MIPS
The Merit-based Incentive Payment System (MIPS) is a Medicare program that adjusts clinician payments based on performance in quality, cost, improvement activities, and promoting interoperability.
Updated
MIPS is one of two tracks under the Quality Payment Program, consolidating legacy quality reporting programs into a single framework that scores eligible clinicians and applies payment adjustments based on composite performance.
A clinician's final score determines whether future Medicare payments are increased, decreased, or held neutral.
In practice
Billers and practice managers track performance categories, capture quality measures, and ensure documentation supports reported activities so that submission aligns with the practice's selected measures.
Commonly confused with
- MACRA: MACRA is the federal law that established the Quality Payment Program and its MIPS and APM tracks; MIPS is the program created under that law, not the law itself.