The Merit-Based Incentive Payment System: Mips Scoring Methodology Overview - Centers For Medicare & Medicaid Services Page 23

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PROPOSED RULE
APM Scoring Standard
The APM scoring standard applies to APMs that meet these criteria:
 APM Entities participate in the APM under an agreement with CMS;
 APM Entities include one or more MIPS eligible clinicians on a
Participation List; and
 APM bases payment incentives on performance (either at the APM
Entity or eligible clinician level) on cost/utilization and quality
measures.
 To be considered part of the APM Entity for the APM scoring standard, an eligible
clinician must be on an APM Participation List on December 31 of the MIPS
performance year.
 Otherwise an eligible clinician must report to MIPS under the standard MIPS
methods.
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