CMS Releases Updated 2018 MIPS Eligibility Tool

AAFP News (04/11/18)

An updated web-based tool to assist physicians in checking their eligibility status for the 2018 Merit-based Incentive Payment System (MIPS) has been unveiled by the Centers for Medicare & Medicaid Services (CMS). To access the MIPS eligibility tool, physicians enter their 10-digit national provider identifier in the space provided on the site to see if they should be participating. Many family physicians nationwide have been awaiting eligibility notification given that the 2018 MIPS performance year began on Jan. 1. Physicians can check their eligibility status and begin working toward a positive Medicare payment adjustment in 2020. CMS is reminding physicians and other eligible providers that in order to curb the reporting burden on small practices, the agency has changed the eligibility threshold for 2018 to exclude clinicians and groups from MIPS if they bill $90,000 or less in Medicare Part B allowed charges for covered professional services under the physician fee schedule, or provide services covered under the physician fee schedule to 200 or fewer Medicare Part B patients. CMS says that another tool allowing physicians to look up their participation status for the 2018 alternative payment model will be updated soon.

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