2023 Merit-based Incentive Payment System

The Merit-Based Incentive Payment System (MIPS) is the default Quality Payment Program participation pathway for most surgeons. MIPS is composed of four performance categories, which contribute a specified weight to the overall MIPS final score:

The Merit-Based Incentive Payment System (MIPS) is the default Quality Payment Program participation pathway for most surgeons. MIPS is composed of four performance categories, which contribute a specified weight to the overall MIPS final score:

• Quality
• Cost
• Improvement Activities
• Promoting Interoperability

• 2023 is the first year clinicians can elect to participate in MIPS through a MIPS Value Pathway (MVP) and subgroup reporting.
• In 2023, surgeons will have to score a total of at least 75 overall MIPS points to avoid a payment penalty.
• Each MIPS performance category contributes a specified weight to the MIPS final score. The performance category weights are unchanged from 2022 to 2023. See all four category weights below:
• Quality: 30 percent
• Cost: 30 percent
• Improvement Activities: 15 percent
• Promoting Interoperability: 25 percent
• Facility-based clinicians will be eligible for the complex patient bonus even if they do not submit MIPS data. Clinicians can use the QPP Participation Lookup Tool to determine if they meet the facility-based clinician definition.
• The payment adjustment allotted for the 2025 payment year, which is based on 2023 MIPS performance, is +/- 9 percent. Surgeons can receive positive, neutral, or negative payment adjustments based on their MIPS final score. If a surgeon is required to report MIPS in 2023 and chooses not to, they would receive the full -9 percent Medicare payment adjustment in 2025.

Surgeons seeking assistance in planning for 2023 QPP and MIPS participation should e-mail qualityDC@facs.org.