To continue our series of “Tough Questions” we created a situation with a theoretical patient in which posed us with the ethical dilemma of determining whether the patient was going to be able to continue with their chronic care management program. This patient had...
The Quality Payment Program automatically assigns special statuses to Merit-based Incentive Payment System (MIPS) eligible clinicians, practices, and virtual groups who meet certain criteria. If you receive a special status, your reporting requirements may be...
Now that you’ve determined that you are a MIPS eligible clinician, let’s look at some next steps. We’ll break it down into three categories: MIPS Eligible Clinician, Opt-in Eligible Clinician, and MIPS Exempt Clinician. MIPS Eligible Clinician If you’re a...
In the Quality Payment Program, there are certain factors, including Special Statuses, QPP Exceptions, Facility-based Determinations, MAQI and the Quality Measures Reporting Study, that can affect your reporting requirements for the different performance categories....
If you are Merit-based Incentive Payment System (MIPS)-eligible, you can choose to participate as an individual, a group, or both. Here’s a summary of how to report in these three categories. Additional clarification follows for virtual groups, MIPS APMs, and...
