MIPS picks up the pace for eligible doctors and non-physician practitioners

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes key 2018 changes to the Medicare Quality Payment Program’s Merit-based Incentive Payment System (MIPS). It covers how CMS adjusted scoring, reporting periods, performance thresholds, payment adjustments, eligibility rules, and reporting methods for clinicians and groups. The piece is useful for physicians, non-physician practitioners, practice administrators, and coding/compliance staff who track Medicare quality reporting requirements and want a high-level view of policy changes affecting participation and reimbursement.

Why This Topic Matters

The article explains policy updates that can affect whether eligible clinicians face payment adjustments under Medicare and how they must report performance data. Understanding these changes helps practices assess reporting obligations, avoid penalties, and prepare for CMS quality program requirements.

What You Will Learn

  • How MIPS changes for 2018 differ from the prior year’s initial implementation
  • Which broad performance categories are part of the MIPS score
  • How CMS framed reporting periods, threshold levels, and payment adjustments
  • Which clinician types may be affected by QPP participation requirements
  • How CMS addressed low-volume exclusions, reporting methods, and patient-facing status

Who Should Read This

  • Physicians
  • Non-physician practitioners
  • Practice administrators
  • Medical coders
  • Compliance staff
  • Quality reporting staff

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