2023 MIPS Targeted Review Available
Review your MIPS performance feedback, including your MIPS final score and payment adjustment factor(s), on the Quality Payment Program website.
- Individual clinicians, groups, subgroups, virtual groups, Alternative Payment Model (APM) Entities (including Shared Savings Program Accountable Care Organizations (ACOs), designated support staff and authorized third party intermediaries may request that CMS review the calculation of their MIPS payment adjustment factor(s) through a process called targeted review.
When to Request a Targeted Review
If you believe there’s an error in the calculation of your MIPS payment adjustment factor(s), you can request a targeted review now until October 11, 2024, at 8 p.m. ET.
For example:
- Data were submitted under the wrong TIN or National Provider Identifier (NPI).
- You have Qualifying APM Participant (QP) status and shouldn’t receive a MIPS payment adjustment.
- Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances.
Note: This isn’t a comprehensive list of circumstances. If you have questions about whether your circumstances warrant a targeted review, please contact the QPP Service Center by phone at 1-866-288-8292 (Telecommunications Relay Services (TRS): 711) or by email at QPP@cms.hhs.gov.
How to Request a Targeted Review
You can access your MIPS final score and performance feedback and request a targeted review:
- Sign in using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) credentials (ACO-MS credentials for Shared Savings Program ACOs); these are the same credentials that allowed you to submit your 2023 MIPS data.
- Click “Targeted Review” on the left-hand navigation.
CMS generally requires documentation to support a targeted review request, which varies by circumstance. A CMS representative will contact you about providing any specific documentation required. If the targeted review request is approved and results in a scoring change, we’ll update your final score and/or associated payment adjustment (if applicable), as soon as technically feasible. Please note that targeted review decisions are final and not eligible for further review.
Targeted Review Resources:
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