Posted on July 13, 2022
The Centers for Medicare & Medicaid Services (CMS) recently announced the opening of the Final Score Preview period for the Merit-based Incentive Payment System (MIPS). During this new phase of the MIPS performance feedback period, clinicians, groups and Alternative Payment Model (APM) Entity representatives can preview their 2021 final MIPS scores. CMS plans to release the final MIPS performance feedback and payment adjustment information later this summer and notes that scores can change between now and August if any issues are identified during the Final Score Preview that require scoring updates.
Information Available During the Final Score Preview Period
The MIPS Final Score Preview will give clinicians, groups and APM entities an opportunity to review their final MIPS score associated with their 2021 reporting in the traditional MIPS program or the APM Performance Pathway (APP). The new preview period is intended to help CMS identify any potential issues before calculating payment adjustments.
The final score is the sum of the performance category scores and any points awarded for the complex patient bonus. The 2021 final MIPS score will determine an individual clinician or group’s 2023 MIPS payment adjustment.
Information that is available during the preview period includes:
- Performance category-level scores and weights
- Bonus points
- Measure-level performance data and scores
- Activity-level scores
According to CMS, payment adjustment information and access to patient-level reports for administrative claims cost and quality measures will not be available until August. Once the payment adjustment information is available, there will be a 60-day targeted review period. Clinicians will be able to request a review of their MIPS payment adjustment calculation during the targeted review process.
It’s important to note that the scores could change between now and August if CMS identifies any issues during the MIPS Final Score Preview period that require system-wide scoring changes.
How to Preview Your MIPS Final Score
Clinicians and authorized representatives of practices and APM Entities (including Shared Savings Program ACOs), can access the MIPS Final Score Preview by logging into the Quality Payment Program website and clicking "Preview Final Score” on the home page.
MDinteractive can assist clinicians with accessing their final MIPS score and interpreting the results if they have an MDinteractive account.
- If you previously granted us permission to access your reports, we have already uploaded them to your MDinteractive account. Just click the green “QPP Performance Feedback” icon on your MIPS dashboard then click “2021 QPP Feedback” to view your preliminary 2021 results now.
- If you have not already given us access, please follow the steps below:
Steps to Grant MDinteractive Permission to Obtain Your Reports:
|New Requests||Pending Requests*|
Log into your MDinteractive account at www.mdinteractive.com
|Log into your MDinteractive account at www.mdinteractive.com|
|Click on the blue "QPP Performance Feedback" icon on your dashboard.||Click on the yellow “QPP Performance Feedback" icon on your dashboard.|
|Complete the steps.||Complete the steps.|
*A yellow “QPP Performance Feedback” button on your dashboard means the request is pending.
Important: If your practice has several users with QPP accounts, only the user with the role “Security Official” will receive an email from QPP to give permission to MDinteractive to access your performance feedback report.
Individual clinicians in the APM Entity can preview their final score from the APM Entity if they have the clinician role or have been approved as a staff user for the APM Entity. Representatives of Shared Savings Program ACO Participant TINs and practices with clinicians receiving their APM Entity’s final score won’t be able to access the APM Entity’s performance feedback unless they have been approved as a staff user for the APM Entity.
Qualifying APM Participants (QPs) will not receive a MIPS payment adjustment based on these MIPS scores, but will instead receive the 5 percent Advanced APM incentive payment.
For example, a clinician that participated in the Primary Care First Program in 2021 will not get a MIPS penalty based on a “low” MIPS score of 48.41 MIPS points but will receive a 5% incentive payment.
How COVID-19 May Impact Your Results
CMS continued several policies for the 2021 performance period in response to the COVID-19 pandemic.
CMS again applied the MIPS automatic extreme and uncontrollable circumstances (EUC) policy to all MIPS eligible clinicians participating in MIPS as individuals for the 2021 performance period.
- Clinicians who didn’t submit any data, or who only submitted data in one performance category, will automatically receive a neutral payment adjustment in 2023.
- Any performance category for which an individual clinician didn’t submit data is weighted at 0% for the 2021 performance year.
CMS also extended the EUC application deadline to March 31, 2022.
- Groups were able to request reweighting of one or more performance categories to 0% (data submission overrode performance category reweighting on a category-by-category basis).
- APM Entities were required to request reweighting of all performance categories and data submission didn’t override reweighting.
CMS reweighted the Cost category from 20% to 0% for the 2021 performance period for all MIPS eligible clinicians regardless of participation as an individual, group, or APM Entity. The 20% cost performance category weight was redistributed to other performance categories.
When “N/A” is listed in the performance feedback instead of a score for a performance category, this means that the category was reweighted to 0% of your final score.
- MIPS eligible clinicians who submitted some data as individuals will see “N/A” for every performance category for which they didn’t submit data (due to the automatic EUC policy).
- Groups will see “N/A” for every performance category they selected in an approved COVID-19 EUC application, unless data was submitted for that category.
The tables below display the 2021 performance category reweighting policies.
Reweighting for individual clinicians under the 2021 MIPS automatic EUC policy:
Reweighting for groups with an approved EUC application for the 2021 performance year:
What You Should Do if You Have Questions or Concerns
CMS encourages clinicians to contact the QPP Service Center if they believe there’s an error with information displayed during the MIPS Final Score Preview period. The QPP Service Center is open Monday-Friday from 8 a.m. - 8 p.m. EST at 1-866-288-8292 or by e-mail at QPP@cms.hhs.gov.
CMS has said that issues raised during the MIPS Final Score Preview period aren’t part of the normal targeted review process. The targeted review process, which will begin after the final performance feedback and payment adjustment information is released later this summer, will allow clinicians to request a review of their MIPS payment adjustment calculation.
Clinicians should check their 2021 MIPS scores during the Final Score Preview period. According to CMS, scores could change between now and August when the final performance feedback and payment adjustment information will be released. Clinicians can contact MDinteractive if they need assistance with accessing their final MIPS scores or interpreting the results.
2021 Final MIPS Score Preview 2021 Final MIPS Scores