Why Your Final MIPS Score Might Be Different from What You Expected – and What You Can Do About It

If you’re participating in the Merit-based Incentive Payment System (MIPS) or MIPS Value Pathways (MVPs), you’ve likely encountered a familiar scenario: you review your estimated MIPS score in your dashboard, only to find that months later, when CMS releases the final score, the numbers don’t quite add up. For many providers, this discrepancy can lead to confusion, frustration, and even financial uncertainty. 

So, why does this happen? Let’s break down the key factors that contribute to differences between the estimated and final MIPS scores, and what you can do if your score isn’t what you expected.

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