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Determine your MIPS financial impact with calculators built by the regulatory experts

Are you wondering how MIPS affects your bottom line? SPH Analytics offers several options to help you understand your projected reimbursement, taking into account the increase in the incentive/penalty.

1 Our free online calculator:

  • Shows Minimum and Maximum Adjustment possible for performance years 2017 – 2020
  • Shows Top-To-Bottom Variation between total Incentive possible and total Penalty possible for each year

Enter your Average Part B Payment per Clinician and the number of clinicians in your organization and calculate MIPS penalties and incentives.

2 For more information, we offer a downloadable 2019 Financial Impact Calculator that:

  • Calculates category points and an overall MIPS score based on category percentages entered for the practice
  • Calculates payment adjustment percent and dollars based on estimated MIPS Score
  • Includes performance years 2018, 2019, and 2020

Download our MIPS Advanced Calculator to receive an easily downloaded Excel file that contains the calculator as well as directions for how to use it. (MIPS Calculator License)

Download Advanced MIPS Calculator

3 SPH Analytics also offers free consultations for a personalized financial review, including detailed sensitivity analysis, review of model assumptions, and longer term financial impact.  This financial review:

  • Calculates category points and an overall MIPS score based on category percentages entered for the practice
  • Calculates payment adjustment percent and dollars based on estimated MIPS Score
  • Shows Maximum and Minimum incentive payments
  • Provides a chart to visualize Practice’s estimated MIPS scores compared to the performance threshold and exceptional performance threshold for each year
  • Includes Per Point Impact analysis to show how much each MIPS Point is worth in dollars for the practice
  • Provides sensitivity analysis to show the variation in payment adjustment dollars for slightly higher or lower scores
  • Includes performance years 2018, 2019, 2020, 2021, and 2022

Contact us and one of our SPH experts will be in touch to schedule your personalized consultation.

I want a Personalized Financial Review.

Free MIPS Calculator

Performance Year
2017 2018 2019 2020
Average Part B Payment per Clinician
$
$
$
$
Payment Year
2019 2020 2021 2022
MIPS Part B Positive Adjustment 1.87% 1.67% 4.70% 5.75%
Budget Neutrality Factor** ("X") 0 to 3 0.07 0.06
Exceptional Performance Bonus (max) 1.59% 1.37% % %
Maximum Potential Incentive
MIPS Part B Negative Adjustment -4% -5% -7% -9%
Maximum Potential Penalty
Top-to Bottom Total Swing Per Clinician
Clinicians in Organization
Max incentive
Max penalty
Total Group Adjustment Swing

Receive a more detailed financial review, including detailed sensitivity analysis, review of model assumptions and longer term financial impact.

Helpful Resources on this Topic

Webinar Recording: 2018 MIPS Update
2017 Black Book Report for MACRA & MIPS Technology
Brochure - MIPS

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