The Centers for Medicare & Medicaid Services (CMS) recently released final scores for 2020 Merit-based Incentive Payment System (MIPS) performance. The scores determine 2022 payment adjustments.
Disagree with your score? You have until Oct. 1 to request that CMS check the calculation through a process called targeted review (designated support staff or an authorized third party can also request a review on your behalf).
Potential reasons to request a review include:
This is not a comprehensive list. If you have questions about whether your circumstance merits a review, please contact the Quality Payment Program (QPP) at 1-866-288-8292 or QPP@cms.hhs.gov.
You can request a targeted review by:
A CMS representative will contact you with information about any specific documentation required for your review request. If CMS approves the request and changes your final score, it will update the score and your associated payment adjustment (if applicable), as soon as technically feasible. Targeted review decisions are final and not eligible for further appeal.
For more information, check the 2020 Targeted Review User Guide (PDF) or contact the QPP at the phone number or email address above. Individuals who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant. To receive assistance more quickly, consider calling before 10 a.m.or after 2 p.m. ET.
— Kent Moore, senior strategist for physician payment, American Academy of Family Physicians
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