MACRA: Worried Your MIPS Invite Got Lost in the Mail? Check Online and Verify Your Status

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This piece covers CMS guidance and a new online eligibility check related to MACRA’s Quality Payment Program and MIPS for 2017. It is aimed at Medicare Part B clinicians and billing staff who need to understand who may be included, who may be excluded, and why verifying eligibility and enrollment information matters.

Why This Topic Matters

Eligibility under MIPS affects whether clinicians must participate in MACRA reporting requirements for the 2017 year, making status verification important for avoiding downstream payment consequences and for planning future participation.

What You Will Learn

  • How CMS is helping clinicians verify MIPS eligibility online
  • Which broad categories of Medicare Part B clinicians may fall under MIPS
  • What general factors may exclude a clinician from first-year MIPS reporting
  • Why keeping Medicare enrollment information current matters
  • What resources are available for checking eligibility status

Who Should Read This

  • Medicare Part B clinicians
  • Physicians and physician groups
  • Medical practice administrators
  • Billing and compliance staff
  • Healthcare attorneys and consultants

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