CMS Releases Informational Benchmarks to Help MIPS-Eligible Clinicians Prepare for the 2023 Performance Period
As finalized in the Calendar Year 2022 Physician Fee Schedule Final Rule, the Centers for Medicare & Medicaid Services (CMS) is removing the 3-point scoring floor in the Merit-based Incentive Payment System (MIPS) for quality measures that can be reliably scored against a benchmark. This policy will take effect beginning with the 2023 performance period.
Beginning with that 2023 performance period, quality measures that meet case minimum and data completeness requirements will earn:
- Between 2 and 2.9 points if the measure’s performance rate falls in decile 2
- Between 1 and 1.9 points if the measure’s performance rate falls in decile 1
- 1 point if the measure’s performance rate falls below Decile 1
To help MIPS-eligible clinicians prepare for scoring in the 2023 performance period, CMS is releasing an informational benchmark file that includes the performance rates associated with deciles 1-10 for measures with a historical benchmark for the 2022 performance period.
- Deciles 1 and 2 are being provided now for informational purposes only
- The quality measures you submit for the 2022 performance period won’t be scored against deciles 1 and 2
- These aren’t the quality measure benchmarks for the 2023 performance period (2023 historical benchmarks will be calculated from the data submitted for the 2021 performance period)
The informational benchmarks and associated fact sheet have been added to a new ZIP file within the 2022 Quality Benchmarks, titled Preparing for 2023_Informational Benchmarks.
Additional resources:
- Review the 2022 Quality Payment Program Final Rule Resources for more information about the quality measure scoring policies finalized for the 2023 performance period.
Contact the Quality Payment Program
Contact the Quality Payment Program Service Center at 1-866-288-8292 or by email at QPP@cms.hhs.gov (Monday-Friday 8:00 AM-8:00 PM ET). To receive assistance more quickly, please consider calling during non-peak hours, before 10:00 AM and after 2:00 PM ET. Customers who are hearing impaired can dial 711 to be connected to a TRS communications assistant.