tci Medicare Compliance & Reimbursement - 2019 Issue Q3
Quality Payment Program: Feds Rework MIPS Policies Again For 2020
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Article Overview
This article summarizes proposed 2020 updates to the CMS Quality Payment Program, with emphasis on MIPS policy changes in the Medicare Physician Fee Schedule proposed rule. It is aimed at clinicians, practice managers, and coding/reimbursement professionals who track federal payment policy and compliance requirements. The discussion covers performance thresholds, potential payment adjustments, category weight changes, Improvement Activities participation expectations, and CMS’s reported Final Score analysis.
Why This Topic Matters
The proposed changes may affect how practices perform under MIPS and understand future Medicare payment adjustments, making it important for organizations that participate in the Quality Payment Program to monitor policy shifts and comment deadlines.
Article Sections
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See What’s on the MIPS 2020 Proposal Agenda
Introduces the major topics in the 2020 proposed rule and frames the policy changes discussed in the article.
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Performance threshold
Covers CMS’s proposed changes to MIPS performance thresholds and the broader context for future payment adjustments.
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Penalty increase
Summarizes the proposed increase in the maximum negative payment adjustment for the relevant performance year.
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Category reweighting
Reviews the proposed redistribution of MIPS category weights across future years and notes how category scoring may shift.
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Improvement Activities
Describes proposed updates related to Improvement Activities participation expectations for MIPS-eligible clinicians.
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MIPS Final Score analysis
Presents CMS’s reported Final Score trends and commentary on the observed changes over multiple performance years.
What You Will Learn
- How CMS is proposing to adjust MIPS participation and scoring for 2020 and beyond
- Which areas of the Quality Payment Program are being reweighted or revised
- What the article says about future payment adjustment trends and reported score patterns
- How the proposed rule may affect practices that participate in MIPS
Who Should Read This
- Physicians
- Practice managers
- Quality Payment Program participants
- Medical billing and reimbursement professionals
- Healthcare compliance staff
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