MIPS for Pathologists

Under MIPS, pathologists are included if they are an eligible clinician type and meet the low volume threshold, which is based on allowed charges for covered professional services under the Medicare Physician Fee Schedule (PFS) and the number of Medicare Part B patients who are furnished covered professional services under the Medicare Physician Fee Schedule.

Performance is measured through the data clinicians report in four areas - Quality, Improvement Activities, Promoting Interoperability (formerly Advancing Care Information), and Cost. CMS designed MIPS to update and consolidate previous programs, including: Medicare Electronic Health Records (EHR) Incentive Program for Eligible Clinicians, Physician Quality Reporting System (PQRS), and the Value-Based Payment Modifier (VBM).

Because the program rules change from year to year, the CAP has organized the content based on the performance year (PY).

Performance Years

2024 Reporting Timeline

  • Performance period opened January 1, 2024
  • Performance period ends December 31, 2024
  • Report 2024 data by March 31, 2025
  • Feedback available July 2025
  • Payment adjustment implemented (+/- 9%) January 1, 2026

Comparison of 2023 and 2024 MIPS Requirements

2024 Pathology Quality Measures

2024 MIPS Improvement Activities

Promoting Interoperability (PI) and Cost Categories

2024 Small vs Large Practices

Additional Resources
2024 Final Medicare Payment for Pathologists Webinar

2023 Reporting Timeline

  • Performance period opened January 1, 2023
  • Performance period ends December 31, 2023
  • Report 2023 data by March 31, 2024
  • Feedback available July 2024
  • Payment adjustment implemented (+/- 9%) January 1, 2025

Comparison of 2022 and 2023 MIPS Requirements

2023 Pathology Quality Measures

2023 MIPS Improvement Activities

Promoting Interoperability (PI) and Cost Categories

2023 Small vs Large Practices

Additional Resources
2023 Final Medicare Payment for Pathologists Webinar

2022 Reporting Timeline

  • Performance period opened January 1, 2022
  • Performance period ends December 31, 2022
  • Report 2022 data by March 31, 2023
  • Feedback available July 2023
  • Payment adjustment implemented (+/- 9%) January 1, 2025

2021 vs 2022 MIPS Reporting Requirements

2022 Pathology Quality Measures

2022 MIPS Improvement Activities

Promoting Interoperability (PI) and Cost Categories

2022 Small vs Large Practices

Additional Resources

Pathologists Quality Registry

Optimize your performance in MIPS and enroll for the 2025 reporting period.

Learn more about the registry Right Arrow

We have a dedicated team to help you succeed in MIPS. Contact us to learn how we can optimize your MIPS performance.

Email: mips@cap.org

Phone: 800-323-4040, option 3