Merit-based Incentive Payment System (MIPS) Adjustments

Provider/Supplier Type(s) Impacted: Providers participating in the MIPS program

Reason Codes: Not applicable

Claim Coding Impact: Not applicable

Description of Issue: MIPS adjustments began processing on February 17, 2025. These are for 2023 dates of service. Please refer to https://qpp.cms.gov/mips/traditional-mips for more information.

Noridian Action Required: Not applicable

Provider/Supplier Action Required: Providers should review the adjusted claims on their Remittance Advice (RA), and refund or collect any coinsurance or deductible amounts that may have been altered.

Proposed Resolution/Solution: No resolution required. Informational only.

Date Reported: 02/28/25

Date Resolved:

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