Slide1 background qpp background

Quality Payment Program (QPP) Support Center

360 Support Learn More

The Deadline to Submit a Targeted Review Request is October 15

9/26/2018

If you participated in the Merit-based Incentive Payment System (MIPS) in 2017, and you believe an error exists in your 2019 MIPS payment adjustment calculation, you can request a targeted review through October 15 at 8:00 PM EDT. 
Your MIPS final score and performance feedback are available on the Quality Payment Program website. The payment adjustment you will receive in 2019 is based on this final score. A positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished under the Medicare Physician Fee Schedule in 2019.
 
On September 13, 2018, the Centers for Medicare & Medicaid Services (CMS) updated MIPS 2017 performance feedback for clinicians affected by scoring issues previously identified through the targeted review process. To ensure that budget neutrality was maintained, as required by MACRA legislation, clinicians may see slight changes in their payment adjustment. Everyone is strongly encouraged to re-check their feedback reports as soon as possible. Please note that targeted review decisions are final and not eligible for further review.
 
The following are examples of circumstances in which a targeted review should be requested:
  • Errors or data quality issues on the measures and activities you submitted
  • Eligibility issues (e.g., you fall below the low-volume threshold and should not have received a payment adjustment)
  • Being erroneously excluded from the APM participation list and not being scored under APM scoring standard
  • Not being automatically reweighted even though you qualify for automatic reweighting due to the 2017 extreme and uncontrollable circumstances policy
To learn more, view the 2017 MIPS Performance Feedback Statement or these resources: