MACRA/MIPS Participation



MIPS 2019



Timeline







Who can participate?




Participation Thresholds

  • $90,000 + > 200 Part B Beneficiaries + > 200 Professional Services Under PFS
  • Opt-In Policy available

Two determination periods for 2019

  • October 1, 2017 – September 30, 2018
  • October 1, 2018 – September 30, 2019





Special Statuses – these will affect reporting requirements and scoring

  • Non-Patient facing
  • Small Practice (15 or fewer clinicians)
  • Rural/HPSA
  • Facility-based
  • ASC-based

Performance Categories




Updates to performance thresholds based on composite score

  • 30 points – must earn 30 total pints to avoid negative adjustment (15 in 2018)
  • 75 points – exceptional performance threshold increases to 75 points (70 in 2018)



Education – webinars, videos available on the QPP website:
https://qpp.cms.gov/about/webinars

The key is to start preparing now!