MIPS: Error in 2019 payment adjustment

February 11, 2019

Recently, The Centers for Medicare and Medicaid Services (CMS) discovered an error in the implementation of the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment. It incorrectly applies payments for Medicare Part B drugs and other nonphysician services billed by physicians. Adjustments to impacted claims will occur soon. If this applies to you, don’t worry! You don’t need to take any action, because:

  • If CMS overpaid a claim based on this error, you will get a notification for recoupment from your Medicare Administrative Contractor.
  • If CMS underpaid a claim, it will be adjusted. You do not need to do anything.