tci Medicare Compliance & Reimbursement - 2022 Issue Q3
Industry Notes: Request a MIPS 2021 Targeted Review ASAP
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Article Overview
This article explains that CMS has opened the MIPS 2021 Targeted Review period and that clinicians and other eligible participants should verify their 2021 performance-year data against their records. It is relevant to Medicare quality reporting stakeholders who need to understand the review window, the general reasons reviews may be requested, and where the process is handled within the Quality Payment Program portal.
Why This Topic Matters
It helps practices and billing teams recognize a limited opportunity to correct potential MIPS score or payment-adjustment issues before the review window closes, which can affect later Medicare payment adjustments. The article is most useful for clinicians, group administrators, and quality reporting staff tracking CMS program timelines and account data accuracy.
What You Will Learn
- How the 2021 MIPS Targeted Review period fits into the CMS reporting cycle
- What kinds of account or data discrepancies may prompt a review request
- Which eligible MIPS participants can submit review requests
- Where to access the review process within the CMS portal
- Why verifying performance-year information matters for later payment adjustments
Who Should Read This
- MIPS-eligible clinicians
- Medical group administrators
- Quality reporting staff
- Revenue cycle and reimbursement professionals
- Medicare compliance teams
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