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. Considering that by 2022, when the pool of eligible clinicians will expand, the MIPS payment adjustment will be up to 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, 2022, they will be exempt for the 2022 performance year (January 1, 2022- December 31, 2022).
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