Physicians Practice September 26, 2019
The Centers for Medicare & Medicaid Services (CMS) recently announced that 98.4 percent of eligible clinicians participated in the second year (2018) of Merit-based Incentive Payment System (MIPS) reporting — and that 97.6 percent of those earned a positive payment adjustment.
While the initial successes of 2018 and 2017 sound impressive, there’s a hard truth going forward: MIPS reporting just got a lot more difficult for physicians and other providers in 2019 and promises to get even more difficult in 2020.
The agency has increased the performance threshold for “positive financial adjustment” and the threshold for “exceptional” performers has been raised from 70 to 75, meaning physicians will have to do more to earn the designation of top performers. The...