Compliance: Are You Ready for a MIPS Audit?

Why This Topic Matters

MIPS participation can affect future payment adjustments, and audit readiness depends on maintaining the right documentation and responding within required timeframes. The article helps readers understand the compliance context around CMS reviews without replacing the need to review official program guidance.

Article Sections

1. 2019 status reminder

   A brief update on 2019 QPP participation standards and how eligibility status is checked. The section also notes the general framework for participation options and payment adjustment considerations.

2. Why Does CMS Audit MIPS Data?

   An explanation of the general purpose of CMS review activity for MIPS data. The section describes the compliance and data-validation context behind audits and why they are used.

3. Details

   Practical audit-readiness topics such as supporting documentation, retention periods, review timing, and how different audit types may differ in scope. The section also touches on outside audit administration and possible consequences of failed reviews.

4. Other timelines

   A summary of key response deadlines associated with audit correspondence and submission of supporting materials. This section focuses on timing requirements relevant to documentation management.

5. Outside contact

   Information about the organizations involved in administering MIPS audits and related attestations. The section identifies where audit administration may be handled.