Question: Is it true that I can opt out of MIPS & MACRA if my part B charges are less than or equal to $30,000? If so, are the charges based on covered Medicare charges (98940, 98941, 98942) or all charges sent to Medicare? Some patients want non-covered charges sent to Medicare too.
Answer: In order to be eligible for MIPS incentives or penalties, you need $30,000 in covered services only AND you also need to see 100 unique beneficiaries. However, voluntary participation may be wise just to get used to the program and earn a Composite Score for assessment on CMS's Physician Compare web site. The administrative burden may not be too high if you already participated in PQRS and Meaningful Use in the past.
Opting Out of MIPS & MACRA. (2017, February 27). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/opting-out-of-mips-macra-34724.html
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