Medicare QPP

Physicians Advocacy Institute

These resources have not been updated since 2023 but the general details remain relevant. For a summary of the key changes for CY 2024, please click here.

Frequently Asked Questions Updated for 2023


5. What if I do not meet either the QP or PQ thresholds? Do I have to participate in MIPS? 

  1. Yes, you must participate in MIPS to avoid a negative payment adjustment. If you do not meet QP or PQ thresholds, then it is likely that the APM Entity you are a part of (for example, an ACO) is participating in MIPS using the MIPS APM scoring standard. To learn more about MIPS APMs please see PAI’s MIPS APM Overview available on PAI’s QPP Resource Center.

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