MIPS Cost Performance Category Reweighted to Zero Due to Impact of COVID-19 Pandemic

Last Updated: May 21, 2021

In light of the impact of the COVID-19 pandemic, the 2020 MIPS Cost performance category will be reweighted from 15 percent to 0 percent announced the Centers for Medicare and Medicaid Services on May 20, 2021.

Clinicians don’t need to take any action as a result of this decision because the Cost performance category relies on administrative claims data.

The 15 percent Cost performance category weight will be redistributed to other MIPS performance categories as shown in CMS’ table below.

MIPS Performance Category Reweighting Scenario Quality Category Weight Cost Category Weight Improvement Activities Category Weight Promoting Interoperability Category Weight
No Additional Reweighting Applies 55% 0% 15% 30%
Reweight 2 Performance Categories
No Promoting Interoperability, No Cost 85% 0% 15% 0%
No Quality, No Cost 0% 0% 15% 85%
No Improvement Activities, No Cost 70% 0% 0% 30%
MIPS Performance Category Reweighting Scenario Quality Category Weight Cost Category Weight Improvement Activities Category Weight Promoting Interoperability Category Weight

This reweighting of the cost performance category applies in addition to the extreme and uncontrollable circumstances (EUC). Clinicians who aren’t covered by the automatic EUC policy or who did not apply to request reweighting under the EUC policy will still have their cost performance category weighted to 0%.

Questions?

CMS’ Quality Payment Program support staff can be reached at 1-866-288-8292 QPP@cms.hhs.gov. To receive assistance more quickly, consider calling during non-peak hours – before 10 a.m. and after 2 p.m. EST.

PAMED members with questions can also contact our Knowledge Center at 800-228-7823 or KnowledgeCenter@pamedsoc.org

Login to be able to comment

Leave a comment

ng5136-PA-PAMedSociety-DigitalAd-Brand-970x90