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May 2021 Quest Details

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MIPS Performance Category Weight Redistribution Policies Finalized for the 2020 Performance Period

The table below illustrates the 2020 performance category weights and reweighting policies that the Centers for Medicare & Medicaid Services (CMS) will apply to clinicians under the Merit-based Incentive Payment System (MIPS). If a MIPS-eligible clinician is scored on fewer than 2 performance categories (meaning 1 performance category is weighted at 100% or all performance categories are weighted at 0%), they will receive a final score equal to the performance threshold and a neutral MIPS-payment adjustment for the 2022 MIPS payment year.

MIPS Performance Category Reweighting Scenario Quality Category Weight Cost Category Weight Improvement Activities Category Weight Promoting Interoperability Category Weight
No Additional Reweighting Applies 55% 0% 15% 30%
Reweight 2 Performance Categories
No Promoting Interoperability, No Cost 85% 0% 15% 0%
No Quality, No Cost 0% 0% 15% 85%
No Improvement Activities, No Cost 70% 0% 0% 30%

This reweighting of the Cost performance category applies in addition to the Extreme and Uncontrollable Circumstances (EUC) policies. Clinicians who are not covered by the automatic EUC policy or who did not apply to request reweighting under the EUC policy will still have their Cost performance category weighted to 0%.