Compared to the current CMS quality initiatives, the pool of eligible clinicians (formerly called eligible providers) will be shrinking significantly for the 2019 performance year. This year (2023) the pool of eligible clinicians has expanded, and the payment adjustment remains at 9%.
Bill more than $90,000 for Part B covered professional services.
See more than 200 Part B patients.
Provide more than 200 covered professional services to Part B patients.
If a clinician enrolls in Medicare in the middle of a performance year, they do not have to participate in MIPS reporting that year. For example, if a clinician was to enroll in Medicare on February 6, 2023, they will be exempt for the 2023 performance year (January 1, 2023- December 31, 2023).
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