CMS recently 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. Clinicians may access 2023 MIPS performance feedback, including final scores and 2025 payment adjustment information, on the Quality Payment Program website. If you believe there is an error in the calculation of your 2025 MIPS payment adjustment, you may request that CMS conduct a “targeted review.” Targeted review requests must be submitted by Friday, October 11.
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 pm (ET).
For example:
- Data were submitted under the wrong TIN or National Provider Identifier (NPI).
- You have Qualifying APM Participant (QP) status and shouldn’t receive a MIPS payment adjustment.
- 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 QPP Service Center by phone at 1-866-288-8292 (TRS: 711) or by email at QPP@cms.hhs.gov.
How to Request a Targeted Review
You can access your MIPS final score and performance feedback and 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. A CMS representative will contact you about providing any specific documentation required. If the targeted review request is approved and results in a scoring change, we’ll 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.
Targeted Review Resources: