1. How do I know how I or my group compares on cost/resource use? CMS will provide feedback on performance using administrative claims data in the fall of 2023 which can help provide insight into your cost category performance. The cost category has a full-year performance period, or the 12-month period from January 1, 2023 – December 31, 2023. However, physicians are not required to submit any data on specific cost measures for this category; CMS will use administrative claims data to assess performance on the following 2 cost measures: Medicare Spending per Beneficiary Clinician (MSPB-C) and Total Per Capita Cost (TPCC): CMS will provide feedback on performance using administrative claims on MSPB-C and TPCC measures by Summer 2024 when you sign in to the QPP website. For more information, please see PAI’s Cost Category Overview and CMS’s Cost Category Quick Start Guide. Pages MIPS Cost1. How do I know how I or my group compares on cost/resource use?2. What is an episode-based cost measure?3. What data will I need to submit for the cost category?4. What are the patient relationship codes?5. How do risk adjustment factors impact the cost category? Comments are closed.
