MIPS Informational Release

CMS has released additional information regarding MIPS participation. One of the documents released, a MIPS Participation Fact Sheet, outlines the providers who are required to participate in order to receive a positive or neutral pay adjustment. It also details who is exempt from participation which include new enrollees to the Medicare program, and those with a low volume threshold. This includes providers who bill less than $30,000 per year in Medicare Part B charges or see fewer than 100 Part B patients. It also gives detail on patient vs. non-patient facing provider classifications. “Clinicians who bill 100 or fewer patient-facing encounters (including Medicare telehealth services) during the determination period are considered non-patient facing. Groups are considered non-patient facing if more than 75 percent of its clinicians have 100 or fewer patient-facing encounters (including Medicare telehealth services).”

An Improvement Activities Fact Sheet has also been released with an outline of how to submit applicable data based on practice size and reporting method in the following improvement categories:

  1. Expanded Practice Access
  2. Population Management
  3. Care Coordination
  4. Beneficiary Engagement
  5. Patient Safety and Practice Assessment
  6. Participation in an APM
  7. Achieving Health Equity
  8. Integrating Behavioral and Mental Health
  9. Emergency Preparedness and Response

Additionally, a list of Qualified Registries has also been published.  PMI is a Qualified Registry and is available to assist providers with their registry needs.