MIPS Scoring and Payment Adjustments

MIPS Final Score

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:

MIPS Payment Adjustments

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 2018 will receive a payment adjustment in 2020 based on 2018 data. For 2017 MIPS participants, a maximum of a 5 percent payment adjustment is possible in calendar year 2020.