How to Achieve the 2025 MIPS Performance Threshold

To avoid a payment penalty in 2027, based on MIPS performance in 2025, surgeons must earn 75 MIPS overall points.

In the past, you could still meet the performance threshold without meeting the reporting requirements for all four MIPS performance categories, but this is no longer the case due to a higher performance threshold and changes to the performance category weights. The ACS recommends that you plan to fully report for the three reportable MIPS performance categories – Promoting Interoperability, Quality, and Improvement Activities categories (Cost is calculated by CMS), if eligible, to have the best chance of avoiding a possible negative payment adjustment for the 2027 payment year. Please note: As a reminder, the maximum negative payment adjustment for 2027 is set at 9 percent.

CMS offers many resources on their website and is a great asset to learn about reporting requirements and scoring methodologies for 2025.