting for their payment adjustment for 2022 PY. Well, the final payment adjustments are already destined to be done in CY 2024. Anyhow, moving with the flow, CMS has provided the MIPS final scores for that year. So, all clinicians, groups, and APM Entity reps, mark your calendars and check out your PY 2022 final score in a quick go!
Whether you are a MIPS participant or a general reader, the blog is equally good for you. As a MIPS participant, this news will be the end of their long wait after the end of PY. And for non-MIPS participants, the blog keeps interesting information about the MIPS 2022 score preview. Let’s dig in and see what the MIPS 2022 performance feedback period brought for us. What sort of information do we extract from the final score preview? Also, how can we preview our score?
The MIPS final score is the total sum of the points awarded to or scored by the participant. The points are the scores they get from the four MIPS performance categories. Additional points are added from complex patient bonuses and similar ways. So, the Final Score Preview allows clinicians, groups, and APM entities to check their total scores. The final score necessarily includes the following data:
- Category-level points and weights
- Measure-level performance data and scoring
- Activity-level scoring
- Bonus points
Reminding you that the preview period doesn’t give any information about the payment adjustment. Rather, it marks a rechecking phase when CMS pinpoints the potential issues in scores before making adjustments. Therefore, we cannot rely on the final score completely. CMS may change the score if it finds any issues. It will impact their payment adjustment.
Afterward, CMS releases the patient-level reports and payment adjustment information. Usually, it is done until August. Then, the participants enter the 60-day target review period. This period allows them to request that CMS review the MIPS payment adjustments.
The participants don’t have to submit data for the cost category. CMS calculates the score itself. For MIPS 2022, it makes up 30% of the total MIPS score. So, the agency will add the score information to the performance feedback if the clinicians/groups have scored any measure. Otherwise, they do not receive any measure details or get a score of “N/A.”. In such conditions, the weight from the cost performance category will be distributed to another category. However, measure-level and patient-level feedback is accessible for those who meet the case minimum for at least one cost measure.
- The Score Preview doesn’t contain any payment adjustments or patient-level reports.
- CMS will give the highest possible score attributed to the clinician, group, or APM Entity.
- No bonus points will be given for additional outcomes or high-priority measures. However, a complex patient bonus will be awarded in FY 2022.
- “N/A” listed for a performance category signifies the reweighting of the category to zero of the final score.
- Improvement-based scoring will be preferred for the quality category. Thus, the participants will get up to 10 points accordingly.
- MIPS 2022 does not include any facility-based scoring rules.
Here are simple steps for previewing the MIPS performance score in a quick go!
- Open the Quality Payment Program website.
- Once logged in, navigate to the homepage.
- On the homepage, click on “Preview Final Score.” (Kindly acknowledge that scores may change.)
- Choose your organization type: Practice, APM Entity, or Virtual Group.
- Your final result is here!
Note: You will be able to access both individual and group feedback through the practice organization. Only those APMs who have been authorized as staff users will have access to the comments. Any reps of Shared Savings Program ACO Participant TINs and practices with clinicians can’t preview the performance score.
Not to worry! Contact the QPP Service Centre, and they will support you. Just keep in mind that any problems brought up during the MIPS Final Score Preview period are handled independently of the targeted review procedure. Hey, there’s some excellent news for you! Clinicians can ask for a review of their MIPS payment adjustment computation after the final performance feedback and payment adjustment information are released this summer. You can reach the QPP Service Centre from 8 a.m. to 8 p.m. EST, Monday through Friday. Contact them by phone at 1-866-288-8292 or by email at https://qpp.cms.gov/.