MIPS Education MIPS changes in 2018

In the second year of the Quality Payment Program, CMS is continuing to propose many flexibilities that both make it easy for clinicians to participate and gradually prepare clinicians for full implementation of MIPS.

  • 2018

    Clinicians or groups with allowed annual Medicare Part B charges over $90,000 in Physical Fee Schedule (PFS)

    AND

    See more than 200 Medicare Part B beneficiaries during a calendar year.


    2017

    Clinicians or groups that bill Medicare over $30,000 in allowed charges (services & drugs)

    AND

    See more than 100 Medicare Part B beneficiaries during a calendar year.

  • 2018

    Virtual Group reporting now available*

    *To be eligible to submit as a Virtual Group in the 2019 performance year, all groups need have received CMS approval prior to close of business on December 31, 2018.


    2017

    Individual & Group reporting ONLY

  • 2018

    Services ONLY


    2017

    Services & Drugs

  • 2018

    15 points


    2017

    3 points

  • 2018

    Full Calendar Year (12 months)


    2017

    90 days

  • 2018

    Promoting Interoperability (PI)


    2017

    Advancing Care Information (ACI))

  • 2018

    10%


    2017

    0%

  • 2018

    60%


    2017

    50%

  • 2018

    +/- 5%


    2017

    +/- 4%

  • Small Practice Bonus

    Up to 5 bonus points


    Complex Patient Bonus

    Up to 5 bonus points


    2015 EHR Certified Edition Bonus

    10 points


    Performance Improvement Bonus for Quality Category

    Up to 10 points

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