2020 MIPS
Cost Performance Category
- 20 measures, including 2 overall primary care measures which have been revised, 8 episode-based measures from 2019 and 10 new episode-based measures, are automatically captured through claims data.
- Total Category Score is averaged from the score of all applicable measures.
- Measure performance is tracked over a full calendar year.
- Clinicians can preview 2019 performance in July of 2020, and 2020 performance in Summer of 2021. MIPSPRO Enterprise members are able to receive this information quarterly.
Key Changes From 2019 Cost Reporting
- The existing Medicare Spending Per Beneficiary Clinician and Total Per Capita Cost measures have been revised.
- Ten new episode-based measures (in addition to the eight from 2019) will now be a part of the Cost performance category score.
Cost Final Score
To calculate Cost, CMS will assign 1 to 10 achievement points to each scored measure shown in the table below, based on the clinician or group’s performance compared to the performance year benchmark. Therefore, achievement points for each measure depend on which decile range you or your group’s performance falls in.
The maximum score for the category is 100%. Additional bonus points will not be applied to a perfect achievement score.
CostPRO 2020
CostPRO 2019 Tracking software is the next big thing in Cost performance tracking and optimization.
Drill into
your data.
Look at data by quarter or across multiple quarters. Compare by TIN, by measure, or compare data from past years with current measures. Our tracking software lets you view your data from any angle so that you have the full story.
Integrate to
match your needs.
With our adaptable solutions, you can choose to track Cost separately--or link that data to your MIPSPRO account so you can view your big picture from one secure, user-friendly dashboard.
Optimize your score
and your practice.
CostPRO 2019 helps you understand how much and where to spend on each patient, empowering you to optimize your business decisions based on CMS policy and best practices.
Reach out today to learn what CostPRO 2020 can do for your bottom line.
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