2017 MIPS Performance Feedback and Payment Adjustment Update

If you submitted 2017 Merit-based Incentive Payment System (MIPS) data through the Quality Payment Program website, you can now view your performance feedback and MIPS final score.

CMS originally displayed a single payment adjustment amount, which included an additional adjustment for exceptional performance available to MIPS eligible clinicians and groups with a final score of 70 or greater. However, based on feedback from various clinicians and groups, we have updated the system so that your MIPS payment adjustment, and if applicable, your additional adjustment for exceptional performance, are now displayed separately. The system will continue to display your total MIPS payment adjustment, which is a sum of your MIPS performance and exceptional performance.

How to Access Your Final Score and Feedback

You can access your 2017 MIPS performance feedback and final score by:

Going to the Quality Payment Program website
Logging in using your Enterprise Identity Management (EIDM) credentials; if you don’t have an EIDM account, refer to this guide

Upcoming Office Hours

CMS will be hosting an office hours session on August 14 to provide a brief overview of MIPS 2017 performance feedback and targeted review and to answer frequently asked questions.

Title: Performance Feedback and Targeted Review Office Hours Session

Date: Tuesday, August 14, 2:00 – 3:00 p.m. ET

Register: https://meetingconnect.webex.com/meetingconnect/onstage/g.php?MTID=e91df49e0f68fa7073866f0307f82b53b

Resources

Questions?

If you have questions about your performance feedback or MIPS final score, please contact the Quality Payment Program by:

Phone: 1-866-288-8292/TTY: 1-877-715-6222 or
Email: QPP@cms.hhs.gov

Quality Payment Program Exception Applications are Now Available on QPP.CMS.GOV

The 2018 Quality Payment Program Exception Applications for the Promoting Interoperability (PI) performance category and for Extreme and Uncontrollable Circumstances for the Merit-based Incentive System (MIPS) are now available on the Quality Payment Program website.

Promoting Interoperatability Hardship Exceptions

If you’re participating in MIPS during the 2018 performance year as an individual, group, or virtual group—or participating in a MIPS Alternative Payment Model (APM)—you can submit a Quality Payment Program Hardship Exception Application for the PI performance category, citing one of the following specified reasons for review and approval:

MIPS-eligible clinicians in small practices (new for 2018)
MIPS-eligible clinicians using decertified EHR technology (new for 2018)
Insufficient Internet connectivity
Extreme and uncontrollable circumstances
Lack of control over the availability of certified electronic health record technology (CEHRT)

An approved Quality Payment Program Hardship Exception will:

Reweight your PI performance category score to 0 percent of the final score
Reallocate the 25 percent weighting of the PI performance category to the Quality performance category

Please note that simply not using CEHRT does not qualify you for reweighting of your PI performance category.

You must submit a hardship exception application by December 31, 2018 for CMS to reweight the PI performance category to 0 percent.

Extreme and Uncontrollable Circumstances

MIPS eligible clinicians who are impacted by extreme and uncontrollable circumstances may submit a request for reweighting of the Quality, Cost, and Improvement Activities performance categories.

"Extreme and uncontrollable circumstances" are defined as rare events (highly unlikely to occur in a given year) entirely outside your control and the facility in which you practice.

These extreme and uncontrollable circumstances would cause you to be unable to collect information necessary to submit for a performance category, or to submit information that would be used to score a performance category for an extended period of time (for example, 3 months unable to collect data for the Quality performance category). In your application, you must indicate the performance categories that were subject to an extreme and uncontrollable circumstance and how the circumstance affected your ability to collect or submit data for the 2018 MIPS performance year.

The application for extreme and uncontrollable circumstances must be submitted by December 31, 2018 for the 2018 MIPS performance year.

For More Information: