On September 27, 2021, the Centers for Medicare and Medicaid Services (CMS) announced changes to the 2020 MIPS performance feedback and 2022 payment adjustment amounts. In light of these changes, CMS is extending the deadline to file appeals -- known as targeted reviews -- to November 29, 2021 at 8 pm EST.
Many clinicians will see their total bonus amount go down because the corrections resulted in higher 2020 MIPS scores for those impacted by the errors, thereby increasing the number of clinicians among whom the bonus monies must be split.
This announcement comes in recognition of two widespread errors CMS found in score calculations during the targeted review process.
Specifically, CMS corrected errors related to the complex patient bonus and patient-reported outcome measures:
Complex Patient Bonus Correction: Medicare Shared Savings Program (MSSP) ACOs were missing the complex patient bonus, therefore CMS corrected the error by adding the complex patient bonus to their final scores. This affected all MSSP ACOs that had MIPS eligible clinicians.
Patient-Reported Outcome (PRO) Measure Correction: CMS’s system failed to recognize PRO measures as outcome measures. CMS remedied this error by allowing these measures to serve as the required outcome measure or, as appropriate, by adding two high priority bonus points for these measures in the Quality category.
Impact on Payment Adjustments
Next Steps
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