Medicare QPP

Physicians Advocacy Institute

These resources have not been updated since 2023 but the general details remain relevant. For a summary of the key changes for CY 2024, please click here.

Frequently Asked Questions Updated for 2023


5. What is the minimum I have to do to avoid the MIPS penalty in 2023?

  1. For 2023, CMS set the performance threshold at 75 points. Physicians’ MIPS scores are determined on their overall performance in each of the four MIPS categories compared to the CMS performance threshold score for a given year.  Physicians will receive a score in each category, and their MIPS final score will be the sum of the weighted score of each category.
    We suggest reporting measures to some capacity within all performance categories to ensure you reach 75 points and avoid a negative payment adjustment in 2025. For additional details on scoring and the requirements for each of the categories, see the resources available on PAI’s QPP Resource Center.

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