Navigating Your MIPS Score

Tyler Surratt   
Quality Programs Specialist

Maggie Whisnant  
Quality Programs Specialist

Welcome to our new blog series: Navigating Your MIPS Score! This series is a part of TSI Healthcare’s ongoing commitment to helping you stay informed about the Merit-based Incentive Payment System (MIPS).

In this blog series, we will be highlighting:

  • How to interpret your score
  • How to improve your score for 2019
  • Benchmarks to consider in the future

In our first blog, we will be sharing how to interpret your score and the penalty or incentive your practice received. 

Eligible clinicians (ECs) who participated in MIPS in 2017 now have the opportunity to review MIPS performance feedback as well as their final MIPS scores calculated by Centers for Medicare and Medicaid Services (CMS).

CMS recently updated 2017 MIPS Feedback Reports which effectively lowered incentive amounts from what was originally released in July. 

These reports provide an analysis of your provider’s or practice’s performance on MIPS data submitted in 2017 and indicate the payment adjustment based on this performance. For MIPS scores in 2017, the points ranged from 0 to 100 points. For clients to stay neutral, clinicians needed to earn a minimum of 3 points.

The payment adjustments for your 2017 MIPS reporting ranged from – 4% to 1.88%. The payment adjustments for your 2017 MIPS reporting ranged from – 4% to 1.88%. Incentives are assigned in a manner that maintains budget neutrality as mandated by 2015 MACRA legislation. These payment adjustments also included the exceptional performance adjustment for clinicians who scored 70 through 100.

For clinicians who scored a perfect 100 for their 2017 MIPS composite score will earn the maximum 1.88%. These payment adjustments will be applied to your Medicare Part B claims, excluding Part B drugs, in 2019. So, in 2019 after submitting a claim, when you get the paid amount returned, you will see a line item on your paid claim with the MIPS payment adjustment.

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