The Big MIPS HAP CMS Finds Errors in MIPS Payment Calculations

Why This Topic Matters

MIPS scoring affects payment adjustments, so even small calculation issues can change financial outcomes and trigger follow-up action through the CMS review process. Understanding the scope of the CMS update helps affected participants decide whether they should review their feedback and consider a targeted review request.

Article Sections

1. CMS announcement and identified scoring issues

   Summarizes the CMS statement about targeted review findings and the general categories of scoring logic issues involved in the 2017 MIPS performance year.

2. Know your score

   Discusses how participants can review MIPS performance feedback in the QPP portal and compare category-level information for possible discrepancies.

3. Scaling factor and budget neutrality

   Explains the relationship between final scores, payment adjustments, and the broader budget-neutral structure of the program.

4. Still want a targeted review?

   Outlines the general targeted review request process, who may submit, and the types of supporting materials that may be needed.

5. Targeted review timing and outcomes

   Covers the review deadline extension and describes how review results and any updated feedback are communicated.