tci Medicare Compliance & Reimbursement - 2021 Issue Q1
Industry Notes: Voluntary MIPS 2020 Submission Window Opens Soon
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Article Overview
This industry note covers Medicare Quality Payment Program guidance related to MIPS participation for performance year 2020. It explains how low-volume threshold status is evaluated, who may be eligible to opt in or voluntarily submit data, how the QPP lookup tool is used to check participation status, and when the submission window opens. The article is intended for clinicians, billing and coding staff, and practices that need to understand whether they can participate in MIPS for the year and what general submission options are available.
Why This Topic Matters
Understanding MIPS eligibility and voluntary submission timing affects whether a clinician or practice may receive a payment adjustment under the Quality Payment Program. The article helps readers determine if they should review their status and monitor the applicable submission period.
Article Sections
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Background
Overview of the performance year 2020 MIPS participation context and the general low-volume threshold framework used to evaluate eligibility.
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QPP participation status and opt-in guidance
Discussion of the QPP lookup tool, participation status checks, and the broad conditions related to opt-in eligibility for clinicians and group practices.
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Caveat
Notes on the general consequences of opting in or choosing voluntary reporting, including the binding nature of the election.
What You Will Learn
- How MIPS participation for performance year 2020 is framed in relation to low-volume thresholds.
- What the QPP participation status tool is used for.
- What general factors affect opt-in or voluntary submission eligibility.
- When the submission window for performance year 2020 begins.
Who Should Read This
- Clinicians
- Group practices
- Medical billing staff
- Coding professionals
- Practice administrators
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