MIPS 2018—Cost: Calculating Your Cost Score
This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page.
If you meet the case minimum for both cost measures, you will have scored up to 10 points for the Total Per Capita Cost measure and up to 10 points for the Medicare Spending Per Beneficiary measure.
CMS will divide the sum of those scores by 20, and turn the resulting fraction into a percentage.
If you meet the case minimum for just 1 cost measure, CMS will divide your score for that measure by 10, and turn the resulting fraction into a percentage.
Your cost score contributes up to 10 points to your MIPS final score.
Note: If you don’t meet the case minimum for both of the cost measures, cost’s contribution to your final score will be reweighted to zero, and quality’s contribution will be reweighted upward (see Table 3: Reweighting the Performance Categories).
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