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


2. Is the MIPS positive payment adjustment applied on a per Medicare Part B claim basis or one lump sum bonus payment in 2025?

  1. 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.

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