You are eligible and are required to submit data for MIPS 2018, if you are a,
if you see more than 200 Medicare patients annually
OR
if you bill Medicare more than $90,000 in Allowed charges annually.
You are exempt from MIPS 2018, if you,
You can also know your MIPS 2018 eligibility by clicking this link https://qpp.cms.gov/participation-lookup and entering your 10-digit National Provider Identifier (NPI) number to view your MIPS participation status.
- Physician (including doctors of medicine, doctors of osteopathy, osteopathic practitioners, doctors of dental surgery, doctors of dental medicine, doctors of podiatric medicine, doctors of optometry, and chiropractors)
- Physician Assistant
- Nurse Practitioner
- Clinical Nurse Specialist
- Certified Registered Nurse Anesthetist
if you see more than 200 Medicare patients annually
OR
if you bill Medicare more than $90,000 in Allowed charges annually.
You are exempt from MIPS 2018, if you,
- do not meet any of the criteria above
- enroll in Medicare for the first time in 2018
- participate in an advanced APM wherein you receive 25% of the Medicare payments or see 20% of the Medicare patients from an advanced APM
You can also know your MIPS 2018 eligibility by clicking this link https://qpp.cms.gov/participation-lookup and entering your 10-digit National Provider Identifier (NPI) number to view your MIPS participation status.
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Under the medicare system of payment adjustment, eligible clinicians may get a payment bonus, payment penalty or no adjustment of payment under the Merit-based Incentive Payment System (MIPS) program. Healthcare providers can choose from different methods for reporting to MIPS, with Electronic Health Records (EHR) and registries being the most popular methods. EHR has the patients medical information in digital format, while the registry has more comprehensive analytics information and is designed for submission to MIPS. Each of these options have their own disadvantages and advantages. Hence, the health care provider should compare each option carefully before finding the most suitable option based on the requirements of their organization.
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