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Monday Sep 17, 2018

CMS updates MIPS final scores, extends review deadline

The Centers for Medicare & Medicaid Services (CMS) has released updated final scores for the 2017 Merit-based Incentive Payment System (MIPS) performance period. In July, CMS provided physicians with their performance feedback and MIPS final scores. CMS also opened the targeted review period, where physicians who felt CMS erred in calculating their MIPS final score could ask CMS to take another look.

Through this process, CMS identified errors in how it scored physicians related to:

  • The application of the 2017 Advancing Care Information and Extreme and Uncontrollable Circumstances hardship exceptions,
  • The awarding of improvement activity credit for successful participation in the Improvement Activities Burden Reduction Study, and
  • The addition of the All-Cause Hospital Readmission measure.

CMS has corrected the errors and recalculated the MIPS final scores and any accompanying payment adjustments for affected physicians. Federal statute requires budget neutrality in the distribution of MIPS payment adjustments, so some clinicians may see slight changes in their payment adjustments because of the recalculations. CMS has published updated performance feedback reports to the Quality Payment Program (QPP) website(qpp.cms.gov). Physicians are encouraged to login and review their reports.

CMS is also extending the deadline to apply for a targeted review. Physicians who feel there was an error in their MIPS final score calculation have until 8 p.m. (EDT) on Oct. 15 to submit a request for a targeted review. For additional assistance, you can contact the QPP Service Center at 1-866-288-8292 or QPP@cms.hhs.gov. There is also local, no-cost technical assistance(qpp.cms.gov) available.

– Erin Solis, Regulatory Compliance Strategist for the American Academy of Family Physicians

Posted at 04:45PM Sep 17, 2018 by Erin Solis

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