The CMS 2023 Quality Payment Program Final Rule is Here - Learn What Changes are Ahead for MIPS Reporting
By Gary GerberNovember 7, 2022
The Centers for Medicare and Medicaid Services (CMS)
released the Final Rule changes to the Quality Payment
Program for 2023 on November 1, 2022. The rule
provides policy updates to the traditional Merit-based
Incentive Payment System (MIPS) program and the new
MIPS Values Pathway (MVPs) framework.
**2023 Performance Threshold**
The proposed rule will continue to use the 75 point
performance penalty threshold for the 2023
performance year.
**Exceptional Bonus Pool**
There will no longer be an additional performance
threshold for exceptional performance in 2023. The
2022 performance year is the last year clinicians can
earn an exceptional performance bonus.
**MIPS Performance Category Weights**
There will be no changes to the MIPS performance
category weights in 2023. For most radiologists, Quality
will continue to be weighted at 85% and Improvement
Activities will be weighted at 15%.
For small practices, CMS will continue to automatically
reweight Improvement Activities performance
categories. Quality and Improvement Activities will each
be weighted at 50%.
*non-patient facing radiologists
**Improvement Activities Updates**
There are no major changes to the MIPS Improvement
Activities (IA) category other than updates to the IA
inventory. CMS is adding four new activities, modifying
five current activities, and removing five existing
improvement activities from the IA inventory
**2023 Quality Measure Benchmarks:**
The following changes in Quality measure benchmarks
go into effect beginning with the 2023 performance
period:
Measures with a benchmark - The 3-point floor is
removed for measures that can be scored against a
benchmark. These measures will receive 1-10 points.
Measures without a benchmark - The 3-point floor is
removed for measures without a benchmark (except
small practices). These measures will receive 0 points
(small practices will continue to earn 3 points).
Measures that don’t meet case minimum requirements
(20 cases) - The 3-point floor is removed (except small
practices). These measures will earn 0 points (small
practices will continue to earn 3 points).
**MIPS Value Pathways (MVPs)**
CMS will make MVPs available for reporting gradually,
beginning with the 2023 performance year. However,
there will not be any radiology MVPs in 2023.