Medicare QPP

Physicians Advocacy Institute

Frequently Asked Questions Updated for 2022


1. How will the low volume exclusion be determined – at the individual or the group level?

  1. The low-volume threshold exclusion which determines exemption from participation is determined at the individual physician level as well as at the group level. It is recommended that you use the CMS lookup tool to determine your eligibility status. To use the tool, you will need to know your 10-digit national provider identification (NPI) number. For more information, you can also see the CMS individual or group participation overview page.

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