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Quality Payment Program

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Check Now: Your 2018 MIPS Eligibility Status May Have Changed
CMS Also Opens Physician Compare Data for Preview Before It Goes Public

CMS is asking physicians to take a few minutes to review, via the Quality Payment Program (QPP) Participation Status Tool,(qpp.cms.gov) their eligibility for the 2018 Merit-based Incentive Payment System (MIPS).

In an email to physicians, the agency noted that physicians' initial 2018 MIPS status may have changed, and some physicians may, in fact, no longer be eligible to participate.

CMS conducted an initial review of Medicare Part B claims dated Sept. 1, 2016, to Aug. 31, 2017, and updated physicians' status based on a second review from Sept. 1, 2017, to Aug. 31, 2018.

Several factors, detailed below, may affect an individual's eligibility status.

If a physician joined a new practice after Aug. 31, 2018, he or she would not be eligible to participate in MIPS as an individual but could receive a MIPS payment adjustment based on the practice group's participation in MIPS.

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December 19, 2018




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