tci Part B Insider - 2019 Issue Q3

Reimbursement: Find Out Your Chances of a MIPS Audit

Tip: Keep your files on hand for at least six years. If you’re busy submitting Merit-Based Incentive Payment System (MIPS) data for Performance Year (PY) 2019, you may also want to dust off your 2017 and 2018 files — in case your submissions are pulled for an audit. Details: CMS uploaded a new fact sheet to its Quality Payment Program (QPP) resource library in July titled “MIPS Data Validation and Audit Overview.” The release reveals CMS has contracted with a new audit service, Guidehouse, and began auditing 2017 and 2018 PY data last month. “MIPS...

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