ED Coding & Reimbursement Alert - 2021 Issue 11
Industry Notes: Lackluster MIPS 2020 Data Causes Cost Category Reweighting
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Article Overview
This article covers a CMS update to the Merit-Based Incentive Payment System (MIPS) for performance year 2020, focusing on a change in how the cost category is weighted after the agency reviewed available data. It is relevant to clinicians, practices, and coding or compliance teams that follow MIPS policy updates and CMS guidance. The piece summarizes the general reason for the adjustment and notes that the change is handled through CMS administrative claims data.
Why This Topic Matters
MIPS participants need to stay current on CMS policy changes that can affect performance scoring and reporting expectations. Understanding category reweighting helps practices track program updates and assess how Medicare quality payment rules may impact them.
What You Will Learn
- What CMS announced regarding the 2020 MIPS performance year
- Why the cost category was reweighted
- How the update relates to CMS data availability
- Whether providers need to take any action
Who Should Read This
- Physicians and clinicians participating in MIPS
- Practice administrators
- Medical coding and compliance professionals
- Healthcare reimbursement and quality reporting staff
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