MIPS Scoring and Payment Adjustments

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. Each MIPS component is weighted differently in calculating the MIPS final score:

Payment adjustments are applied based on an EC’s performance two years prior to the calendar year. Therefore, an EC who is a MIPS participant in 2017 will receive a payment adjustment in 2019 based on 2017 data. For 2017 MIPS participants, a maximum of a 4 percent payment adjustment is possible in calendar year 2019.