American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

About MIPS in 2020

Quality Payment Program ComponentsMerit-Based Incentive Payment System (MIPS) is the default QPP participation pathway for most physicians. MIPS is composed of four performance categories, which contribute a specified weight to the overall MIPS final score:


  • A single MIPS final score will factor in performance in the four categories on a 0 to 100 point scale.
  • Surgeons can receive positive or negative payment adjustments based on their final score (see diagram below).
  • It is important to know that beginning in 2020, if a surgeon or group is required to report MIPS and chooses not to, they would receive the full -9% payment adjustment in 2022. 

MIPS 2018 Scoring

Surgeons seeking assistance in planning for 2020 QPP and MIPS participation or understanding their 2019 MIPS feedback reports should e-mail