The Centers for Medicare & Medicaid Services (CMS) has released Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2025 performance year.
Your 2025 final score determines the payment adjustment you’ll receive in 2027.
2027 MIPS payment adjustments will be available in approximately one month.
How Do I Access Feedback?
Sign in to the Quality Payment Program (QPP) website using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) system credentials; these are the same credentials that allowed you to submit your 2025 MIPS data.
Click “View Feedback” on the home page and select your organization (Practice, Alternative Payment Model (APM) Entity, Virtual Group). Practice representatives can access individual, subgroup, and group feedback. Third party representatives can’t access final feedback or payment adjustment information.
If you don’t have a HARP account or QPP role, please refer to the Register for a HARP Account (re: HARP account) and Connect to an Organization (re: QPP role) documents in the QPP Access User Guide (ZIP) and start the process now.
Medicare Shared Savings Program Accountable Care Organizations (ACOs)
Medicare Shared Savings Program ACOs are encouraged to identify at least one individual within your ACO who can obtain a HARP account with the Security Official role; additional individuals may request the Staff User role. ACO individuals can create and manage their HARP account and QPP access in the ACO Management System (ACO-MS).
Contact your ACO to find out how you can obtain a HARP account via ACO-MS. If you have any questions, please contact the ACO Information Center at SharedSavingsProgram@cms.hhs.gov or 1-888-734-6433 (Option 1).
Representatives of Shared Savings Program ACO Participant Taxpayer Identification Numbers (TINs) and practices with clinicians receiving their APM Entity’s final score won’t be able to access the APM Entity’s performance feedback unless they’ve been approved as a staff user for the APM Entity.
Individual clinicians, groups, subgroups, virtual groups, APM Entities (including Shared Savings Program ACOs), designated support staff and authorized third party intermediaries may request that CMS review their MIPS final scores through a process called targeted review.
When to Request a Targeted Review
The targeted review period will be open for approximately 60 days. Targeted review opens with the release of final scores and will close 30 days after the release of MIPS payment adjustments. We’ll announce the release of MIPS payment adjustments through the QPP listserv in approximately one month.
If you believe there’s an error in the calculation of your MIPS final score, you can request a targeted review now.
For example:
Data were submitted under the wrong TIN or National Provider Identifier (NPI).
You have Qualifying APM Participant (QP) status and shouldn’t receive a MIPS payment adjustment.
Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances.
Note: This isn’t a comprehensive list of circumstances. If you have questions about whether your circumstances warrant a targeted review, please contact the QPP Service Center by phone at 1-866-288-8292 (TRS: 711) or by email at QPP@cms.hhs.gov.
How to Request a Targeted Review
To access your MIPS final score and performance feedback and request a targeted review:
Sign in using your HARP credentials (ACO-MS credentials for Shared Savings Program ACOs); these are the same credentials that allowed you to submit your 2025 MIPS data.
Click “Targeted Review” on the left-hand navigation.
CMS generally requires documentation to support a targeted review request, which varies by circumstance. A CMS representative will contact you about providing any specific documentation required. If the targeted review request is approved and results in a scoring change, we’ll update your final score and/or associated payment adjustment (if applicable), as soon as technically feasible. Please note that targeted review decisions are final and aren’t eligible for further review.
Targeted Review Resources:
2025 Targeted Review User Guide (PDF) - Reviews the process for requesting a targeted review and examples for when you would or wouldn’t request a targeted review.
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