BC Advantage - 2016 Issue 12
3 ways to satisfy MIPS reporting in 2017
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Article Overview
This article covers how CMS structured early MIPS participation during the transition years and what broad reporting paths were available in 2017 to avoid a negative payment impact later. It also explains the low-volume exemption concept, the general Medicare billing thresholds involved, and why the topic matters for clinicians, practice managers, and coding/billing professionals tracking MIPS participation requirements.
Why This Topic Matters
Understanding the transition-year framework helps practices gauge whether they must report under MIPS, how much reporting activity may be needed, and whether they may qualify for an exemption based on Medicare volume. The article is relevant to organizations planning Medicare participation, performance reporting, and compliance workflows.
Article Sections
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Transition years and CMS approach
Introduces CMS’s staged rollout of MIPS and the transition period discussed in the article. Summarizes the general emphasis on gradual implementation and participation.
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Three reporting participation options for 2017
Describes the broad reporting pathways presented for 2017 and how they relate to avoiding a negative adjustment. Focuses on the overall levels of participation without detailing specific reporting content.
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Low-volume exemption
Explains the exemption concept for practices with limited Medicare volume and how CMS evaluates eligibility using claims data. Covers the general threshold framework and the timing of the data review.
What You Will Learn
- How CMS framed MIPS as a transition program during the first reporting years
- What broad categories of reporting participation were available in 2017
- How the low-volume exemption was structured for Medicare providers
- Why Medicare billing volume can affect whether a practice must report under MIPS
Who Should Read This
- Physicians and other MIPS-eligible clinicians
- Practice managers
- Medical coders and billing staff
- Compliance and revenue cycle teams
- Healthcare administrators
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