CMS Releases PY 2023 MIPS Performance Feedback, Final Scores, and Payment Adjustment; Opens Targeted Review Period

Earlier this month, The Centers for Medicare & Medicaid Services (CMS) released Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2023 performance year and associated MIPS payment adjustment information for the 2025 payment year.

• Your 2023 final score determines the payment adjustment you’ll receive in 2025; a positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished in 2025.
• REMINDER: There is no exceptional performance adjustment for the 2023 performance year/2025 payment year. Congressional funding for the additional adjustment for exceptional performance expired after the 2022 performance year/2024 payment year.

To access your final score information please sign in to the Quality Payment Program website.

Additional information can be found on the Quality Payment Program Resource page.

2023 Targeted Review

When to Request a Targeted Review

If you believe there’s an error in the calculation of your MIPS payment adjustment factor(s), you can request a targeted review now until October 11, 2024, at 8 p.m. ET.

Scenarios for targeted review include:

• Data was submitted under the wrong TIN or National Provider Identifier (NPI).
• Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances.

Note: This isn’t a comprehensive list of circumstances. If you have questions about whether your circumstances warrant a targeted review, please contact the CMS QPP Service Center by phone at 1-866-288-8292 (TRS: 711) or by email at [email protected].  

How to Request a Targeted Review

• Sign in using your HARP credentials (ACO-MS credentials for Shared Savings Program ACOs); these are the same credentials that allowed you to submit your 2023 MIPS data.
• Click “Targeted Review” on the left-hand navigation.

CMS generally requires documentation to support a targeted review request, which varies by circumstance. If the targeted review request is approved and results in a scoring change, CMS will update your final score and/or associated payment adjustment (if applicable), as soon as technically feasible. Please note that targeted review decisions are final and not eligible for further review.

Please contact the ASA Department of Quality and Regulatory Affairs at [email protected] with any further questions.