Policy and Clinician Payment: Do You Know These Changes Affecting Your Pocketbook?

Gordon H. Sun, MD, MS


August 10, 2018

What Is MIPS?

MIPS is one of two new methods of reimbursing Medicare providers. MIPS attempts to simplify value-based payments to providers by streamlining requirements from the previous Physician Quality Reporting System, Value-Based Payment Modifier, and Medicare EHR Incentive Program for Eligible Professionals into a single composite score, which is then used to make positive, negative, or neutral adjustments to the participating provider's base Medicare Part B reimbursement rate on an annual basis. Eligible participants include physicians, dentists, podiatrists, optometrists, chiropractors, physician assistants, nurse practitioners, certified registered nurse anesthetists, and clinical nurse specialists.

The MIPS Score


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