MACRA QPP Center

Physicians Advocacy Institute

Frequently Asked Questions Updated for 2020

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1. Is the MIPS payment penalty applied on a per Medicare Part B claim basis?

  1. The QPP is an annual program, and each calendar year is referred to as a performance year which affects your Medicare Part B fee-for-service (FFS) payments two years later in the payment adjustment year. For example, your performance in 2020 will be used to determine your Medicare Part B FFS payments in the 2022 payment adjustment year.

    The positive or negative payment adjustment is applied on per Medicare Part B fee-for-service (FFS) claims basis in the adjustment year. View PAI’s How QPP Affects Medicare Part B Payment resource for additional details.



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