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.
Upcoming Webinar: APG Educational Series 2018, MIPS APMs to Advanced APMs: How to Make the Valuable Transition
This year, America’s Physician Groups (APG) is pleased to continue our webinar series with the Centers for Medicare and Medicaid Services (CMS) for physicians and physician groups implementing the Medicare Access and CHIP Reauthorization Act (MACRA) through the Quality Payment Program (QPP), focusing on Alternative Payment Models (APMs). Through a co-branding agreement with CMS, the sessions will combine CMS expertise on the regulation’s content with APG's members’ knowledge of how clinicians are responding on the ground to these important changes and care models.
APG designed the series to provide physicians and physician organizations the “how-to” for APM implementation. Given America’s Physician Groups’ leadership with advanced payment models, we are well positioned to share best practices and lessons learned in this area. Each session will include Q&A time with the presenters. We hope the webinars will be a valuable resource to help you successfully participate in APMs in 2018 and beyond. Our next session in the series will focus on:
Title: MIPS APMs to Advanced APMs: How to Make the Valuable Transition
Date: April 30, 2018
Time: 9:00am -10:30am PT / 12:00pm - 1:30pm ET
Subject matter experts from CMS will review the MIPS APM model and requirements for qualifying to become an advanced APM. Additionally, CMS will answer specific audience questions on the final rule for 2018 and provide information and resources relevant to the transition from MIPS APM to advanced APMs.
APG will have its members cover key implementation steps for physicians and physician organizations in making the decision to transition. Our members will offer their strategies behind how they made the transition for their organization and share any challenges/pitfalls and tips as well. Further, they will be able to answer audience questions about their specific presentations.
- Corey Henderson, DrPH, MPA, Stakeholder Engagement and Policy Division, CMS Innovation Center
- Adam Conway, MPH, Alternative Payment Model Infrastructure Division, CMS Innovation Center
- Dr. Sam Skootsky, Chief Medical Officer, UCLA Faculty Practice Group and Medical Group
- Chantal Buchanan, Executive Director, Medicare and Medicaid ACOs, New England Quality Care Alliance (NEQCA)
For more information, please contact Dr. Amy Nguyen, firstname.lastname@example.org or 213.239.5051.