Excerpted from MIPS—What’s New in 2020 for Ophthalmology (EyeNet, January 2020). Also see MIPS 2020: A Primer and Reference, which is being posted online ahead of print.
Your Medicare Part B payments in 2022 may be adjusted up or down depending on your 2020 MIPS final score.
MIPS final score. As in past years, your MIPS final score (0-100 points) is a composite score. It is based on your scores in up to four performance categories, which will have the same default weighting in 2020 as they did in 2019:
- quality score (default weight: 45%)
- promoting interoperability (PI) score (default weight: 25%)
- improvement activities score (default weight: 15%)
- cost score (default weight: 15%)
What the weights mean. If your quality score is weighted at 45%, it can contribute up to 45 points to your MIPS final score. A quality score of 60%, for example, would contribute 27 points (60% of 45 points) to your MIPS final score.
As in 2019, weighting can be adjusted. If you qualify for a PI exception, PI’s weight would be reduced to zero and quality’s weight would be increased from 45% to 70%. Similarly, if you don’t meet the case minimum for any cost measures, cost’s weight would be reduced to zero, and quality’s weight would be increased accordingly.
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