Industry Note: Figure Out 2019 Part B Pay from Updated MIPS Performance Data

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a CMS update to 2017 MIPS performance feedback that affects 2019 Medicare Part B payment adjustments. It is aimed at eligible clinicians and Medicare providers who monitor Quality Payment Program results, review payment impact, and understand the availability and deadline for requesting a targeted review when they believe there is an error in their adjusted payment. The note also references the systems and CMS resources used to access performance data.

Why This Topic Matters

It helps providers and coding/billing teams understand where payment adjustments come from, where to check performance data, and when a review request may be available if payment results appear incorrect.

What You Will Learn

  • What CMS updated in the MIPS performance feedback available on the Quality Payment Program website
  • How the 2017 MIPS final score relates to 2019 Medicare payment adjustments
  • What types of providers may review their data and request a targeted review
  • What deadline CMS gives for requesting a targeted review
  • Where to access the referenced CMS resource

Who Should Read This

  • Eligible clinicians
  • Medicare Part B providers
  • Coding and reimbursement staff
  • Practice administrators
  • Quality reporting teams

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