Replaces Value-Based Modifier. No data submission required. Cost will be calculated from adjudicated claims.
Learn Cost Requirements
As defined by CMS, “Cost is an important part of the Merit-based Incentive Payment System (MIPS) because it measures resources clinicians use to care for patients and Medicare payments made for care (items and services) provided to beneficiaries”. Requirements may change each Performance Year (PY) due to policy changes. Find Cost Requirements for each performance year of the program here.
Review Cost Measures
Review Cost measures on the Centers for Medicare & Medicaid Services (CMS) website here.
Explore Cost Resources
Explore CMS Resource Library for the most up to date information concerning Cost. As displayed in the screen shot below, you can easily find files related to Cost by utilizing the search filters to narrow down your search by Performance Year, QPP Reporting Track, Performance Category and/or Resource Type.
Screenshot taken from CMS Resource Library