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Cost Scoring Logic

For 2020, Cost category has a weight of 15% in overall MIPS score. Individual eligible clinicians or groups will be scored on Twenty measures included in the Cost performance category for 2020 MIPS Performance period:

  • Total Per Capita Costs for all Attributed Beneficiaries(TPCC)
  • Medicare Spending Per Beneficiary (MSPB) and
  • Eighteen episode-based cost measures.

CMS will calculate Cost category score based on administrative claims data. Individual MIPS eligible clinicians and groups don’t have to submit any other information for the Cost performance category.