CMS Updates the 2017 MIPS Final Scores and Payment Adjustments

On September 13, 2018, CMS announced that it updated the 2017 MIPS performance feedback results.  This was initially released in July, but as a result of some targeted review requests from clinicians, groups and certain APMs (Alternative Payment Models), some final MIPS scores posted in July 2017 did not accurately reflect some of the scoring modifications.  CMS noted they immediately saw the issue and posted the revised scores on September 13.  “Targeted Review” is the process whereby appeals to MIPS results are made.  As a result of this change, some practices may have changes (upwards or downwards) to their 2019 payment adjustments.  All practices should visit the site to ensure they are aware of any changes to their scoring and payment adjustment.  If you disagree with your scoring, you should immediately file an appeal via Targeted Review.

CMS also extended the deadline for MIPS participants (clinicians, groups, APMs) to appeal their performance feedback (scoring) via Targeted Review.  CMS also has a “Targeted Review User Guide” which is available at this link.  The new deadline for Targeted Review appeal is October 15, 2018 at 8:00 PM Eastern time.

CMS also notes that to check your scores, you login to the QPP portal (using your EIDM account and password), at this link.  As we a posted in a July 5, 2018 Webnews, in order to view your 2017 Performance Feedback information which shows your scores and payment adjustment, you need to be (1) a provider with direct access of your own or (2) have an assigned role within the provider Enterprise Identity Management (EIDM) account since the QPP website uses these same credentials and two-factor authentication.

We are happy to assist providers and groups in any way with other topics including proper code selection, chart reviews, payer actions, and can also provide training on these or other subjects.  Please contact us via one of the below links or on our “App”, Corcoran 24/7, which can be accessed via one of the links below. (800) 399-6565

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