Let Canyon HDS Be Your Guide

MIPS eligibility is based on a clinician's National Provider Identifier (NPI) and the associated Taxpayer Identification Numbers (TINs), referred to as the TIN/NPI combination. You must be identified as a MIPS eligible clinician type on Medicare Part B claims, have enrolled as a Medicare provider before end of the previous year, and not be a Qualifying Alternative Payment Model Participant (QP).

Eligible Clinicians (but not limited to):

Physicians, Physician Assistants, Chiropractors, Clinical Nurse Specialists, Nurse Practitioners, Physical Therapists, Occupational Therapists, Clinical Psychologists, Certified Register Nurse Anesthetists, Qualified Speech-Language Pathologists, Qualified Audiologists, Registered dietitians or nutrition professionals, Qualified speed-language pathologists, Certified Nurse Midwives, Osteopathic Practitioners

MIPS adjusts Medicare Part B payments based on performance in four performance categories: 

• Quality (30%)

• Cost (30%)

• Promoting interoperability (25%)

• Improvement activities (15%)

Unless you qualify for an exemption from MIPS in a year, you will receive a -9% payment adjustment to your Medicare Part B fee-for-service (FFS) claims in the following year.

You must report data collected during the calendar year by March 31 of the following calendar year.

Payment adjustments, based on the data you submit for services provided, are applied to Medicare Part B claims during January 1 to December 31 of the year following data submission.