The CMS has finally opened the Final Score Preview period for the Merit-based Incentive Payment System, after a long wait. Now authorized practice representatives, virtual groups, and other Alternative Payment Model (APM) Entities can easily sign into the (QPP)’s website and preview the final score of MIPS 2021. This preview of MIPS Final Score Preview is available until August 2022 when the final performance feedback is released along with the payment adjustments
What Is the MIPS Final Score Preview Period?
It is a new phase of MIPS performance feedback that provides the opportunity to clinicians to preview their final score before the payment adjustment information is released. So your 2023 MIPS payment adjustment will be determined by your 2021 MIPS final score.
The purpose of Final Score Preview period is to improve the feedback process on the basis of experiences from prior performance years and provide more transparent communication. We want to ensure that your final scores are accurate and potential issues are identified before calculation of payment adjustments.
- Sign in and preview final scores now and contact the QPP Service Center in case of queries or concerns.
Data Availability during Final Score Preview Period
During the Final Score Preview period, all the data related to the highest final score that could be attributed to the clinician is displayed by performance feedback. Also all the data required to calculate final scores is also available, which includes:
- Performance category-level scores and weights
- Bonus points
- Measure-level performance data and scores
- Activity-level scores
The only thing that is not available during Final Score Preview is payment adjustment information or patient-level reports.
MIPS Final Score Preview Access
MIPS Final Score Preview can be accessed by clinicians and authorized practice representatives, virtual groups, APM Entities and Shared Savings Program ACOs. They all can access the Final Score regardless of thing that whether they reported traditional MIPS or the APM Performance Pathway (APP).
- Practice representatives can preview MIPS final scores from individual, but only with the Staff User or Security Official role. If the practice participated at the group level, then they can preview MIPS final scores from group participation.
- APM Entity representatives can preview MIPS final scores for their APM Entity, but only with the Staff User or Security Official role.
- Medicare Shared Savings Program Accountable Care Organization’s (ACO) QPP Security Official or QPP Staff User contact in the ACO Management System (ACO-MS), can preview the ACO’s MIPS final score simply by signing in to the QPP website using their ACO-MS username and password.
- Virtual group representatives can preview MIPS final scores from virtual group participation , but only with the Staff User or Security Official role.
- Individual clinicians can preview their final score from with the Clinician role.
For more Information regarding access of Final Score Preview, review Appendix C on page 54 of the 2021 MIPS Final Score Preview FAQs (PDF).
How to Access Performance Feedback to Preview MIPS Final Scores ?
- Sign in to the Quality Payment Program website
- Click “Preview Final Score” on the home page
- Acknowledge that you understand scores can change.
- Select your organization (Practice, APM Entity, Virtual Group)
- Only Practice representatives can access both individual and group feedback through the practice organization.
Can Scores Change During the Final Score Preview Period?
Yes, scores could change during preview period if we identify any issues that require system-wide scoring changes.
What If There’s an Error with the Data Displayed During the MIPS Final Score Preview Period?
Please contact the QPP Service Center if you are sure that there’s an error with information, during the MIPS Final Score Preview period.
Contact the QPP Service Center (Monday-Friday, 8 a.m. – 8 p.m. ET) at 1-866-288-8292 (TRS: 711) or by e-mail at: QPP@cms.hhs.gov.
Please note that any issues raised during the MIPS Final Score Preview period are not the part of targeted review. That process allows clinicians to request a review of their MIPS payment adjustment calculation and it will be available once MIPS payment adjustment information is released.
When Will Be MIPS Payment Adjustment Available?
MIPS payment adjustment information and final performance feedback will be available in August 2022. After the release of payment adjustment information, there will be a 60-day targeted review period. In this period clinicians can request a review of their MIPS payment adjustment calculation.