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Top 15 Changes to MIPS for 2019 for Small Practices


Don’t have time to search through the hundreds of pages of the 2019 MACRA Final Rule and resources to find the most important changes for MIPS in 2019? No worries—we’ve done that for you. Here are the Top 15 changes that you need to know as a clinician of a small practice. View the MIPS 2019 FINAL Rule Top 15 Changes document to see an explanation for each of the 15 changes.

  1. New clinician types
  2. New low volume threshold
  3. Opt-in option for MIPS
  4. 30 points to avoid negative
  5. -7% to +7% Medicare payment adjustment
  6. 75+ needed for exceptional performer
  7. MIPS category performance weights of MIPS final score in 2019
  8. Small practice bonus
  9. Promoting interoperability
  10. Quality category can be submitted via multiple collection types
  11. Claims-based quality measures only allowed for clinicians of small practices
  12. CMS added 8 new quality measures and removed 26 quality measures
  13. CMS added 6 new improvement activities, modified 5, and removed 1 activity
  14. 8 episode-based measures added to the previously used cost measures
  15. Facility-based scoring for quality and cost performance

Do You Even Need to Participate?
Go to, enter your individual NPI to get your QPP Participation Status (keep checking back if CMS hasn’t updated the site with 2019 participation data).

Register for our 2019 MACRA MIPS highlights webinar

Additional Resources:

2019 QPP Final Rule Overview Factsheet

2019 QPP Final Rule Executive Summary

2019 MACRA/MIPS Final Rule

Highlights for Year 3 (2019)

CMS offers free resources: direct, one-on-one support and technical assistance for small, underserved, and rural practices.

Topic: MACRA/MIPS, Public Policy

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