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 |