CMS will be sending letters to physician practices throughout the month of May with important, practice-specific information regarding eligibility to participate in the Merit-Based Incentive Payment System (MIPS) at the group/individual level for the performance year 2017.
Everyone Taxpayer Identification Number (TIN) should enrolled to participate in the Medicare program will be receiving a letter that includes a summary of the Quality Payment Program (QPP),
The Following steps towards participation and reporting, and the exemption eligibility guidelines:
- Being a less volume clinician: Identified by using historical Medicare claims data and defined by having less than $30,000 in annual Medicare Allowable charges or by treating fewer than 100 Medicare patients.
- First-year Medicare enrolled clinicians.
- Not being one among the categories of clinicians included in the program’s first year, i.e. therapists, audiologists, and others.
- Participants in certain Advanced Alternative Payment Models (APM), if participation is sufficient to meet certain thresholds.
If you find that your questions regarding MIPS are still left unanswered, Please give us a call or send an email at +1(302) 613-1356 or support@wonderw.com
MIPS Participation Attachments:
The true value of the letter is found in its two attachments which contain information specific to you and your practice.
Attachment A: It contains the Eligibility /Exemption status for the TIN and each individual provider enrolled under the TIN. This can be used to help you determine whether your group will be required to participate in MIPS for performance year 2017 and if you should report as a group or as individual clinicians.
NOTE: If your group chooses to report as a group, MIPS assessment will be based on All Individuals in the group. This will not take into consideration any providers who would be individually exempt from participation.
Attachment B: It contains CMS’s best effort to answer some of the many questions you may have about the Quality Payment Program, its two tracks: MIPS and APM, and how you should prepare for participation.
If you have not received your letter from CMS, you can also look up your MIPS eligibility on the QPP website at: http://qpp.cms.gov/learn/eligibility
More information on MACRA, MIPS can be found on our blog at http://localhost/main-site-update/among-uninformed-macra-mips/