--- title: Blog – The Healthmonix Advisor | Cost Performance Category description: Cost Performance Category | The Healthmonix Advisor - A Blog for healthcare professionals, health systems, and hospitals --- ![logo-light](https://blog.healthmonix.com/hubfs/logo-light.png "logo-light") - [Who we help](https://healthmonix.com/who-we-help/) - [Overview](https://healthmonix.com/who-we-help/) - [ACOs](https://healthmonix.com/acos/) - [Health systems](https://healthmonix.com/health-system/) - [Healthcare technology](https://healthmonix.com/healthcare-technology/) - [Physician practices](https://healthmonix.com/physician-practice/) - [Health system VPs](https://healthmonix.com/health-system-vice-presidents/) - [Chief financial officers](https://healthmonix.com/chief-financial-officers/) - [Chief medical officers](https://healthmonix.com/chief-medical-officers/) - [Chief quality officers](https://healthmonix.com/chief-quality-officers/) - [ACO executive directors](https://healthmonix.com/aco-executive-directors/) - [Solutions](https://healthmonix.com/prism/) - [MIPSpro](https://healthmonix.com/product/mips-pro/) - [Cost](https://healthmonix.com/product/cost/) - [ACO Impact](https://healthmonix.com/product/aco-impact/) - [Analytics](https://healthmonix.com/product/analytics/) - [Ambulatory Specialty Model](https://healthmonix.com/ambulatory-specialty-model-asm/) - [TEAM](https://healthmonix.com/team-program/) - [HealthConnect](https://healthmonix.com/health-connect/) - [Data integration](https://healthmonix.com/dataintegration/) - [Consulting](https://healthmonix.com/consulting-services/) - [Score optimization](https://healthmonix.com/score-optimization/) - [Patient matching](https://healthmonix.com/patient-deduplication-and-matching/) - [Outcomes](https://healthmonix.com/outcomes/) - [Company](https://healthmonix.com/company/) - [Our story](https://healthmonix.com/company/) - [Team](https://healthmonix.com/team/) - [Careers](https://healthmonix.com/healthmonix-careers/) - [Resources](https://healthmonix.com/resources/) - [Help and support](https://healthmonix.com/customer-support/) - [Healthmonix Advisor](https://blog.healthmonix.com/) - [Webinars](https://healthmonix.com/our-webinars/) - [Educational resources](https://healthmonix.com/mips-education/) - [Help and support](https://healthmonix.com/customer-support/) - [Contact us](https://healthmonix.com/contact-us/) - [Measures](https://healthmonix.com/mips-measures/) - [Quality](https://healthmonix.com/mips-measures/mips-quality-measures/) - [CMS specialty sets](https://healthmonix.com/cms-mips-specialty-measure-sets/) - [Promoting Interoperability](https://healthmonix.com/mips-measures/mips-promoting-interoperability-measures/) - [Improvement Activities](https://healthmonix.com/mips-measures/mips-improvement-activities/) - [Cost](https://healthmonix.com/mips-measures/mips-cost-performance-category/) - [Log in](https://healthmonix.com/login/) # Healthmonix Advisor ## [Impact of Melanoma Resection Cost Measure On Dermatologists](https://blog.healthmonix.com/impact-of-melanoma-resection-cost-measure-on-dermatologists) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on December 7, 2022 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Dermatology.jpg)](https://blog.healthmonix.com/impact-of-melanoma-resection-cost-measure-on-dermatologists) If you are a dermatology practice, you probably breathed a sigh of relief when the [Centers for Medicare & Medicaid Services](https://www.cms.gov/) (CMS) announced that dermatologists, along with many other specialists, would no longer be attributed patients for the Total per Capita Cost (TPCC) measure, as part of the Cost component of the [Merit-based Incentive Payment System](https://qpp.cms.gov/mips/traditional-mips) (MIPS).  However, in 2022, CMS introduced a [Melanoma Resection Cost measure](https://www.cms.gov/files/document/2022-mips-summary-cost-measures.pdf) that is attributed to those specialists that perform these resections. So the Cost category is back for many dermatologists.  Even if this is the only Cost measure that is attributed to your practice, it is worth 30 of your total 100 MIPS points - as much as all your Quality measures combined! [Read More](https://blog.healthmonix.com/impact-of-melanoma-resection-cost-measure-on-dermatologists) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/impact-of-melanoma-resection-cost-measure-on-dermatologists#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category) ## [QPP / MIPS Reporting in 2023 - More Options, But More Challenging](https://blog.healthmonix.com/qpp-/-mips-reporting-in-2023-more-options-but-more-challenging) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on December 1, 2022 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/2023%20Final%20Rule%20Blog%20-%20MIPS%20and%20MVPs.png)](https://blog.healthmonix.com/qpp-/-mips-reporting-in-2023-more-options-but-more-challenging) With the release of the [2023 PFS Final Rule](https://public-inspection.federalregister.gov/2022-23873.pdf), the [Centers for Medicare & Medicaid Services](https://www.cms.gov/) (CMS) finalized most of the proposed changes for the QPP / [Merit-based Incentive Payment System](https://qpp.cms.gov/mips/traditional-mips) (MIPS) program that had been released in the Proposed Rule last July.   We are seeing that while the payment threshold is holding at 75 points, it can be tougher to achieve that threshold score with the changes in the program for 2023. [Read More](https://blog.healthmonix.com/qpp-/-mips-reporting-in-2023-more-options-but-more-challenging) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/qpp-/-mips-reporting-in-2023-more-options-but-more-challenging#comments-listing) Topics: [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [MIPS Value Pathways](https://blog.healthmonix.com/topic/mips-value-pathways), [eCQMs](https://blog.healthmonix.com/topic/ecqms), [Promoting Interoperability](https://blog.healthmonix.com/topic/promoting-interoperability), [certified electronic health record technology](https://blog.healthmonix.com/topic/certified-electronic-health-record-technology), [2023 PFS Final Rule](https://blog.healthmonix.com/topic/2023-pfs-final-rule), [Merit-based Incentive Payment System](https://blog.healthmonix.com/topic/merit-based-incentive-payment-system), [Improvement Activities](https://blog.healthmonix.com/topic/improvement-activities) ## [Why You'll Be in For a MIPS Shock - No More Bonus Points or Loopholes](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on December 6, 2021 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/shutterstock_1836789979.jpg)](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes) On November 2, 2021, the Centers for Medicare & Medicaid Services (CMS) released the [2022 Physician Fee Schedule (PFS) Final Rule](https://public-inspection.federalregister.gov/2021-14973.pdf) which governs MIPS and other [quality payment programs](https://qpp.cms.gov/about/qpp-overview). Anticipated changes were made to MIPS, making the program more challenging in 2022 and signaling additional changes to the program in coming years. [Read More](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes) 1 Comment [Click here to read/write comments](https://blog.healthmonix.com/why-youll-be-in-for-a-mips-shock-no-more-bonus-points-or-loopholes#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [IA Performance Category](https://blog.healthmonix.com/topic/ia-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [PI Performance Category](https://blog.healthmonix.com/topic/pi-performance-category), [MIPS Value Pathways](https://blog.healthmonix.com/topic/mips-value-pathways), [2022 PFS Final Rule](https://blog.healthmonix.com/topic/2022-pfs-final-rule) ## [This Could Be Your First Year to Receive a MIPS Penalty. Here's Why.](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on November 18, 2021 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/shutterstock_595755389.jpg)](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why) With the release of the 2020 feedback report detailing the 2.2% maximum possible payment adjustment and the release of the [2022 Final Rule](https://public-inspection.federalregister.gov/2021-14973.pdf), CMS has demonstrated that [MIPS will be](https://healthmonix.com/mips-pro/) both financially rewarding and challenging, in terms of reporting requirements, in 2021 and beyond.     [Read More](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why) 1 Comment [Click here to read/write comments](https://blog.healthmonix.com/this-could-be-your-first-year-to-receive-a-mips-penalty-heres-why#comments-listing) Topics: [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [IA Performance Category](https://blog.healthmonix.com/topic/ia-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [PI Performance Category](https://blog.healthmonix.com/topic/pi-performance-category), [2022 PFS Final Rule](https://blog.healthmonix.com/topic/2022-pfs-final-rule) ## [New Challenges Brought on by Changes to MIPS Threshold & Performance Categories](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on September 24, 2021 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Prepared.jpg)](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories) With the release of the 2020 feedback report detailing the 2.2% maximum possible payment adjustment and the release of the [2022 Proposed Rule](https://public-inspection.federalregister.gov/2021-14973.pdf), MIPS participants find themselves wrestling with lingering disappointment from participation in the program in previous years, and resistance to the idea that [MIPS will be financially rewarding and challenging](https://healthmonix.com/mips-pro/), in terms of reporting requirements, in 2021 and beyond.     This is the second in a series of blog posts on the 2020 payment adjustment and the 2022 Proposed Rule, that will address this sense of disappointment and show how the future of MIPS will contain much more rigorous program requirements and create greater financial rewards.  To see financial and program success, you will need to be prepared to meet the new challenges.  We have the guidance you need to succeed in 2021 and beyond.     [Read More](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/new-challenges-brought-on-by-changes-to-mips-threshold-and-performance-categories#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [2022 PFS Proposed Rule](https://blog.healthmonix.com/topic/2022-pfs-proposed-rule) ## [MIPS 2021 Incentives and Penalties | How Can You Prepare?](https://blog.healthmonix.com/mips-2021-incentives-and-penalties-we-are-entering-prime-time) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on January 14, 2021 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Blog_Image_Carrot.jpg)](https://blog.healthmonix.com/mips-2021-incentives-and-penalties-we-are-entering-prime-time) For years, we’ve heard that the [Merit-based Incentive Payment System](https://qpp.cms.gov/mips/traditional-mips) (MIPS) will provide a noticeable incentive for participants in this Medicare FFS program. And for years, there have been reasons why that has not occurred. First, CMS wanted to ‘start slow’ with the MIPS program in 2017 and 2018, so the caps on penalties and incentives were small. Then the potential penalties and incentives were raised, but the threshold for qualifying for an incentive remained low. This, coupled with the program’s budget neutrality meant there was not much revenue to distribute to high performers. Then [COVID-19](https://blog.healthmonix.com/2021-final-rule-new-programs-higher-standards-covid-19) negated much of the program for the last two years. So here we are, in year five, and we see that the program, for the first time, will have a significant downside and upside potential. [Read More](https://blog.healthmonix.com/mips-2021-incentives-and-penalties-we-are-entering-prime-time) 6 Comments [Click here to read/write comments](https://blog.healthmonix.com/mips-2021-incentives-and-penalties-we-are-entering-prime-time#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [CMS](https://blog.healthmonix.com/topic/cms), [APMs](https://blog.healthmonix.com/topic/apms), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [2021 PFS Final Rule](https://blog.healthmonix.com/topic/2021-pfs-final-rule) ## [What to Do in the Last 90 Days of MIPS 2020](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) Posted by [Phillip Spence](https://blog.healthmonix.com/author/phillip-spence) on September 30, 2020 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/MIPSblog.png)](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) The last 90 days of the year. Many might be ready to say goodbye to 2020 as a year filled with challenges, adjustments and ever-shifting expectations in our personal and professional lives. For those clinicians who are eligible for participation in the Merit-Based Incentive Payment System (MIPS), the last 90 days of the year also represents the beginning of some measurement periods and the final opportunity to improve in others. [Read More](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/what-to-do-in-last-90-days-of-mips-2020#comments-listing) Topics: [PRO Tips](https://blog.healthmonix.com/topic/pro-tips), [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Quality Performance Category](https://blog.healthmonix.com/topic/quality-performance-category), [IA Performance Category](https://blog.healthmonix.com/topic/ia-performance-category), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [PI Performance Category](https://blog.healthmonix.com/topic/pi-performance-category) ## [The Increasing Importance of the MIPS Cost Performance Category](https://blog.healthmonix.com/the-increasing-importance-of-mips-cost-performance-category) Posted by [Matt Major](https://blog.healthmonix.com/author/matt-major) on June 2, 2020 - [Tweet](https://twitter.com/share) ![Blog - MIPS Cost Performance](https://blog.healthmonix.com/hs-fs/hubfs/Blog%20-%20MIPS%20Cost%20Performance.jpg?width=717&name=Blog%20-%20MIPS%20Cost%20Performance.jpg) Quality and Cost are two fundamental focus areas in the Volume to Value-Based Care transition.  [The Centers for Medicare & Medicaid Services (CMS)](https://www.cms.gov/), seeks to incentivize higher quality care at a lower cost through programs like MIPS.  In recent years, the primary focus of MIPS has been [Quality reporting](https://healthmonix.com/mips-pro/), however Quality and Cost will be equally weighted in 2022.  Mandated increases and lack of insight into current MIPS scores make it a top priority for practices to learn how Cost impacts their revenue. [Read More](https://blog.healthmonix.com/the-increasing-importance-of-mips-cost-performance-category) 2 Comments [Click here to read/write comments](https://blog.healthmonix.com/the-increasing-importance-of-mips-cost-performance-category#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category) ## [Practice Sustainability in the time of COVID-19](https://blog.healthmonix.com/practice-sustainability-in-the-time-of-covid-19) Posted by [Lauren Patrick](https://blog.healthmonix.com/author/lauren-patrick) on April 19, 2020 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Blog_physician-1.png)](https://blog.healthmonix.com/practice-sustainability-in-the-time-of-covid-19) Physician practices are confronting new operational and business challenges as a result of the COVID-19 pandemic. There is a mounting financial and administrative toll this pandemic has placed on practices, forcing all to adapt in a variety of areas.  Much of the conversation around COVID-19 has appropriately focused on addressing the pandemic and treatment of COVID-19 patients, however, we are also keenly aware of the other impacts on practices.  [Read More](https://blog.healthmonix.com/practice-sustainability-in-the-time-of-covid-19) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/practice-sustainability-in-the-time-of-covid-19#comments-listing) Topics: [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category), [ROI](https://blog.healthmonix.com/topic/roi), [COVID-19](https://blog.healthmonix.com/topic/covid-19) ## [Everything You Need To Know About MIPS Cost in 2019](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-cost-in-2019) Posted by [Christina Zink](https://blog.healthmonix.com/author/christina-zink) on July 18, 2019 - [Tweet](https://twitter.com/share) [![](https://blog.healthmonix.com/hubfs/Stock%20Images%201200%20x%20628/2019/ani-kolleshi-640938-unsplash.jpg)](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-cost-in-2019) The CY 2019 Medicare Physician Fee Schedule Final Rule involves a slew of regulatory changes that will apply to the 2019 performance year. Of course, wading through the final rule to find and understand the most important features of the policy can be grueling; but you’re in luck, because we’ve already done it so you don’t have to! In today’s blog, we’re focusing on the **MIPS Cost category**. [Read More](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-cost-in-2019) 0 Comments [Click here to read/write comments](https://blog.healthmonix.com/everything-you-need-to-know-about-mips-cost-in-2019#comments-listing) Topics: [MACRA & MIPS](https://blog.healthmonix.com/topic/macra-mips), [Policy](https://blog.healthmonix.com/topic/policy), [Cost Performance Category](https://blog.healthmonix.com/topic/cost-performance-category) [All posts](https://blog.healthmonix.com/all) [Next](https://blog.healthmonix.com/topic/cost-performance-category/page/2) ### Subscribe Here! ### Search the Healthmonix Advisor - [MACRA & MIPS (132)](https://blog.healthmonix.com/topic/macra-mips) - [Policy (77)](https://blog.healthmonix.com/topic/policy) - [PRO Tips (57)](https://blog.healthmonix.com/topic/pro-tips) - [CMS (34)](https://blog.healthmonix.com/topic/cms) - [Quality Performance Category (32)](https://blog.healthmonix.com/topic/quality-performance-category) - [Industry insights (29)](https://blog.healthmonix.com/topic/industry-insights) - 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