Industry Notes: Targeted Review Is Now Available for MIPS Payment Year 2024

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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 industry note summarizes a CMS announcement about the opening of Targeted Review for MIPS payment year 2024, tied to 2022 performance year final scores. It is relevant to MIPS-eligible clinicians, groups, virtual groups, and APM entities that need to understand the review window, the portal-based request process, and the kinds of documentation and account issues CMS may consider. The article focuses on operational guidance and program administration rather than clinical content.

Why This Topic Matters

MIPS participants rely on final score calculations to determine Medicare payment adjustments, so this update affects organizations monitoring score accuracy, submission issues, and review deadlines. It helps readers stay aware of CMS timelines and the general conditions under which a Targeted Review may be requested.

What You Will Learn

  • When CMS opened the Targeted Review period for the relevant MIPS payment year
  • Which MIPS participant types are mentioned as eligible to request a review
  • What general categories of data or account issues may prompt a review request
  • How CMS describes the review request process and documentation expectations
  • What CMS indicates about the finality of Targeted Review decisions

Who Should Read This

  • MIPS-eligible clinicians
  • Medical group practices
  • Virtual groups
  • APM entities
  • Healthcare compliance staff
  • Medical practice administrators
  • Quality reporting personnel

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