MIPS Payment Adjustment and Scoring Pages MIPS Payment Adjustment and Scoring 1. Is the MIPS payment penalty applied on a per Medicare Part B claim basis in 2019? 2. Is the MIPS positive payment adjustment applied on a per Medicare Part B claim basis or one lump sum bonus payment in 2019? 3. Who am I going to be compared to? 4. When will I know my Quality Performance status? How often is it measured? 5. If more than half of the physicians in a group practice choose not to participate or don’t successfully participate, is everyone in the practice subject to a penalty? Comments are closed.