MIPS is a Centers for Medicare & Medicaid Services payment model that combined Meaningful Use (MU), the Physician Quality Reporting System (PQRS), and the Value-Based Payment Modifier (VM) programs. It begins on January 1, 2017 and will provide annual payment incentives or penalties to eligible providers (EPs) starting in 2019.

The Merit-Based Incentive Payment System

MIPS focuses on four categories, giving providers a composite score that serves as a modifier on their Medicare Part B reimbursements in subsequent years.

  • Quality
  • Resource Use/Cost
  • Improvement Activities (a new measure of care coordination, patient engagement and safety)
  • Advancing Care Information (Meaningful use of a certified EHR)