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Quality Payment Program (QPP) Support Center

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The MIPS Payment Adjustments Will Change in 2018: Ideas for How to Meet the New Threshold

4/23/2018

 In 2017, the MIPS maximum payment adjustment was +/- four percent. The number of MIPS eligible clinicians (ECs) who did not report will determine how much the positive payment adjustment is for those that did report and have a MIPS score greater than three.

In 2018, the MIPS maximum payment adjustment increased to +/- five percent.
 
Additionally, the threshold bar increased to 15 points. This means that MIPS ECs will need to report more measures to avoid a penalty.

Examples of how to meet the 15 point threshold include:
  • Report Improvement Activities to earn 40 points OR
  • Report the Advancing Care Information base measures plus submit one Quality measure that meets data completeness OR
  • Report the Advancing Care Information base measures plus submit one medium-weight Improvement Activity OR
  • Report 6 Quality measures that meet data completeness criteria (large practices with > 15 clinicians) OR
  • Report 6 Quality measures that do not meet data completeness criteria (small practices with 15 or fewer clinicians)