CMS updates the Quality Payment Program annually and physicians are now faced with the new Medicare Quality Payment Program. Eligible providers can choose to report using an Alternative Payment Model or use the Merit Based Incentive Payment Program (MIPS). Most physiatrists will initially be reporting under MIPS which will impact their future Medicare reimbursements. This session will focus on reporting for MIPs as well as how to improve your performance score within each of the 4 categories: Cost, Quality, Practice Improvement, and Advancing Care Information. Positive or negative payment adjustments based on a provider’s performance score will start at 4% for 2019 but will rise to 9% by the year 2022. Information covered will include a review of each of the 4 categories and proposed scoring for providers, choosing quality measures as well as practice improvement activities that may best meet your practice, as well as strategies to monitor costs and meeting advancing care information components. The session will also review the use of the AAPMR AANS Spine Quality Outcome Database for quality and AAPMR practice improvement projects.