Executive Summary

The Centers for Medicare & Medicare Services (CMS) has released the 2022 MIPS Performance Feedback and Final Scores, along with information about the 2024 MIPS Payment Adjustment. This data is accessible on the Quality Payment Program (QPP) website using Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) credentials. The feedback includes details about individual and group performance, and various resources are available to understand the feedback better. The 2022 final score impacts the payment adjustment for 2024, and MIPS participants can request a review of the payment adjustment calculation if they believe there's an error. The request period for a targeted review is open until October 9, 2023. Documentation may be required for the review, and approved changes will be reflected in the final score and payment adjustment. For more information, participants can refer to provided guides and resources.

Now Available: 2022 MIPS Performance Feedback, 2022 MIPS Final Score, and 2024 MIPS Payment Adjustment Information

The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2022 performance year and associated MIPS payment adjustment information for the 2024 payment year.

You can view your 2022 MIPS performance feedback, including your final score and 2024 payment adjustment on the Quality Payment Program (QPP) website. 

• Sign in using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) system credentials; these are the same credentials that allowed you to submit your 2022 MIPS data.
• Click “View Feedback” on the home page.
• Select your organization (Practice, Alternative Payment Model (APM) Entity, Virtual Group).
  • Practice representatives can access both individual and group feedback.

If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account (re: HARP account) and Connect to an Organization (re: QPP role) documents in the QPP Access User Guide (ZIP, 4MB) and start the process now.

Performance Feedback Resources Available

To learn more about the information in your performance feedback, review the following 2022 MIPS Performance Feedback:  

• 2022 MIPS Performance Feedback FAQs (PDF, 3MB)– Highlights what performance feedback is, who receives the feedback, and how to access it on the Quality Payment Program website.
• 2022 MIPS Performance Feedback Patient-Level Data Reports Supplement (PDF, 845KB)– Reviews the data included, and answers questions about the downloadable patient-level reports included in performance feedback.
• 2022 Quality Performance Period Benchmarks (ZIP, 237KB) – Identifies the performance period benchmark results (as available) for quality measures without a historical benchmark and provides general information about performance period benchmarks.
• 2022 Cost Performance Period Benchmarks (ZIP, 264KB)– Identifies the performance period benchmark results (as available) for cost measures.
• 2024 MIPS Payment Year Payment Adjustment User Guide (PDF, 710KB)– Reviews information about the calculation and application of MIPS payment adjustments, and answers frequently asked questions.

Reminder for MIPS Eligible Clinicians Participating in MIPS through their APM Entity

Individual clinicians and representatives of APM Entities are also able to access performance feedback directly on the Quality Payment Program website using their HARP account.

Note: Performance feedback isn’t related to model-specific requirements outside of the Quality Payment Program.

Note for Medicare Shared Savings Program Accountable Care Organizations (ACOs)

Medicare Shared Savings Program ACOs are encouraged to identify at least one individual within your ACO who can obtain a HARP account with the Security Official role; additional individuals may request the Staff User role. ACO individuals can create and manage their HARP account and QPP access in the ACO Management System (ACO-MS).

Contact your ACO to find out how you can obtain a HARP account via ACO-MS. If you have any questions, please contact the ACO Information Center at SharedSavingsProgram@cms.hhs.gov or 1-888-734-6433 (Option 1).

• Representatives of Shared Savings Program ACO Participant Taxpayer Identification Numbers (TINs) and practices with clinicians receiving their APM Entity’s final score won’t be able to access the APM Entity’s performance feedback unless they’ve been approved as a staff user for the APM Entity.

COVID-19 Flexibilities

CMS continued to allow individuals, groups, virtual groups and APM Entities to request performance category reweighting through the MIPS Extreme and Uncontrollable Circumstance (EUC) Exception Application. Data submission wasn’t required for the performance categories approved for reweighting.

Now Available: 2022 MIPS Targeted Review

If you participated in the Merit-based Incentive Payment System (MIPS) in 2022, you can now review your performance feedback, including your MIPS final score and payment adjustment factor(s), on the Quality Payment Program website.

For MIPS eligible clinicians, your 2022 final score determines the payment adjustment you’ll receive in 2024; a positive, negative, or neutral payment adjustment will be applied to the Medicare paid amount for covered professional services furnished in 2024.

MIPS eligible clinicians, groups, virtual groups, and APM Entities (along with their designated support staff or authorized third party intermediary) may request that CMS review the calculation of their MIPS payment adjustment factor(s) through a process called targeted review.

When to Request a Targeted Review

If you believe there’s an error in the calculation of your MIPS payment adjustment factor(s), you can request a targeted review now until October 9, 2023. Some examples of previous targeted review circumstances include the following:

• Data were submitted under the wrong Taxpayer Identification Number (TIN) or National Provider Identifier (NPI).
• Eligibility or special status issues (e.g., you have Qualifying APM Participant (QP) status and shouldn’t receive a payment adjustment).
• Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances.

Note: This isn’t a comprehensive list of circumstances. If you have questions about whether your circumstances warrant a targeted review, please contact the Quality Payment Program by phone at 1-866-288-8292 (TRS: 711) or by email at QPP@cms.hhs.gov.  

How to Request a Targeted Review

You can access your MIPS final score and performance feedback and request a targeted review:

• Sign in using your HCQIS Access Roles and Profile (HARP) system credentials*; these are the same credentials that allowed you to submit your 2022 MIPS data.
• Click “Targeted Review” on the left-hand navigation.

*Note: Shared Savings Program ACO representatives create and manage their HARP account and QPP access in the ACO Management System (ACO-MS). Contact your ACO to find out how you can obtain a HARP account via ACO-MS. If you have any questions, please contact the ACO Information Center at SharedSavingsProgram@cms.hhs.gov or 1-888-734-6433 (Option 1).

CMS generally requires documentation to support a targeted review request, which varies by circumstance. A CMS representative will contact you about providing any specific documentation required. If the targeted review request is approved and results in a scoring change, we’ll update your final score and/or associated payment adjustment (if applicable), as soon as technically feasible. Please note that targeted review decisions are final and not eligible for further review.

For more information about how to request a targeted review, please refer to the 2022 Targeted Review User Guide (PDF, 1MB). For more information on payment adjustments please refer to the 2024 MIPS Payment Year Payment Adjustment User Guide (PDF, 710KB).