MIPS Financial Impact

Starting in 2019, CMS had allotted an additional $500 million per year through 2022 towards the exceptional bonus pool. With performance scoring only impacting those clinicians with a score greater than 89 points (increased from 85), the potential impact of the MIPS scoring system to clinician reimbursement will be significant. 2022 will be the last year to receive a bonus for being an exceptional performer. MIPS will financially impact Medicare Part B providers by a performance adjustment. This is a negative or positive adjustment solely based on performance.

The adjustment tiers are detailed below:

Performance Year

Payment Year

Penalty

Base Incentives

Exceptional Performance Score Threshold

Exceptional Performance Bonus

Maximum Incentive

2017

2019

-4%

+0.28%

15

+1.59%

+1.88%

2018

2020

-5%

+.29%

70

+1.75%

+2.05%

2019

2021

-7%

+1.11%

75

+.29%

+3.58%

2020

2022

-9%

+9.0%

85

+1.860%

+1.87%

2021

2023

-9%

+9.0%

85

+10.0%

TBD

2022

2024

-9%

+9.0%

89

+10.0%

TBD

To learn how TriumpHealth can help you successfully comply with MIPS requirements and maximize incentives, contact us!