2021 MIPS Final Scores Preview
July 22, 2022

2021 MIPS Final Scores Preview

The Centers for Medicare and Medicaid Services (CMS) opened the Final Score Preview period for the Merit-based Incentive Payment System (MIPS). Clinicians and other authorized representatives of groups are now able to view their MIPS final scores for 2021 on the Quality Payment Program (QPP) website. CMS will release final 2023 payment adjustment information (based upon a group’s 2021 performance) in August 2022.

The Final Score Preview will provide anesthesia groups access to performance feedback and the data used to calculate final MIPS scores and payment adjustments. Data includes MIPS performance category-level scores and weights, bonus points, measure-level performance data and scores, and activity-level scores. This data is available to groups and APM entities that participated in traditional MIPS or the APM Performance Pathway (APP).

ASA encourages any members participating in MIPS to review their data and check its accuracy before payment adjustments are calculated.

For more details, CMS provided an FAQ document on the Final Score Preview period.

To contact CMS with any questions on the MIPS scores or to report any errors in the data, the Quality Payment Program can be reached at 1-866-288-8292 (Monday-Friday 8 a.m. - 8 p.m. ET) or by e-mail at: QPP@cms.hhs.gov

Please contact the Anesthesia Quality Institute at askaqi@asahq.org or the ASA Department of Quality and Regulatory Affairs at qra@asahq.org with any further questions.

Ready to submit data? Check your FTP Access

Just a reminder that ftp accounts are inactivated after 90 days of non-use. If your account is locked, please submit a help desk ticket by emailing nacorsupport@asahq.org.

Review your NACOR dashboard

Practices that have recently uploaded new data files should review the NACOR dashboard as it allows you to monitor your providers' performance, as well as pinpoint any problems with the data and make necessary corrections prior to data submission deadlines.

Data completeness requirements for the 2022 MIPS Performance Period are:

  • Submit 12 months of data (January – December 2022).
  • Report a minimum of six measures with at least one outcome or high priority measure.
  • Measure must meet the 20-case minimum to be scored.
  • Reporting rate must be at least 70% of all eligible cases across all payers for each measure reported.

Note: The minimum point threshold to avoid a negative payment adjustment has increased from 60 to 75 points for the 2022 performance year. It is important to check the measure performance rates for your practice to make sure the measures reported will earn the maximum points allowed for the Quality Component.

As a reminder, section 8 of the Addendum for Quality Reporting to the NACOR Participation Agreement states that your practice "and each EC agree, and Participant shall require each EC, to review his/her measure results in AQI at least four times a year and provide timely feedback to AQI on the measures that will be reported on the EC's behalf."

If there are questions about the dashboard results, submit a ticket to nacorsupport@asahq.org.

Quality Reporting Office Hours

The July office hour recording was posted on the AQI website. Any suggestions for August discussion topics should be emailed to askaqi@asahq.org by Friday, August 5.

2022 Reporting Deadlines

NACOR Registration: October 3, 2022

January through November 2022 data submission: January 31, 2023

Individual Quality Reporting Consent Submission: January 31, 2023

Improvement Activity Attestation: January 31, 2023

CMS Opt-Out for Individual Reporting: January 31, 2023

TIN/NPI Reconciliation: January 31, 2023

All data submissions: February 15, 2023

Contact AQI

Register: qcdr@asahq.org

NACOR Dashboard support: NACORSupport@asahq.org

Ask AQI: AskAQI@asahq.org

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