You can now use the Quality Payment Program Participation Status Tool  to check clinician’s initial 2022 MIPS eligibility status.

• Enter the clinician’s National Provider Identifier (NPI) to find out if the clinician needs to report MIPS during the 2022 performance year.
• The QPP Participation Status Tool will be updated with clinician eligibility status 3 times during the performance year.

To be eligible to participate in MIPS in 2022, clinicians must:

• Bill more than $90,000 a year in allowed charges for covered professional services under the Medicare Physician Fee Schedule (PFS); AND
• Furnish covered professional services to more than 200 Medicare Part B beneficiaries; AND
• Provide more than 200 covered professional services under the PFS.

Clinicians who don’t exceed all 3 of the above criteria for the 2022 performance year, are excluded from MIPS.

However, clinicians who meet or exceed 1 or 2, but not all of the criteria have the opportunity to opt-in to MIPS and receive a payment adjustment.

Alternatively, clinicians who don’t meet any of the criteria or meet some, but not all, of the criteria may choose to voluntarily report to MIPS and not receive a payment adjustment.

Prepare now to earn a positive payment and avoid a penalty in 2024 for your 2022 performance.

QPP assistance:         

Quality Payment Program at 1-866-288-8292 (Monday-Friday 8 a.m.- 8 p.m. ET) or by e-mail at: QPP@cms.hhs.gov.

Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

Source: CMS Quality Payment Program https://qpp.cms.gov/