• MIPS 2020—MIPS Final Score Weighting is Same as in 2019

    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.

    Previous: MIPS 2020—What’s New With Cost

    Next: MIPS 2020—How Do Small Practices Avoid the Payment Penalty?

    DISCLAIMER AND LIMITATION OF LIABILITY: Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that regulators and public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from, any such information provided by the Academy, its employees, agents, or representatives.

    COPYRIGHT© 2020, American Academy of Ophthalmology, Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmic Executives® and IRIS® Registry, among other marks, are trademarks of the American Academy of Ophthalmology.®

    All of the American Academy of Ophthalmology (AAO)–developed quality measures are copyrighted by the AAO’s H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).