Quality, Coding & Documentation Committee (QCDC)
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2023 MIPS Final Score Preview Now Available
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2023 MIPS Final Score Preview Now Available
2023 MIPS Final Score Preview Now Available
The Centers for Medicare & Medicaid Services (CMS) has opened the Final Score Preview period for the Merit-based Incentive Payment System (MIPS). Authorized representatives of practices, virtual groups, and Alternative Payment Model (APM) Entities can now sign into the Quality Payment Program (QPP) website to preview MIPS final scores for the CY 2023 performance period (2023 MIPS final scores).
The MIPS Final Score Preview period is available until final performance feedback, including payment adjustments, is released in August 2024.
What Is the MIPS Final Score Preview Period?
The MIPS Final Score Preview period provides clinicians with the opportunity to preview their final score prior to the release of payment adjustment information. As a reminder, your 2023 MIPS final score is what will determine your 2025 MIPS payment adjustment.
We encourage you to sign in and preview final scores now and to contact the QPP Service Center with questions or concerns.
What Data Are Available During the Final Score Preview Period?
During the Final Score Preview, performance feedback displays data associated with the highest final score that could be attributed to the clinician, group or APM Entity, and all the data required to calculate final scores, which includes:
• Performance category-level scores and weights
• Bonus points
• Measure-level performance data and scores
• Activity-level scores
You’ll also have the opportunity to review supplemental reports for administrative claims-based measures for the quality and cost performance categories.
• As a reminder, Final Score Preview doesn’t include payment adjustment information.
Who Can Access MIPS Final Score Preview?
MIPS Final Score Preview is accessible to clinicians and authorized representatives of practices, virtual groups, and APM Entities (including Shared Savings Program ACOs), whether they reported traditional MIPS, a MIPS Value Pathway (MVP), or the APM Performance Pathway (APP).
• Practice representatives with the Staff User or Security Official role can preview MIPS final scores from individual, group and subgroup participation (depending on how the practice participated).
• APM Entity representatives with the Staff User or Security Official role can preview MIPS final scores for their APM Entity.
• If you’re a Medicare Shared Savings Program Accountable Care Organization’s (ACO) QPP Security Official or QPP Staff User contact in the ACO Management System (ACO-MS), then you can preview the ACO’s MIPS final score by signing in to the QPP website using your ACO-MS username and password.
• Virtual group representatives with the Staff User or Security Official role can preview MIPS final scores from virtual group participation.
• Individual clinicians with the Clinician role can preview their final score from individual, group, virtual group, or APM Entity participation.
Please review Appendix C of the 2023 MIPS Final Score Preview FAQs (PDF, 3MB) for more information about what you can and can’t see during the MIPS Final Score Preview period based on your access.
How Do I Access Performance Feedback to Preview MIPS Final Scores?
• Sign in to the Quality Payment Program website
• Click “Preview Final Score” on the home page
o Acknowledge that you understand scores can change.
• Select your organization (Practice, APM Entity, Virtual Group)
o Practice representatives can access both individual and group feedback through the practice organization.
Can My Scores Change During the Final Score Preview Period?
Yes, scores could change between now and August if we identify any issues during the MIPS Final Score Preview period that require system-wide scoring changes.
What If There’s an Error with the Data Displayed During the MIPS Final Score Preview Period?
Please contact the QPP Service Center if you believe there’s an error with information displayed during the MIPS Final Score Preview period. Contact the QPP Service Center (Monday-Friday, 8 a.m. – 8 p.m. ET) at 1-866-288-8292 (TRS: 711) or by e-mail at: QPP@cms.hhs.gov.
When Will MIPS Payment Adjustments Be Available?
We anticipate that final performance feedback, including MIPS payment adjustment information, will be available in August 2024.
Additional Resources
• 2023 Final Score Preview FAQs (PDF, 3MB)
• 2023 Final Score Preview Supplemental Reports (PDF, 824KB)
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2 Replies
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Once we have our scores, who do we contact to verify we have been paid our +Payment adjustment? This was based on the “bonus pool” methodology was it not? If so who do we contact to see how much our adjustment should be if it is not the full amount listed under the “Total Payment Adjustment” column?
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The payment adjustment is not available at this time and won’t be available until mid-August. This is simply a preview period to help CMS identify any potential issues with performance scores before it calculates payment adjustments. EDPMA will alert its membership when performance adjustment amounts are available, and when CMS releases more specific instructions regarding who to contact. In regard to the “bonus pool methodology,” if you are referring to the “exceptional performance” bonus pool, the 2022 performance year was the last year to qualify for that bonus. Starting with the 2023 performance year, that extra pool of funding is no longer available.
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