This blog post is a continuation of my discussion on MIPS, the so called “quality” program for Medicare.
2018 reporting and performance will reflect on year 2020 medicare payments (similarly, 2017 performance reflects on year 2019 payments). The penalty has increased from 4% for last year’s reporting to 5%. Next year it will be 7% and then 9%.
The threshold for negative 5% adjustment is 15 points on the MIPS 0-100 scale. If you get over 15 points you won’t be penalized. Last year it was three points, all you had to do was submit one piece of data. The threshold for high performance remains at 70 points (more on this below).
The reporting period is now one year rather than 90 days.
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