MIPS Reporting for the Performance year 2023

Reporting is the most crucial step of MIPS. As it will decide the provider’s fate whether to get reimbursed or pay the penalty after the set period of CMS.

What is MIPS Reporting in Healthcare?

The MIPS in healthcare is the program that will determine Medicare payment adjustments. A composite performance score has utilized in this program. And eligible clinicians may either receive a payment penalty, bonus, or no payment adjustment.

MIPS reporting Score Evaluation from 2017-to 2021

CMS has attempted to ease people into the MIPS program from its beginning in 2017. By progressively increasing the minimum score from 3 points in 2017 to 15 points in 2018. Afterwards, in 2019 and 2020, it stood at 30 and 45 points, respectively, and 60 points in 2021. CMS would continue to observe the rise in the threshold, with an ironic increase scheduled in the coming years.

Apparently, the most concerning question that every practitioner searching for is, i.e., what is MIPS reporting in 2023?

 In 2023, the CMS set a minimum performance criterion of 75 MIPS points (up from 60 MIPS points in 2021). That is the mean final score from the previous performance year. To avoid a MIPS penalty next year, doctors must attain a final MIPS score of at least 75 points.

MIPS Reporting Categories

MIPS annually assigns a 100-point performance scale to eligible Medicare Part B clinicians, resulting in a Composite Performance Score (CPS). The payment adjustment will base on the Composite Performance Score, calculated using the reported measures and categories.

There are four scalable categories of MIPS,

Quality Category:

The quality category in MIPS reporting accounts for 30% of the total MIPS performance score for 2023.

What is MIPS quality reporting? MIPS’ Quality category replaces the Physician Quality Reporting System (PQRS). It requires eligible clinicians to provide data to CMS on quality measures. Such measures include patient outcomes, proper usage of medical resources, patient safety, efficiency, patient experience, and care coordination.

MIPS Reporting Neo MD
MIPS Reporting Neo MD

Promoting Interoperability

What is PI Category?

The MIPS PI (Promoting Interoperability) category replaced the Meaningful Use program. The PI provides standards to encourage electronic information exchange utilizing certified electronic health record technology (CEHRT).

Promoting interoperability category accounts for 25% of the total MIPS performance score for 2023. And it was the same 25% in 2021.

Automatic reweightingIn addition to the hospital-based and non-patient-facing eligible clinicians and groups. CMS will apply automatic reweighting of the PI category in 2022 for the following:

MIPS Reporting requirementsFollowing Changes made in PI requirements.

COST Category

The cost category of MIPS reporting weighted 30% of the total performance score for the year 2023.

5 brand-new episode-based measures have been added to the cost category for 2023. 

Improvement Activities (IA) Category


Along with Traditional MIPS and Advanced APMs, the MIPS 2023 landscape is evolving and transforming to create space for the new MIPS Value Pathways. As a result, each of the performance categories observed significant changes. The most considerable change is increasing the Performance Threshold to 75 points to avoid a penalty.

If you want to avoid a penalty or gain exceptional performance, i.e., 89 points, you are on the right platform. Our NEO MD CMS Certified Registry and  MIPS consultants work with various practices to help them provide and report on the best quality of care measures. NEO MD has a track record of experience in facilitating clinicians to not only meet their MIPS criteria but also to achieve distinction. We are working across all states of the US with numerous providers associated with different healthcare facilities.

For MIPS consulting services, you can contact us at (registry@neomdinc.com) or (929) 502-3636. 


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