E/M Coding Alert - 2021 Issue 1
Industry Notes: Voluntary MIPS 2020 Submission Window Opens Soon
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Article Overview
This article explains a 2020 Quality Payment Program update focused on Merit-Based Incentive Payment System participation. It is aimed at clinicians, practices, and coding or billing professionals who need a high-level understanding of low-volume threshold checks, voluntary submission options, and the general timing of the MIPS reporting window. The discussion centers on eligibility concepts, QPP tools, and CMS guidance without going into detailed coding tactics.
Why This Topic Matters
It helps readers determine whether they may be eligible to participate or voluntarily submit MIPS measures for performance year 2020 and highlights that the election has lasting implications. The article is relevant for organizations monitoring Medicare Part B participation and quality reporting requirements.
What You Will Learn
- How MIPS participation is tied to low-volume threshold review periods
- What broad factors affect whether a clinician or group may opt in to voluntary MIPS submission
- How QPP tools are used to check participation status and eligibility
- When the performance year 2020 submission window opens
- What general implications are associated with making a voluntary election
Who Should Read This
- Clinicians participating in Medicare
- Group practices
- Billing and coding professionals
- Quality reporting staff
- Practice administrators
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