MGMA flagging CMS Medicare/MIPS eligibility letters

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The Medical Group Management Association (MGMA) is alerting medical practices that the Centers for Medicare & Medicaid Services (CMS) has “begun mailing letters to Medicare enrolled practices with MIPS eligibility information for the 2017 performance year.”

MGMA says that, “These letters are being distributed based on the Taxpayer Identification Number (TIN) of each practice and are expected to arrive now through May.”

It adds that, “The letters provide information both for the group as a whole, and for each individual within the group to let them know whether they are exempt from MIPS this year based on either: 1) falling below a low-volume threshold (less than or equal to $30,000 in Medicare Part B allowed charges or 100 or fewer Medicare patients) during a prior determination period or 2) not being among the categories of clinicians included this year or 3) being a new Medicare enrolled clinician.”

According to MGMA, “The mailing will include three separate documents, including a letter with general information about the QPP and MIPS exemptions, a document with individualized information about MIPS participation status for the practice as a whole and for each member of that practice, and a separate Q&A document.” 

Finally, MGMA says that, “Practices should note that the letters do not indicate non-patient facing or hospital-based determinations, which will impact whether practitioners are required to submit data for the Advancing Care Information component of MIPS, which replaced Meaningful Use. Those determinations are still forthcoming.”

Click for MGMA CMS ‘MIPS eligibility notifications’ letter