MIPS Financial Impact

Starting in 2019, CMS has allotted additional $500M per year through 2022 towards the exceptional bonus pool. With performance scoring only impacting those clinicians with a score greater than 85 points, the potential impact of the MIPS scoring system to clinician reimbursement will be significant. MIPS will financially impact medicare part 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

Exceptional Performance

Score Threshold

Maximum Incentive

2019

2021

-7%

75

+3.58%(predicted)

2020

2022

-9%

85

Less than 9 %

2021

2023

-9%

85

Less than 9 %

2022

2024

TBD

TBD

TBD

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