Quality Payment Program 2020: Changes and Requirements (Part II)

AHIMA February 26, 2020
Michael Stearns, MD, CPC, CFPC, CRC

Part II of this five-part series will discuss the current requirements for the MIPS Quality performance categories.

The Centers for Medicare and Medicaid Services (CMS) elected to maintain the quality category weighting at 45 percent in 2020. This figure will impact most MIPS participants. However, certain clinicians and groups may be eligible for reweighting of the Promoting Interoperability (PI) category of MIPS to zero percent (e.g., clinical psychologists and certain other clinician types, hospital-based clinicians, non-patient-facing clinicians, those that claim a PI hardship exception, etc.). For these practices the PI category’s 25 percentage points will be reallocated to the quality category, giving it a weighting of 70...

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