7. Even if I am exempt from MIPS participation, can I still report? If so, am I eligible for / subject to an adjustment? What are the pros and cons of reporting if exempt? Yes, physicians who are exempt from MIPS participation can still choose to report individually by submitting data on MIPS measures to receive feedback from CMS, either voluntarily or by opting into MIPS participation. Physicians who report voluntarily are not eligible for/subject to positive or negative payment adjustments. Voluntary reporting will enable physicians to receive feedback on performance in preparation for future participation in MIPS or to meet quality requirements for an Advanced APM. New in 2020, Providers who meet at least one low-volume threshold (but not all) also have the option to opt-in to MIPS. If a provider opts-in, they will be scored in 2020 for all MIPS performance measures and will be subject to a payment adjustment in 2022. You must log-in to the QPP Portal to elect the opt-in option. Pages MIPS Participation Eligibility and Exclusions1. How will the low volume exclusion be determined – at the individual or the group level?2. Is the low-volume threshold for allowed charges or Medicare paid amount?3. Are physicians and other eligible clinicians who practice in Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs) exempt from MIPS?4. For the purposes of the MIPS exemption, does the low-volume threshold apply to Medicare Advantage patients too?5. Medicare Part B revenue for each physician in my group is less than $90,000 annually, but collectively, the group exceeds this amount. How will CMS determine if my group is exempt from MIPS?6. When will CMS notify individuals who are exempt in 2020?7. Even if I am exempt from MIPS participation, can I still report? If so, am I eligible for / subject to an adjustment? What are the pros and cons of reporting if exempt?8. Is the low-volume threshold based on what was billed / number of patients seen in 2019, or will it be 2020?9. If we are a group of 4 physicians and as a group TIN we do not meet the low volume qualifications, but individually we all qualify as low volume, can we elect to report individually and avoid MIPS?10. What happens if I change practices? Comments are closed.