Quality Payment Program Website Now Offers 2018 MIPS Clinician Eligibility at the Group Level

You can now log in to the CMS Quality Payment Program website to check your group’s 2018 eligibility for the Merit-based Incentive Payment System (MIPS).

After logging into the feature using your EIDM credentials, browse to the Taxpayer Identification Number (TIN) affiliated with your group, and you will be able to click into a details screen to see the eligibility status of every clinician based on their National Provider Identifier (NPI) and find out whether they need to participate during the 2018 performance year for MIPS.

Don’t have an EIDM account? Start the process now! Refer to the Enterprise Identity Management (EIDM) User Guide for instructions.

Reminder: Changes to Low-Volume Threshold

As a reminder, we 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.

Find Out Today

Find out whether the clinicians in your group are eligible for MIPS today. And remember you can also use the MIPS Participation Lookup Tool to find out whether individual clinicians are eligible for the 2018 performance year without needing to login to the feature.

Get Help and Learn More

Contact the Quality Payment Program by email at qpp@cms.hhs.gov or toll free at 1-866-288-8292 (TTY: 1-877-715-6222), if you need help or have questions about using the Quality Payment Program website.

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