CMS Releases 2024 Performance Year MIPS Payment Adjustment Information

On October 15, the Centers for Medicare & Medicaid Services (CMS) released the Merit-Based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year. This payment adjustment is determined by the final MIPS score a surgeon received in performance year 2024 relative to the performance threshold of 75 points. 

It is important that surgeons review their payment adjustment information in a timely manner to ensure the information aligns with their performance year data. If they believe there is an error in the calculations of the final MIPS score and MIPS payment adjustment factor, surgeons can request a targeted review now until November 14 at 8:00 pm ET. 

Through the targeted review process, individual clinicians, groups, subgroups, virtual groups, APM Entities, designated support staff, and authorized third party intermediaries can request that CMS review their final MIPS score and MIPS payment adjustment factor.

To access their MIPS payment adjustment information or request a targeted review, surgeons should:

• Sign in to the Quality Payment Program website using the same credentials that allowed them to submit 2024 MIPS data and check their 2024 MIPS final score.
• To access MIPS payment adjustment information, click “View Feedback” on the home page and select their organization (Practice, Alternative Payment Model (APM) Entity, Virtual Group).
• To request a targeted review, click “Targeted Review” on the left-hand navigation. 

CMS may require documentation to support the targeted review request. A CMS representative will contact a requestor if necessary. The federal government shutdown will not affect the ability to submit a targeted review request, but it may affect the Agency’s response time.

For more information, visit the QPP Resource Library or contact QualityDC@facs.org.