Visit the QPP Website and login to verify your final 2021 MIPS Eligibility. Your status may have changed due to the second MIPS Eligibility Determination Period (October 1, 2020 – September 30, 2021) which is now updated on the QPP Participation Status Lookup tool on the QPP website.
If you reviewed eligibility after the first segment of the MIPS Eligibility Determination Period for 2021 participation year, and you were found NOT Eligible for MIPS at a particular practice then your eligibility status, based on your association with that particular practice, didn’t change.
If you reviewed eligibility after the first segment of the MIPS Eligibility Determination Period for 2021 participation year, and you were found Eligible for MIPS, then your eligibility status could have changed, and you may no longer be eligible. Use the QPP participation tool to verify you are still eligible.
IMPORTANT: Small practice clinicians that report Medicare Part B claims measures who are only eligible to participate in MIPS as part of a group ARE NOT covered by the automatic EUC policy and will receive the group’s final score. To identify these clinicians, sign in to the QPP website, navigate to the “Eligibility & Reporting” page and click “View Clinician Eligibility”. Clinicians who are only eligible to participate as part of a group will have a green check mark next to “Group”; there won’t be a green check mark next to “Individual”.
You may wish to request performance category reweighting on behalf of the group through the PY2021 EUC Exception Application, citing COVID-19 as the triggering event.
Questions? Contact the Quality Payment Program at 1-866-288-8292 or by e-mail at: [email protected]. To receive assistance more quickly, consider calling during non-peak hours—before 10 AM and after 2 PM ET.
As always, MediSYS clients can contact MediSYS support if you have any questions!