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2024 MIPS Data Submission and 2025 Payment Adjustments
The Centers for Medicare & Medicaid Services (CMS) has opened data submission for the 2024 performance year of the Quality Payment Program (QPP). Data can be submitted until 8 PM ET on March 31, 2025. If you enrolled in the CAP’s Pathologists Quality Registry for 2024 MIPS reporting, registry staff will be following up with your practice in the coming weeks about completing your MIPS submission to the CMS.
2025 MIPS payment adjustments are now in effect based on each MIPS eligible pathologist’s 2023 MIPS final score. Payment adjustments will be applied to payments may for Part B covered professional services payable under the Physician Fee Schedule from January 1 to December 31, 2025. Payment adjustments are determined by the final score associated with a pathologist’s TIN/NPI combination. For more information see the CMS 2025 MIPS Payment Adjustment User Guide.
2025 MIPS REPORTING
- Through CAP advocacy, the CMS removed the 7-point cap for scoring certain topped out MIPS quality measures in specialty sets with limited measures. Measures in the Pathology Specialty Measures Set measures are now worth up to 10 points in 2025. This will be applicable to QPP 249, 250, 395, 396, 397, and 440.
- Performance Threshold remains at 75 points to avoid a penalty, and data completeness remains at 75%. View all CMS' 2025 QPP updates here.