Is Your Infusion Center Eligible to Report on MIPS?
Practices and providers will need to submit MIPS data to avoid the negative adjustments to their Medicare Part B reimbursements from CMS, which can reduce payments by up to 9%.
To see if the clinicians in your infusion center are eligible to report performance data in 2021, you should visit the QPP Participation Status page at: https://qpp.cms.gov/participation-lookup
MIPS eligibility status is specific to each provider by their NPI (National Provider Identifier) and the practices, determined by unique TIN (Tax Identification Number), to which they are associated. This eligibility is based on four factors:
- your clinician type;
- the date you enrolled as a Medicare provider;
- whether you meet or exceed all three elements of the low-volume threshold; and
- whether you’ve achieved QP status (see Qualifying APM Participant – QP - information at: (https://qpp.cms.gov/mips/how-eligibility-is-determined#qualifyingApmParticipants-2021)
If you are not required to participate in MIPS, determine if you want to elect to opt-in to MIPS (if applicable), report voluntarily, or not report MIPS data at all.
Look for more information on the Improvement Activities category and what reporting means to your reimbursements from CMS in future articles.
The Quality Reporting Engagement Group has partnered with practices to help them receive over $70 million in incentive money for the quality of their care, regardless of their specialty or the EHR they use. To start a conversation or ask questions of one of their experts, contact firstname.lastname@example.org