Clip and Save: Review and Dispute MIPS 2018 Data With This Primer

Why This Topic Matters

2018 MIPS feedback can affect Medicare payment adjustments, so reviewing it helps organizations confirm accuracy before final results are accepted. The article is useful for practices working with CMS quality reporting and appeal-like review processes.

Article Sections

1. 2018 MIPS performance feedback and access

   Explains that CMS has released 2018 performance feedback and where users can view the information through the Quality Payment Program and related login systems. It also notes the connection between feedback and Medicare payment adjustments.

2. MIPS APM entity data and model participation

   Summarizes that 2018 data are available for certain MIPS Alternative Payment Model entities and identifies the broad model categories covered. It also describes how feedback is applied at the entity level.

3. Know the targeted review basics

   Introduces the targeted review process for clinicians, groups, virtual groups, and APM participants who believe their final score or feedback contains errors. It outlines the broad categories CMS may consider and the kinds of issues outside the review scope.

4. Consider these five important factors before you submit a targeted review

   Provides general preparation topics for a targeted review submission, including point of contact selection, issue documentation, supporting materials, privacy, and follow-up communication. The section is framed as practical administrative guidance.