Review Period Extended to Oct. 15 for Medicare MIPS Performance Scores

Posted on October 04, 2018

The Centers for Medicare & Medicaid Services (CMS) recently updated the 2017 Merit-based Incentive Payment System (MIPS) performance scores for some clinicians, based on issues that providers identified in their performance feedback data.

The CMS launched a targeted review process allowing clinicians to request a MIPS payment adjustment factor review if they believe there is an error. In response to provider requests, the agency reviewed the scoring logic, identified errors in three 2017 MIPS performance components, and subsequently extended the targeted review deadline to Oct. 15. The components containing errors include:

  • Advancing Care Information and Extreme and Uncontrollable Circumstances hardship exceptions.
  • Improvement Activity credit for successful participation in the Improvement Activities Burden Reduction Study.
  • Addition of the All-cause Readmission.

The performance scores will be used to adjust Medicare fee-for-service payments starting Jan. 1, 2019. The 2017 performance scores for clinicians who were affected by the identified issues were corrected and the 2019 payment adjustments recalculated. Providers who were not directly affected by these changes may also experience a slight change to their payment adjustment factor as a result of an update to the budget-neutrality factor, as required by the Medicare Access and CHIP Reauthorization Act of 2015, also known as MACRA.

Hospitals and employed physicians are encouraged to review their performance feedback and determine if a targeted review request should be made by the Oct. 15 deadline. Resources are available to help clinicians understand the performance feedback and targeted review process. MHA members with questions should contact Jason Jorkasky at the MHA.

Tags: Medicare, MIPS, performance scores, Oct. 15, errors

Posted in: Member News

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