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Kareo Help Center

2020 Point Scoring System

Updated: 03/10/2020
Views: 219

 

Category

 

Weight

 

Possible Points*




Quality

 
 


45%
 


60

Promoting Interoperability
 
 

25%

 
100
Improvement Activities   15%   40
Cost   15%   100

     *Total points submitted can affect the future payments for covered professional services furnished by MIPS eligible clinicians.


Total Points Submitted

There is a positive or negative 9% payment adjustment assigned to the 2020 performance year.  The total amount of points earned will determine if a clinician will receive a negative, neutral or positive payment adjustment.

Performance Level Points Payment Adjustment*
Exceptional Performance 85 - 100 Up to 9% and eligible for additional adjustments
Positive Adjustment Eligible 45.01 - 84.99 Between 0% and 9%, and not eligible for additional adjustments
No Payment Adjustment 45.00 0%
Negative Payment Adjustment 11.26 - 44.99 Between -9% and 0%
Little to No Reporting 0 - 11.25 -9%

     * Subject to a scaling factor

Earning Points

The following factors can impact the total points earned:

  • Special Status
  • Complex Patients
  • Submitting additional High-Priority or Outcome measures
  • National Benchmarks
  • Reweighting Performance Categories
  • Bonus Points

 

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