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Displaying results of: MIPS Eligibility

Understanding Your MIPS Eligibility Status

Posted on Tue, 11/19/2019 - 15:02
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The Quality Payment Program (QPP) Participation Status Tool allows clinicians to view their eligibility status for both the Merit-based Incentive Payment Program (MIPS) and the Alternative Payment Model (APM) program. Clinicians can enter their individual National Provider Identifier (NPI) into the tool to learn if they are required to report MIPS by performance year or if they are a Qualifying APM Participant (QP) or Partial QP. CMS recently updated the tool with information about clinicians’ APM status and is expected to update MIPS eligibility in November. MIPS eligible clinicians who do not report MIPS this year will receive an automatic 7% penalty on their Medicare Part B payments in 2021, so it is important to understand what their eligibility status means so they can protect their Medicare reimbursement.

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APM Low Volume Threshold MIPS Eligibility MIPS Eligible Clinicians QPP Participation Status Tool

Check Your Final 2018 MIPS Participation Status

Posted on Thu, 12/06/2018 - 16:22
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CMS has updated the Quality Payment Program (QPP) Participation Status Tool for clinicians to check their final 2018 eligibility status for the Merit-based Incentive Payment System (MIPS). Clinicians can enter their individual National Provider Identifier (NPI) here to learn if they are required to report MIPS for 2018. It’s important for them to check their eligibility status now to determine if they must report.  MIPS eligible clinicians who do not report MIPS this year will receive an automatic negative 5% penalty on their Medicare Part B payments in 2020.

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MACRA MIPS MIPS Eligibility MIPS Eligible Clinicians MIPS Participation Status

Updated Tool Lets You Check Your 2018 MIPS Eligibility Status Online

Posted on Tue, 05/29/2018 - 21:41
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Not sure if you are required to participate in MIPS for 2018? There are no changes in the "types" of clinicians eligible to participate this year.  However, the Low-Volume Threshold was revised to include clinicians who bill more than $90,000 annually in Medicare Part B allowed charges AND provide care to more than 200 Medicare patients.  CMS offers providers an easy way to check their individual and group level participation status online. 

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