Quality performance: Clinicians will need documentation to miscalculation of their MIPS score

Why This Topic Matters

MIPS payment adjustments can affect Medicare reimbursement, and this article helps readers understand the documentation expectations and review timeline involved in disputing CMS calculations.

Article Sections

1. Targeted review overview

   Introduces the CMS review process for MIPS payment calculations and the overall purpose of the fact sheet.

2. Reasons a review may be requested

   Summarizes the general categories of situations in which a clinician or group may seek review of a MIPS calculation.

3. Documentation and follow-up

   Covers the kinds of supporting materials CMS may request and the timeline for responding during the review process.

4. Examples of supporting documentation

   Lists broad examples of records and agreements that may be used to support a review request.

5. Finality of decisions

   Notes that targeted review outcomes are final and not subject to further review.