tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Reader Question: Pocket These Fundamentals on MIPS ‘Special Status’

Question: In the last issue, you mentioned “special status” and how it impacts Merit-Based Incentive Payment System (MIPS) scoring. How does a provider get that assignment for the 2023 performance year and how exactly is scoring affected? California Subscriber Answer: A number of things factor into whether you’ll fall into the special status grouping for PY 2023. First, the Centers for Medicare & Medicaid Services (CMS) collects and analyzes your Part B claims data — and that goes for the various provider types, including solo clinicians, practices, virtual groups, and alternative payment model (APM) entities. Next, if...

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