CMS Releases 2018 MIPS Eligibility Tool
You can now use the updated CMS MIPS Participation Lookup Tool to check on your 2018 eligibility for the Merit-based Incentive Payment System (MIPS).
Just enter your National Provider Identifier, or NPI, to find out whether you need to participate during the 2018 performance year.
Changes to Low-Volume Threshold
To reduce the burden on small practices, we’ve changed the eligibility threshold for 2018. Clinicians and groups are now excluded from MIPS if they:
- Billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS)
- Furnished covered professional services under the PFS to 200 or fewer Medicare Part B -enrolled beneficiaries
This means that to be included in MIPS for the 2018 performance period you need to have billed more than $90,000 in Medicare Part B allowed charges for covered professional services under the PFS AND furnished covered professional services under the PFS to more than 200 Medicare Part B enrolled beneficiaries.
Note: The 2018 Participation Lookup Tool Update for Alternative Payment Model (APM) participants will be updated at a later time.
Find Out Today
Find out whether you’re eligible for MIPS today. Prepare now to earn a positive payment adjustment in 2020 for your 2018 performance.
MIPS Participation Lookup Tool or QPP.CMS.Gov, click on MIPS dropdown – click on “Individual or Group Participation” and then “Check Your Participation Status”