MIPS 2020
MIPS 2021
MIPS 2022
MIPS 2023

MIPS 2020 is currently underway as part of MACRA’s Quality Payment Program (QPP), offering clinicians an opportunity to participate and earn incentives based on their performance and outcomes. As business associates, we are committed to supporting clinicians throughout this process.

The purpose of this page is to provide information aligned with the MIPS 2020 final rule, serving as a guide for clinicians to make informed decisions. Our dedication to healthcare is reflected in the creation of this resource.

MIPS 2020 Quality Reporting When it comes to MIPS Clinical Quality Measures (CQMs), a MIPS Qualified Registry is the solution to achieve MIPS-MACRA objectives. The collaboration between the registry and the provider results in the final MIPS score, with incentives and bonuses as rewards for quality reporting.

Thorough submission of data is crucial, and our knowledgeable consultants are well-versed in the intricacies of MIPS 2020 data submission.


Performance Year (2020)

  • Clinicians care for patients and record data throughout the year.
  • Closes December 31, 2020: The performance period concludes.
  • Performance Period Opens January 1, 2020.


Data Submission Deadline (Mar 31, 2021*)

  • March 31, 2021, is the deadline for submitting data.
  • Clinicians are encouraged to submit data early via Avant Garde.
  • *Data submission dates may vary for CMS web interface and claims-based data submission.


Feedback (July 2021)

  • CMS provides performance feedback after data submission.
  • Clinicians will receive feedback before the start of the payment year.


Payment Adjustment (Jan 1, 2022)

MIPS payment adjustments are applied prospectively to each claim beginning January 1, 2022.


The 2020 Category Weight Distribution

The category weights for MIPS 2020 remain the same as the previous year:

  • Quality: 45%
  • Cost: 15%
  • Promoting Interoperability (PI): 25%
  • Improvement Activities (IA): 15%


Determining Eligibility for MIPS 2020

To determine eligibility for MIPS 2020, clinicians must meet the following criteria:

  • Fall into one of the eligible clinician types on Medicare Part B claims.
  • Exceed the low-volume threshold.
  • Be enrolled in Medicare before 2020.
  • Not be a Qualifying Alternative Payment Model Participant (QP).

If reporting as a group, the final score and payment adjustment are based on collective reporting.


How to Report MIPS Data?

Step 1: Our health IT analysts spend time understanding your clinical workflow and practice requirements over the phone.

Step 2: Measures for each performance category are shortlisted and communicated to the practice manager for reporting activities.

Step 3: We handle the cost category by managing episode-based measures and claims filed with CMS.

Step 4: Client education is enhanced through feedback based on TIN level QRUR reports.

Step 5: Any MIPS reporting updates for 2020 are communicated, including regulatory changes and CMS MIPS submission criteria.