Replaces Value-Based Modifier. No data submission required. Cost will be calculated from adjudicated claims. This category will be calculated in 2017, but will not be used to determine your 2019 payment adjustment.
Explore Cost measures on the Centers for Medicare & Medicaid Services (CMS) website here.
Explore CMS Resource Library for the most up to date information concerning Cost . Utilize the search filters to narrow down your search by Performance Year, QPP Reporting Track, Performance Category and/or Resource Type.
Along with performance category specific resources we highly recommend reviewing the respective performance year’s MIPS Data Validation Criteria file. You can easily find this file by selecting the performance year you are looking for and entering “MIPS Data Validation Criteria” in the key word search. This file contains important and pertinent information relating to suggested documentation for each MIPS performance category.