tci Medicare Compliance & Reimbursement - 2017 Issue 9
MACRA: Reimbursement Update: Keep a Lookout for Your MIPS Invite, CMS Says
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Article Overview
This reimbursement update discusses a CMS announcement about how clinicians and practices will be notified of Merit-Based Incentive Payment System participation status. It is aimed at physicians, practice managers, and coding or compliance professionals tracking MACRA-related Medicare Part B reporting requirements, exemption status, and future readiness. The article covers general eligibility thresholds, the timing and source of notification letters, and administrative steps practices may need to take if a notice is missing or contact information is outdated.
Why This Topic Matters
Understanding MIPS participation status affects whether a clinician must report, how a practice prepares for MACRA requirements, and whether it may face a future Medicare payment adjustment. The article is useful for monitoring compliance, reimbursement planning, and administrative readiness.
What You Will Learn
- How CMS is communicating MIPS participation status to clinicians and practices
- What general Medicare Part B eligibility concepts are tied to MACRA participation
- Why practices should confirm their Medicare enrollment and contact information
- What steps may be considered when a participation notice is not received
- How early awareness can help practices prepare for future MIPS participation
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Compliance staff
- Billing staff
- Revenue cycle professionals
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