2. Is the MIPS positive payment adjustment applied on a per Medicare Part B claim basis or one lump sum bonus payment in 2025? The positive or negative payment adjustment is applied on per Medicare Part B FFS claims basis in the adjustment year. The QPP is an annual program, and each calendar year is referred to as a performance year which affects your Medicare Part B FFS payments two years later in the payment adjustment year. For example, your performance in 2023 will be used to determine your Medicare Part B FFS payments in the 2025 payment adjustment year. View PAI’s How QPP Affects Medicare Part B Payment resource for additional details. Pages MIPS Payment Adjustment and Scoring1. Is the MIPS payment penalty applied on a per Medicare Part B claim basis? 2. Is the MIPS positive payment adjustment applied on a per Medicare Part B claim basis or one lump sum bonus payment in 2025?3. Who am I going to be compared to?4. When will I know my Quality Performance status? How often is it measured?5. If more than half of the physicians in a group practice choose not to participate or don’t successfully participate, is everyone in the practice subject to a penalty? Comments are closed.