The Merit-Based Incentive Payment System: Mips Scoring Methodology Overview - Centers For Medicare & Medicaid Services Page 40

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What happens if…
Clinician does not meet measure requirements?
•
– Answer: they get zero points for the measure
Clinician does not have sufficient sample size to calculate a quality
•
score?
– Answer: The measure is not included in the MIPS performance
score. The EP is not scored a zero for a missing measure.
Clinician reports more than 6 measures?
•
– Answer: Score “high priority” and “cross-cutting” measures first –
take the one with the best performance. Then take the
remaining 4 (or 5) measures with highest performance.
40

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