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The Merit-based Incentive Payment System (MIPS) is in the third performance year in 2019. Eligible clinicians will be subject to upward, neutral, or downward payment adjustments in 2021 based on their performance this year in four performance categories: quality, cost, promoting interoperability (formerly advancing care information), and improvement activities. Each MIPS performance category is weighted to contribute to your final MIPS score, which is calculated out of 100 points. Scoring 30 points or higher will avoid a 7% penalty, while higher scores may qualify for a modest bonus.

2019 MIPS Resources

MGMA Member-Benefit Resources:

  • Analysis: Final 2019 Medicare Physician Payment and Quality Reporting Changes
  • Comparison of 2018 and 2019 MIPS policies
  • Help educate your practice on MIPS 2019 reporting using MGMA’s 2019 MIPS/APMs resource slides
  • Have questions about how 2019 MIPS payment adjustements are applied? Download MGMA's resource answering top member questions

Centers for Medicare & Medicaid Services Resources:

  • Measures with substantive changes finalized for the 2019 performance/2021 MIPS payment year. Refer to the measure specification and benchmark files on the QPP Resource Library website for further information about how these changes may impact reporting.
  • MIPS Eligibility Look-Up Tool – Determine if your group is required to participate in MIPS in 2019

2018 MIPS Resources

MGMA Member-Benefit Resources:

  • Comparison of 2017 and 2018 MIPS policies
  • In an MSSP ACO? Download these FAQs to learn how the MSSP intersects with MIPS reporting obligations
  • Help educate your practice on MIPS 2018 reporting using MGMA’s 2018 MIPS/APMs resource slides
  • Discuss strategies to succeed in MIPS with fellow MGMA members and expert MGMA Government Affairs staff on the MIPS/APMs online member community

Centers for Medicare & Medicaid Services Resources:

  • MIPS results – Review your group’s score and how it will impact your Medicare reimbursement 
  • Resource Library – Access official CMS resources, including measures, benchmarks, and reporting details