Re-check MIPS Eligibility after Final Determination Period
Your eligibility was reviewed twice during the 2019 Performance Year. Reviews analyzed CMS Medicare Part B Claims data and PECOS data from two 12-month time periods:
- October 1, 2017 – September 30, 2018
- October 1, 2018 – September 30, 2019
IMPORTANT: Clinicians and practices must exceed the low-volume threshold during BOTH review periods to be eligible for MIPS.
CMS will use data from these dates to:
- Determine eligibility (including whether you exceed the low-volume threshold)
- Assign special statuses:
- Non-patient facing;
- Small practice;
- Hospital-based; and
- Ambulatory surgical center (ASC)-based
It’s important to re-check your eligibility now that the determination periods are complete to make sure you are still MIPS eligible!
To check MIPS eligibility, sign into the QPP website at https://qpp.cms.gov/.