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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