The Merit-Based Incentive Payment System: Mips Scoring Methodology Overview - Centers For Medicare & Medicaid Services Page 45
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50Identify MIPS Eligible Clinicians for Payment
Adjustment
Payment adjustment is at TIN/NPI level
•
Exclude TIN/NPIs that meet exclusion criteria
•
– Newly enrolled
– Qualifying APM participant (QP)
– Partial QP
– Low volume threshold
Pull the corresponding CPS score
•
– See slide 48 for special cases
Use CPS score for budget neutrality
•
45
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