E/M Coding Alert - 2022 Issue 9
Industry Notes: CMS Updates Cost Category for MIPS 2021
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Article Overview
This article summarizes a CMS email alert about changes to the MIPS cost performance category for the 2021 performance year and the associated 2023 payment year. It explains the policy context, including COVID-19 impacts, extreme and uncontrollable circumstances policies, and how the update applies across clinician reporting structures. The piece is aimed at professionals tracking Medicare quality payment policy, MIPS reporting, and CMS performance feedback timelines.
Why This Topic Matters
The update affects how MIPS performance is measured and how clinicians, groups, and virtual groups are assessed for the relevant reporting period. It is important for organizations monitoring Medicare payment program changes and the timing of performance feedback.
What You Will Learn
- How CMS is handling the MIPS cost performance category for the 2021 performance period
- Why CMS issued the update in relation to COVID-19 and performance measurement
- How the policy relates to different MIPS reporting structures
- When related performance feedback is expected to become available
Who Should Read This
- Physicians and other MIPS-eligible clinicians
- Medical group practices
- Virtual group practices
- Coding and reimbursement professionals
- Healthcare compliance and quality reporting staff
- Practice administrators
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