Eligible Clinicians (ECs) and groups participating in the Merit-based Incentive Payment System (MIPS) will earn up to 100 points based upon their performances in four performance categories. Non-participation in MIPS when an individual or group is required to participate may result in those ECs and groups receiving a -9% payment adjustment on their Medicare Part B payments.
In Performance Year 2020, the performance threshold to receive a positive payment adjustment has been increased to 45 points. Individuals and groups scoring below 45 points will receive a negative payment adjustment. Those practices scoring exactly 45 points will receive a neutral adjustment.
2020 Performance Category Weighting are:
ECs and their practices should check their participation status to see if they must report MIPS to avoid a negative adjustment. The participation status will also indicate whether the EC or group has a Special Status designation. Some MIPS eligible clinicians (ECs) and groups may have alternate component weightings or reduced MIPS category requirements based on Special Status designations.