tci Medicare Compliance & Reimbursement - 2021 Issue Q1

Industry Notes: Voluntary MIPS 2020 Submission Window Opens Soon

If you’re shy of the low-volume threshold numbers to be part of the Merit-Based Incentive Payment System (MIPS) for performance year (PY) 2020, you may still be able to send your measures. Background: In order to participate in MIPS for the PY 2020, your Medicare Part B claims must show the following three low-volume threshold requirements during either of the two determination periods, October 1, 2018 – September 30, 2019 or October 1, 2019 – September 30, 2020: Bill $90,000 in Part B allowed charges. Administer care to at least 200 Part B beneficiaries. Provide at least...

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