MIPS Data Validation and Audit for Performance Years 2017 and 2018

June 27, 2019
Policy Snapshot

The Centers for Medicare & Medicaid Services (CMS) contracted with Guidehouse to conduct data validation and audits of some Merit-based Incentive Payment System (MIPS) eligible clinicians. Data validation and audits will help ensure MIPS is operating with accurate and useful data. MIPS-eligible clinicians, groups, and virtual groups are required by regulation to comply with data sharing requests, providing all data as requested by CMS.

If you are selected for data validation and/or audit, you will receive a request for information from Guidehouse via email or by certified mail. You have 45 calendar days from the date of the notice to provide the requested information.

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