BC Advantage - 2020 Issue 3

Risk Adjusted Coding: Improvement Activities and Promoting Interoperability Performance Measures of MIPS 2020

MIPS is the program that will determine Medicare payment adjustments. Using a composite performance score, eligible clinicians (ECs) may receive a payment bonus, a payment penalty, or no payment adjustment. Improvement activities account for 15% of the total MIPS score and promoting interoperability accounts for 25%. Both proportions are unchanged from 2019. If a group is identified as hospital-based, it is eligible when more than 75% of the NPIs in the group meet the definition of hospital-based MIPS eligible clinicians (100% in 2019). The maximum incentive/penalty for 2020 is +9% or -9% applied in 2022. In the Final...

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