Who is excluded from MIPS? What is the low volume threshold?

The following categories of providers are excluded from MIPS reporting:

Newly-enrolled in Medicare:

Enrolled in Medicare for the first time during the performance period (exempt until following performance year) 

Below the low-volume threshold:

Medicare Part B allowed charges less than or equal to $90,000 a year (up from $30,000 or less in 2017)


See 200 or fewer Medicare Part B patients a year (up from 100 in 2017)

Significantly participating in Advanced APMs:

Receive 25% of your Medicare payments


See 20% of your Medicare patients through an Advanced APM 

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