decisionhealth Newsletters, Part B News - 2022 Issue 3 (March)
Last chance: Clock is ticking to file a COVID exception to MIPS
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Article Overview
This premium article covers a CMS deadline extension for filing certain MIPS Extreme and Uncontrollable Circumstances exception requests, with attention to COVID-related disruption, reporting at the individual and group level, and how claims-based quality reporting can affect MIPS submissions. It is relevant to clinicians, group practices, APM entities, and coding/compliance professionals who manage QPP and MIPS reporting workflows. The article also points to CMS resources and help-desk contact options for practices considering whether they need to act before the deadline.
Why This Topic Matters
It helps practices understand whether they need to submit a time-sensitive exception request and highlights reporting circumstances that can affect MIPS payment adjustments.
Article Sections
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CMS reopens the EUC exception window
Overview of the reopened deadline and the types of MIPS reporters affected. The section frames the timing issue and the reason the filing period matters.
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COVID-era reporting disruptions and claims-based quality capture
Discussion of broader reporting disruption themes tied to the pandemic and claims-based quality reporting processes. The section addresses how these reporting methods relate to the exception request context.
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What to do if a submission already exists
General guidance on situations where a clinician or group has already sent MIPS information and may still need to consider the exception process. The section also references available CMS support channels and follow-up review options.
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Resource
A CMS reference is provided for readers who want to locate the exception application information directly.
What You Will Learn
- Which MIPS participants are affected by the reopened exception filing period
- Why CMS reopened the exception window
- How claims-based quality reporting can interact with MIPS reporting at a high level
- What support options are mentioned for groups considering next steps
- Where to find the related CMS exception application resource
Who Should Read This
- Physicians
- Group practices
- Eligible clinicians
- Alternative payment model entities
- Quality reporting staff
- Coding and compliance professionals
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