Robert Chavez, MD
President, IEPC

Providence Little Company of Mary Medical Center Torrance

Here is my pearl for this month:

1. On June 28, 2024: MIPS Final Score preview became available. Final payment adjustments will not be available until the middle of August.
   
2. You can access this information by signing in to QPP website to check final score for year 2023. (Paid in 2025).
   
3. Be sure to review your final scores from 2022 and 2021, as well as payment adjustments for your score are available.
   
4. Once you have the final scores with payment adjustments, have your RCM company review previous years EOBs regarding Medicare reimbursement to see you were paid correctly with Medicare. If not, send a call or send an enquiry letter to Medicare or visit the FAQs on the QPP website to ask for an explanation for the incorrect payment.
   
5. Here is an example, a score of 100 in 2022 paid +8.5% in 2024.
   
6. Depending on your physician turnover rate, your total reimbursement for increased score will decrease due to this turnover. Namely, a doctor leaves the group but was part of the 2022 reporting year. In 2024, this theoretical doctor will not see any patients on behalf of the group, therefore no increase will be realized.
   
7. All of this is up in the air in 2024 given the bonus pool was done away with at the end of 2022.