MIPS Scoring and Payment Adjustments
MIPS 2019 Performance Year
An eligible clinician’s (EC’s) performance in each of the four Merit-based Incentive Payment System (MIPS) components makes up the EC’s MIPS final score, determining the EC’s payment adjustment. Payment adjustments can be positive, negative, or neutral. A single MIPS final score will factor in performance in the four categories on a 0 to 100 point scale. Each MIPS component is weighted differently in calculating the MIPS final score.
Scoring Weight (for 2019 performance year)
|Promoting Interoperability (formerly ACI)||25 percent|
|Improvement Activities||15 percent|
Payment adjustments are applied based on an EC’s performance two year prior to the calendar year. Therefore, an EC who is a MIPS participant in 2019 will receive a payment adjustment in 2021 based on 2019 data. For 2019 MIPS participants, a maximum of a 7 percent is possible in calendar year 2021.
Maximum Possible +/- Payment Adjustment
|2019||4 percent (based on 2017 performance)|
|2020||5 percent (based on 2018 performance)|
|2021||7 percent (based on 2019 performance)|
|2022 and onward||9 percent (based on 2020 performance)|