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Calculating the Final Score Under MIPS

The overall MIPS scoring is sum of the scores of 4 categories: Quality, PI, IA and Cost. For 2020, the weights for these 4 categories are set at 45%, 25%, 15% and 15% respectively. In addition to the sum of 4 categories, which is called as the Composite MIPS Score, an eligible clinician may qualify for bonus related to complex patients etc.

For 2020, the MIPS performance threshold has been increased from 30 to 45. Eligible clinicians/practices need to score a minimum of 45 MIPS score to avoid negative payment adjustment.

Final Score

Clinician Quality performance category score x actual Quality performance category weight

+

Clinician Cost performance category score x actual Cost performance category weight

+

Improvement Activities performance category score x actual Improvement Activities performance category weight

+

Promoting Interoperability performance category score x actual Promoting Interoperability performance category weight

x

100

final score