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...
How is MIPS eligibility determined? Here’s an overview of various factors that might impact your requirements. Remember that eligibility policies have changed for each Performance Year (PY) and will most likely continue to do so. Most of this...
Let’s take a look at Cost Requirements. Cost is an important part of the Merit-based Incentive Payment System (MIPS) because it measures resources clinicians use to care for patients and Medicare payments made for care (items and services) provided to...