Earlier this summer, the Centers for Medicare & Medicaid Services (CMS) launched its targeted review period for the 2017 MIPS performance year. This review period allows physicians and group practices that felt their MIPS performance had been scored incorrectly to submit a request for CMS to reevaluate their performance.
CMS has now updated the 2017 MIPS performance feedback and acknowledged that it found some errors in its scoring logic that have altered scores for certain physicians. These were primarily related to the Advancing Care Information performance category, the Extreme and Uncontrollable Circumstances hardship exception and the attribution of credit for certain improvement activities.
Because MIPS is “budget neutral,” positive and negative payment adjustments in the MIPS payment year depend on the performance of all participating physicians. Since a number of physicians who participated in 2017 MIPS have seen their scores increase upon completion of their targeted review, the pool of negatively -adjusted physicians has shrunk. These adjustments have required CMS to recalculate payment adjustments across the board, meaning that some physicians have seen their positive adjustments for the 2019 payment year decrease slightly. Your performance feedback and payment adjustment information can be reviewed on the Quality Payment Program website.
CMS also extended the targeted review deadline from October 1 to October 15, 2018, so there’s still time for physicians who had issues with their 2017 feedback to submit a request for CMS to reassess their scores. You can view your score on the QPP website and initiate a targeted review by clicking “Request a Review” at the bottom of each page of your performance feedback. Note that an EIDM account is required to review your scores and request a review.
Questions about MIPS performance feedback can be directed to QPP@cms.hhs.gov.