On Tuesday, April 3, CMS closed the submission portal for 2017 performance data. Any physician who did not submit some data, such as one quality measure on one patient, one improvement activity, or the base measures of the Advancing Care Information category, will receive a 4% penalty on all 2019 Part B payments.
Those physicians who did submit data, either through the CMS submission site or through a third-party vendor, such as the IRIS registry, are able to log into the CMS site and view preliminary performance information. Please note that some special scoring elements, such as small practice status, may not be incorporated yet. CMS plans to release final performance data, including payment adjustments, in July 2018. We will keep you updated.
Check Your 2018 MIPS Participation Status
Also on the QPP site, physicians may now check their participation status for MIPS in 2018. By entering your NPI, CMS will inform you whether you are required to report MIPS in 2018 to impact 2020 payments. As a reminder, CMS increased the low-volume threshold to $90,000 in allowed Part B charges or 200 patients for 2018, which we expect to exclude more ophthalmologists—particularly those who have a high volume of Medicare Advantage patients.
If you need additional information, please contact Allison Madson, manager of regulatory affairs, at firstname.lastname@example.org or 703-591-2220.