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CMS Announces Extended Targeted Review Deadline, Change in MIPS Performance Feedback

Due to the number of targeted review requests received, the Centers for Medicare & Medicaid Services (CMS) has taken a closer look at several prevailing concerns with the calculation of Merit-based Incentive Payment System (MIPS) final scores and payment adjustments. Those concerns include:

  1. Application of the 2017 Advancing Care Information (ACI) and Extreme and Uncontrollable Circumstances Hardship Exceptions
  2. Awarding of Improvement Activity (IA) credit for successful participation in the IA Burden Reduction Study
  3. Addition of the All-Cause Readmission (ACR) measure to the MIPS final score.

CMS reviewed the concerns, identified a few errors in the scoring logic and implemented solutions. Addressing and correcting these issues resulted in changes to the 2017 MIPS final score and associated 2019 MIPS payment adjustment for clinicians affected by the identified issues. To maintain budget neutrality – required by law under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) – some clinicians will see slight changes in their payment adjustment. These revisions were made to the performance feedback on the Quality Payment Program website on September 13, 2018.

We encourage all eligible clinicians to sign in to the Quality Payment Program website as soon as possible to review your performance feedback. Click here to read the CMS announcement.

If you believe an error still exists with your 2019 MIPS payment adjustment calculation, the targeted review process is still available. CMS has extended the deadline for submitting a targeted review to October 15, 2018 at 8pm (EDT).

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