CMS has released Merit-based Incentive Payment System (MIPS) performance feedback and final scores for the 2025 performance year. The 2025 final score determines the payment adjustment eligible clinicians (EC) and group practices will receive in 2027. 2027 MIPS payment adjustments will be available in approximately one month. 

If an EC or group practice believes CMS calculated their final score or 2027 payment adjustment incorrectly, they must file a targeted review with CMS within 60 days. The targeted review opens with the release of final scores (now) and will close 30 days after the release of MIPS payment adjustments. CMS will announce the release of MIPS payment adjustments through the QPP listserv in approximately one month. 

Examples of reasons to file a targeted review: 

• Data were submitted under the wrong TIN or National Provider Identifier (NPI). 
• You have Qualifying APM Participant (QP) status and should not receive a MIPS payment adjustment. 
• Performance categories weren’t automatically reweighted even though you qualify for reweighting due to extreme and uncontrollable circumstances. 

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, CMS will update your final score and/or associated payment adjustment (if applicable), as soon as technically feasible. Please note, unfortunately, targeted review decisions are final and are not eligible for further review by CMS.