Skip to main content

Are you eligible for MIPS in 2018? Use this new CMS tool to find out

Published Date
Author Leona Rajaee

iStock 654037304
Are you eligible for MIPS in 2018? Use this new CMS tool to find out

Are you eligible for MIPS in 2018? Use this new CMS tool to find out April 17, 2018

Last week, CMS released a new online tool to make it easier for physicians to figure out whether or not they are eligible to participate in the 2018 Merit-based Incentive Payment System (MIPS).

You can access this new eligibility tool by clicking here. Once there, physicians can simply enter their NPI number to see if they should be participating in MIPS in 2018.

This is a huge improvement over 2017, where MIPS-eligible providers received notifications through the mail in May – months after the January start date. That’s why we recommend providers take advantage of this new tool to give themselves more time to participative and receive positive adjustments in the upcoming year.

What is the eligibility threshold for MIPS in 2018?

This year, CMS has updated the eligibility threshold in an effort to make it easier for small and solo practices to participate. This means in 2018 clinicians and groups are excluded from participating in MIPS if they:

  1. bill $90,000 or less in Medicare Part B allowed charges for covered professional services under the physician fee schedule, or
  2. furnish services covered under the physician fee schedule to 200 or fewer Medicare Part B patients.

What does this mean for Elation practices participating in MACRA?

For the independent practices participating in the 2018 alternative payment model (APM), CMS plans on releasing another similar tool that allows physicians to look up their participation status.

MIPS providers now have an easy-to-use tool that gives them the ability to proactively check their participation status rather than spending precious time just to reach out or wait for an confirmation over the mail.

Whether you are participating in MIPS or APMs, Elation is here to support and answer any questions you may have. Physicians can also reach out to CMS about the Quality Payment Program (QPP)  via email at qpp@cms.hhs.gov or by calling (866) 288-8292.