HealthIT Answers November 18, 2021
HHS/ONC/CMS Communications

The Centers for Medicare & Medicaid Services (CMS) (@CMSGov) published the CY 2022 Medicare Physician Fee Schedule (PFS) Final Rule, which includes the final policies for the 2022 performance year of the Quality Payment Program (QPP). The rule affects traditional MIPS, MIPS Value Pathways (MVPs), the APM Performance Pathway (APP), Advanced APMs, and the Medicare Shared Savings Program (Shared Savings Program).

2022: QPP Final Rule Highlights

Key QPP policies in the 2022 performance year include:

  • Revising the definition of a MIPS eligible clinician to include social workers and certified nurse mid-wives.
  • Setting the MIPS performance threshold at 75 points and the exceptional performance threshold at 89 points.
  • Weighting the cost and quality performance categories equally (as statutorily required) at...

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