Check your final MIPS scores for the 2023 performance year, available on the QPP website. Should an error be found, the deadline to request a review is Oct. 11 at 7 pm CT.
The Centers for Medicare & Medicaid Services (CMS) also reminds MIPS participants that there is no exceptional performance adjustment for the 2023 performance year as “congressional funding for the additional adjustment for exceptional performance expired after the 2022 performance year/2024 payment year.” (It is not likely anyone will notice this change since the bonus for exceptional performance in the past was usually less than 2%.) Remember that both bonuses and penalties lag two years behind the performance year. That means if you get a penalty in 2023, you won’t “feel it” until 2025. The same is true for those incredibly small bonus payments.
To access your final score, performance feedback, and payment adjustment, log in to the Quality Payment Program (QPP) website using your HCQIS Access Roles and Profile (HARP) system credentials, the same login information you used to submit your 2023 MIPS data.
Physicians who participated in a MIPS alternative payment model or Medicare Shared Savings Accountable Care Organization also can access performance feedback through the website using their HARP account.
If you believe you’ve found an error in your scoring, you can request a “targeted review” by the Oct. 11 deadline, through which CMS reviews the calculation of MIPS payment adjustment factors, and which may require support documentation. While not comprehensive, CMS lists the following circumstances as examples warranting review:
- Data were submitted under the wrong tax identification number or National Provider Identifier.
- You have Qualifying APM Participant status and shouldn’t receive a MIPS payment adjustment.
- Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances.
Check out the following CMS resources for more information:
- Quality Payment Program (QPP) website
- 2023 MIPS Performance Feedback FAQs
- Targeted Review User Guide
- QPP Exception Applications Webpage
Caroline
