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- 2024 MIPS pay adjustment: Check your QPP account
Performance year 2024 Medicare Merit-based Incentive Payment System (MIPS) payment adjustments are now affecting reimbursements in 2026.
Practices that participated in MIPS in 2024 should review remittance advice (RA) documents to confirm the Centers for Medicare & Medicaid Services (CMS) is applying adjustments correctly.
- CMS errors could lead to underpayments or overpayments.
The impact: Your remittance advice should clearly show whether you’re receiving a positive or negative MIPS adjustment.
- If you earned a positive payment adjustment: Look for Claim Adjustment Reason Code (CARC) 144 on your RA for "Incentive adjustment, e.g., preferred product/service."
- If you’re getting a negative payment adjustment: Look for CARC 237 on your RA for "Legislated/Regulatory Penalty. At least one Remark Code must be provided (may be comprised of either the National Council for Prescription Drug Programs (NCPDP) Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)."
Next steps: Not sure whether you should see a positive or negative adjustment?
- Check your final PY 2024 MIPS score at qpp.cms.gov.
- Sign in, select Performance Feedback on the left, then open the caret next to Download Data to get your Payment Adjustment CSV file.
Questions? If you think your payment adjustment is incorrect, email the CMS at qpp@cms.hhs.gov or the CAP at mips@cap.org for help.