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CMS Updates 2018 MIPS Participation Status Lookup Tool

CMS announced the updated online tool allows clinicians to look up their MIPS participation status by group-level TIN.

Clinicians can now look up their MIPS eligibility status using their group TIN.

Source: Thinkstock

By Kate Monica

- Clinicians can now look up their Merit-Based Incentive Payment System (MIPS) participation status through a simplified online lookup tool, CMS officials announced today during a webinar on participation criteria for the second year of the Quality Payment Program (QPP).

The MIPS Participation Status Tool is a technical resource clinicians can use to look up their eligible status by group level tax identification number (TIN).

As part of the second year of QPP, eligible clinicians are able to participate in MIPS through virtual groups.

“A Virtual Group is a combination of 2 or more Taxpayer Identification Numbers (TINs) made up of solo practitioners and groups of 10 or fewer eligible clinicians who come together ‘virtually’ (no matter specialty or location) to participate in MIPS for a performance period of a year,” clarified CMS in the 2018 QPP final rule.

Allowing clinicians to participate in MIPS in virtual groups lets solo practitioners and small group practices more easily meet federal requirements by reporting as a collective entity. All clinicians in a group receive a payment adjustment based on their collective performance.

“Right now the lookup tool has data on MIPS participation only,” clarified CMS Innovations Stakeholder Engagement and Policy Specialist Corey Henderson during the webinar.

CMS is working to update the tool with 2018 alternative payment model (APM) information later this spring. Clinicians will soon have the opportunity to use the single lookup tool to view all eligibility and participation information related to QPP.



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