Eligible clinicians participating in the Merit-based Incentive Payment System may apply through Dec. 31 for a 2018 hardship exception for the Promoting Interoperability performance category or for “extreme and uncontrollable circumstances.” The Centers for Medicare & Medicaid Services also has updated its final performance feedback for MIPS participants in performance year 2017 to display separately any additional adjustment for exceptional performance. MIPS clinicians have until Sept. 30 to request a targeted review of their 2019 payment adjustment if they believe it includes an error. CMS will answer questions about the performance feedback and targeted review process during a one-hour webinar Aug. 14 at 2 p.m. ET.