2024 Merit-based Incentive Payment System

The Merit-Based Incentive Payment System (MIPS) is the default Quality Payment Program participation pathway for most surgeons. MIPS is composed of four performance categories, which contribute a specified weight to the overall MIPS final score:

• Quality
• Cost
• Improvement Activities
• Promoting Interoperability

• In 2024, surgeons will have to score a total of at least 75 overall MIPS points to avoid a payment penalty.
• The payment adjustment allotted for the 2026 payment year, which is based on 2024 MIPS performance, is +/- 9 percent. Surgeons can receive positive, neutral, or negative payment adjustments based on their MIPS final score. If a surgeon is required to report MIPS in 2024 and chooses not to, they would receive the full -9 percent Medicare payment adjustment in 2026.
• Each MIPS performance category contributes a specified weight to the MIPS final score. See all four category weights for 2024 below:

Surgeons seeking assistance in planning for 2024 QPP and MIPS participation should e-mail qualityDC@facs.org.