• MIPS 2020—What’s New With the 2022 Bonuses and Penalties

    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.


    Harder to avoid the penalty. Your 2022 payments will be penalized if your 2020 MIPS final score falls below a performance threshold of 45 points (up from 30 points in 2019).

    Maximum penalty will be –9%. If your 2020 MIPS final score falls below 11.25 points (up from 7.5 points in 2019), your 2020 Medicare Part B payments will be subject to the maximum penalty of –9% (up from –7%). 

    Harder to get a bonus. Score above the 45-point threshold and you will earn an initial bonus; score at least 85 points (up from 75 points in 2019), you also will qualify for an exceptional performance bonus. The initial bonus is budget-neutral, and it is funded by the penalties; the second bonus comes out of a separate $500 million–per-year fund.

    2020 MIPS Final Score 2022 Payment Adjustment
    0-11.25 points Maximum penalty of –9%
    11.26-44.49 points Penalty of less than –6.75%*
    45 points Neutral
    45.01-84.99 points Initial bonus**
    85-100 points Initial bonus** + exceptional performance bonus**
    * This 2022 payment penalty is on a sliding scale, peaking at almost –6.75% for a 2020 MIPS final score of 11.26 points.
    ** The two bonuses are on a sliding scale; the higher your 2020 MIPS final score, the higher your 2022 payment adjustment.

    Next: MIPS 2020—What’s New With Quality

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