The Merit-Based Incentive Payment System (MIPS) is a program that will determine Medicare payment adjustments. Using a composite performance score, eligible professionals (EPs) may receive a payment adjustment applied to Medicare Part B claims.
The final score is based on four performance categories:
The points allocated for each category will shift over time.
Performance for MIPS will start on January 1 - December 31 and will annually measure eligible providers in four performance categories to derive a MIPS Score (0 to 100). The MIPS score can significantly impact a provider’s Medicare payments from a -9% penalty up to a 9% increase.