Supporting the Physiatrist, Strengthening the Specialty

The Centers for Medicare & Medicaid Services (CMS) recently released preliminary 2025 Merit-based Incentive Payment System (MIPS) final scores, as well as associated payment adjustment amounts that will impact Medicare Part B payments in 2027.

Physicians and practices are encouraged to log in to their secure account on the Quality Payment Program (QPP) website to review their final score and payment adjustment information. A final score above 75 points will receive a positive payment adjustment, a score of 75 points will receive a neutral adjustment, and a score below 75 points will receive a negative adjustment.

Physicians and organizations that believe their score or payment adjustment was calculated incorrectly may, for a limited time, request a targeted review.

Important Deadline

Requests for a targeted review must be submitted to CMS by November 30, 2026, at 8:00 p.m. ET.

Examples of circumstances that may warrant a targeted review include:

• Data submitted under the wrong Tax Identification Number (TIN) or National Provider Identifier (NPI)
• Incorrect application of Alternative Payment Model (APM) participation status
• Failure to apply eligible category reweighting due to extreme and uncontrollable circumstances

Access Your 2025 MIPS Final Score and 2027 Payment Adjustment 

• Sign in to the Quality Payment Program (QPP) website using the same HARP credentials used to submit your 2025 MIPS data. Refer to the QPP Access User Guide (ZIP) for more information. 
• If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account (re: HARP account) and Connect to an Organization (re: QPP role) documents in the QPP Access User Guide (ZIP) and start the process now. 

Additional Resources

• 2027 MIPS Payment Year Payment Adjustment User Guide (PDF) – Reviews information about the calculation and application of MIPS payment adjustments, and answers frequently asked questions. 
• 2025 MIPS Performance Feedback FAQs (PDF) – Reviews the information available in performance feedback and how to access it.
• 2025 Quality and Cost Benchmarks – Links to quality and cost measure benchmarks and supporting documentation. (Benchmarks determine measure scores.)
• 2025 MIPS Performance Feedback Supplemental Reports Guide (PDF) – Reviews the downloadable supplemental and patient-level reports for administrative claims quality and cost measures. 

Questions?

For assistance, contact the QPP Service Center at QPP@cms.hhs.gov or 1-866-288-8292 (TRS: 711).

AAPM&R will continue to monitor MIPS program developments and advocate for policies that support fair, meaningful quality measurement and appropriate physician reimbursement.

The Centers for Medicare & Medicaid Services (CMS) recently released preliminary 2025 Merit-based Incentive Payment System (MIPS) final scores, as well as associated payment adjustment amounts that will impact Medicare Part B payments in 2027.

Physicians and practices are encouraged to log in to their secure account on the Quality Payment Program (QPP) website to review their final score and payment adjustment information. A final score above 75 points will receive a positive payment adjustment, a score of 75 points will receive a neutral adjustment, and a score below 75 points will receive a negative adjustment.

Physicians and organizations that believe their score or payment adjustment was calculated incorrectly may, for a limited time, request a targeted review.

Important Deadline

Requests for a targeted review must be submitted to CMS by November 30, 2026, at 8:00 p.m. ET.

Examples of circumstances that may warrant a targeted review include:

• Data submitted under the wrong Tax Identification Number (TIN) or National Provider Identifier (NPI)
• Incorrect application of Alternative Payment Model (APM) participation status
• Failure to apply eligible category reweighting due to extreme and uncontrollable circumstances

Access Your 2025 MIPS Final Score and 2027 Payment Adjustment 

• Sign in to the Quality Payment Program (QPP) website using the same HARP credentials used to submit your 2025 MIPS data. Refer to the QPP Access User Guide (ZIP) for more information. 
• If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account (re: HARP account) and Connect to an Organization (re: QPP role) documents in the QPP Access User Guide (ZIP) and start the process now. 

Additional Resources

• 2027 MIPS Payment Year Payment Adjustment User Guide (PDF) – Reviews information about the calculation and application of MIPS payment adjustments, and answers frequently asked questions. 
• 2025 MIPS Performance Feedback FAQs (PDF) – Reviews the information available in performance feedback and how to access it.
• 2025 Quality and Cost Benchmarks – Links to quality and cost measure benchmarks and supporting documentation. (Benchmarks determine measure scores.)
• 2025 MIPS Performance Feedback Supplemental Reports Guide (PDF) – Reviews the downloadable supplemental and patient-level reports for administrative claims quality and cost measures. 

Questions?

For assistance, contact the QPP Service Center at QPP@cms.hhs.gov or 1-866-288-8292 (TRS: 711).

AAPM&R will continue to monitor MIPS program developments and advocate for policies that support fair, meaningful quality measurement and appropriate physician reimbursement.