American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

About MIPS 2018

Merit-Based Incentive Payment System (MIPS) is the default QPP pathway most physicians will (initially) participate in. Download the ACS manual on 2018 participation in MIPS.

MIPS ComponentsComponents


  • A single MIPS final score will factor in performance in the four categories on a 0 to 100 point scale.
  • Surgeons can receive positive or negative payment adjustments based on their final score (see diagram below).

MIPS 2018 Scoring

MIPS Implementation Resources

Below you will find webinars and resources to help you navigate the 2018 MIPS program.

2018 MIPS Reporting: How to Avoid a Penalty

2018 MIPS Reporting: Changes for Year 2

How to Meet MIPS Regulatory Requirements for 2018

Understanding the Program

Glossary of Acronyms and Terms

Fact Sheets

The Complete Briefing Book

Alternative Payment Models (APMs) and Advanced APMs

APMs provide a model for paying physicians that differs from the traditional fee-for-service construct. The goal of APMs is to improve the quality and value of care provided, reduce growth in health care spending, or both. On the QPP website, CMS describes APMs as payment models that create incentives for clinicians to provide high-quality, cost-efficient care for a specific clinical condition, episode of care, or population.

Learn more