Getting started with MIPS ( 6 steps)
Practices with more than 1 eligible clinician will need to determine whether they wish to report as individuals or as a group.
- An individual clinician submits measures and activities for the practice(s) (identified by TIN) in which the clinician is MIPS eligible.
- A group is defined as a TIN with 2 or more eligible clinicians, including at least 1 MIPS eligible clinician, as identified by their NPIs who have reassigned their Medicare billing rights to the TIN.
- Most practices with 2 or more eligible clinicians will report as a group in order to earn incentives for and to protect the TIN against negative payment adjustments.
- A clinician participating as an individual can also participate at the group, subgroup, and/or APM Entity level; clinicians who participate in multiple ways will receive the highest of their final scores.
- Learn more about the Quality Payment Program in CMS’s Individual or Group Participation