CMS set the performance threshold at 15 points in 2018. To earn an incentive and avoid a penalty in 2020 clinicians and group practices must score above the performance threshold.
The AMA has developed a resource, “How to Avoid a Penalty in 2018 MIPS Program,” that outlines different ways that physicians in both small and large practices can meet that 15-point threshold.
The resource is formatted as a score sheet that maps out the quickest routes to 15 MIPS points. These include either loading up in one of three performance categories—Quality, Improvement Activities (IAs), and Promoting Interoperability (PI, formerly “Advancing Care Information”)—or splitting the number between two of them.
Physicians who do not report or score lower than 15 points face a Medicare pay cut of up to 5 percent in 2020.
AMA Immediate Past President David O. Barbe, MD, MHA, said in a ReachMD podcast earlier this year
The bar isn’t real high to avoid a penalty. If physicians report on one IA and one Quality measure, they should be able to hit 15 points, particularly if you’re a small practice because you’ve got five bonus points coming in.
The first step in the process is for physicians to check whether they are exempt from MIPS reporting by entering their National Provider Identifier number into the CMS Quality Payment Program Participation Status lookup tool and then proceed from there depending on exemption status.
Read more on the initiative to help clinicians and group practices from the
American Medical Association
Download the MIPS scoring sheet handout How to Avoid a Penalty in 2018 MIPS Program from the AMA