2018-04-11 19:41:03 UTC

CMS releases 2018 MIPS eligibility tool

April 11, 2018

Prepare now to earn a positive payment adjustment in 2020 for your 2018 performance.

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). 

OR

  • 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.

More on Medicare incentive/penalty programs

MIPS Group Web Interface

April 16, 2018

Groups must register to use the CMS Web Interface and/or CAHPS for MIPS survey by June 30, 2018.

Last chance to report on MIPS

March 28, 2018

Only days to go before the April 3 extended deadline.

2017 MIPS Reporting Deadlines Approach in March

Feb. 16, 2018

CMS released a list of the top 10 things you need to do and know if you are an eligible clinician.