MIPS Eligibility Coming In a Letter

MIPS Eligibility Coming In a Letter

Not sure if your physician practice is eligible to participate in the Merit-based Incentive Payment System (MIPS)? No worries: The Centers for Medicare & Medicaid Services (CMS) is reviewing claims and letting practices know which clinicians need to take part in MIPS.
In late April through May, practices will get a letter from the Medicare administrative contractor that processes their Medicare Part B claims. This letter will tell the participation status of each MIPS clinician associated with the Taxpayer Identification Number (TIN) in a practice.
MIPS-eligible clinicians who do not submit at least “some” 2017 data to CMS by the submission deadline (March 2018) will receive a negative 4 percent payment adjustment on Part B claims in 2019.

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Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.

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