Anesthesia Coding Alert

Compliance:

Use This Tool to Keep Tabs on MIPS

CMS has made it easier to check your status.

Compliance and quality programs can be tricky to implement, and making the transition to the Merit-Based Incentive Payment System (MIPS) is no exception. If you're confused about whether your practice should be sending quality data to CMS this year, you're not alone. And, fortunately, CMS can help with that answer through the new MIPS Participation Lookup Tool.

Why: For 2017, the inaugural year of the Quality Payment Program (QPP), eligible clinicians reporting measures under MIPS had to bill over $30,000 in allowable charges under Medicare Part B as well as provide services to at least 100 Part B beneficiaries annually.

2018: However, CMS scaled back requirements this year, and that's leading many Part B providers to wonder if they should report MIPS measures in 2018. Due to stakeholder feedback, the agency increased its low-volume threshold. Eligible clinicians in 2018 must have at least $90,000 allowed charges or see 200 Medicare Part B beneficiaries a year to participate in MIPS.

Accessing your 2018 MIPS information and determining your status is simple. Go to https://qpp.cms.gov/participation-lookup/ and enter your National Provider Identifier (NPI).


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