Payment Adjustment & Scoring
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How will the MIPS payment adjustment be determined?

Much like the Value Based Modifier (VBM) program that ends in 2017, Merit-Based Incentive Payment System (MIPS) will determine eligible clinicians’ payment adjustments based on how they rank versus their peers in the measures defined by CMS. The score that will be used to determine the performance threshold for MIPS is called the MIPS Composite Performance Score.

Financial Impact Over Time

Minimum and maximum adjustment for full MIPS participation.

Financial Impact over Time
MIPS Performance Categories for Year One (2017)
60 %
25 %
Advancing Care Information
15 %
Improvement Activities
0 %
Cost (starts in 2018)
  • Quality
  • ADvancing care information
  • Improvement Activities
  • Cost
Measure Points + Bonus Points + Bonus for EHR Reporting = Total Points. Total Points / Total Possible Points = Quality Performance Category Score
  • ​Worth 60% of total MIPS CPS
  • Clinicians should choose 6 measures to report
  • If one of those 6 measures is not reported, it will receive 0 points.
  • CMS will add in the scores from two or three measures that it computes for the clinician or group (each worth 10 points)
  • Total Possible Points will either be 60 or 70, depending on whether or not the All-Cause Hospital Readmission measure applies
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