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Are there any exemptions from MIPS?

  • Clinicians who are in their first-year billing Medicare.
  • Clinicians who see 100 or fewer Medicare patients OR bill $30,000 or less in allowable Medicare Part B charges.
  • Certain clinicians in Advanced APMs

Yes, the following situations exempt eligible clinicians from MIPS

  • Clinicians in their first year of Medicare participation.
  • For 2017, clinicians who annually see 100 or fewer Medicare patients or bill $30,000 or less in allowable Medicare Part B charges. For 2018, clinicians who annually see 200 or fewer Medicare patients or bill $90,000 or less in allowable Medicare Part B charges.
  • Qualifying APM Participants.
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