2018 QPP proposed rule offers more exclusions, bonuses for small practices

Why This Topic Matters

The proposed changes could alter whether many clinicians must report under MIPS, whether small practices can earn a bonus, and how certain reporting burdens are handled. Understanding the proposal helps practices gauge operational impact and prepare for potential payment consequences in later years.

Article Sections

1. Small practices and the proposed low-volume threshold

   Overview of the proposed expansion of the low-volume threshold and its expected effect on participation in the reporting program. The section also discusses the broader implications for smaller practices and clinicians with limited Medicare volume.

2. Bonus adds 5 points to score

   Discussion of the proposed small-practice bonus and the conditions tied to earning it during the reporting year. The section focuses on how the bonus fits into overall performance scoring.

3. CMS proposes 'significant' hardship exception

   Summary of the proposed hardship exception for small practices facing barriers tied to one performance category. The section covers the general nature of the exception and related administrative considerations.