CMS Releases Updated 2018 MIPS Eligibility Tool

April 12, 2018
Policy Snapshot

The Centers for Medicare & Medicaid Services (CMS) has released an updated MIPS Participation Lookup Tool to check on your 2018 eligibility for the Merit-based Incentive Payment System (MIPS). Just enter your National Provider Identifier to find out whether you need to participate during the 2018 performance year.

To reduce the burden on small practices, CMS changed the eligibility threshold for 2018. Clinicians and groups are now excluded from MIPS if they:

  • Billed $90,000 or less in Medicare Part B allowed charges for covered professional services under the Physician Fee Schedule (PFS)
  • Furnished covered professional services under the PFS to 200 or fewer Medicare Part B -enrolled beneficiaries