BC Advantage - 2020 Issue 1

Risk Adjusted Coding: A Closer Look at MIPS Implementation in 2020

There are four components to the Medicare Incentive Payment System (MIPS): Quality (45% of total score), Promoting Interoperability (25% of score), Improvement Activities (15% of score), and Cost (15% of score).The Final Rule, published November 15, 2019, will take effect on January 1, 2020. The clinician's eligibility for MIPS will not change for CY 2020. The exemption also remains with the low volume threshold and eligible clinical participants. Cost is calculated from claims submitted and is based on two parts: cost measures that assess the beneficiary's total cost per capita of care (TPCC) during the year, or...

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