MGMA Letter on MIPS Eligibility Notifications

mgma200In a letter to the Centers for Medicare & Medicaid Services (CMS), MGMA called for the immediate release of critical 2017 Merit-Based Incentive Payment System (MIPS) eligibility information, including notifications about the low volume threshold exemption. Clinicians and group practices that fall under the low-volume threshold, because they bill $30,000 or less in Medicare charges or furnish care to 100 or fewer Medicare beneficiaries, are exempt from MIPS. CMS estimated nearly one-third of eligible clinicians would be exempt from MIPS in 2017 under the low volume threshold. Yet three months into the 2017 performance period, CMS has left these providers in the dark about whether they must comply with program criteria. In addition, CMS has failed to notify clinicians and group practices about their hospital-based or non-patient facing status, which carry modified reporting requirements.

About MGMA
The Medical Group Management Association (@MGMA) helps create successful medical practices that deliver the highest-quality patient care. As the leading association for medical practice administrators and executives since 1926, MGMA helps improve members’ practices through exclusive member benefits, education, resources, news, information, advocacy, and networking opportunities, and produces some of the most credible and robust medical practice economic data and data solutions in the industry. MGMA advances the profession of medical practice management with its industry-leading board certification and Fellowship programs through the American College of Medical Practice Executives.

Through its national membership and 48 state affiliates, MGMA represents more than 33,000 medical practice administrators and executives in practices of all sizes, types, structures and specialties, which represent more than 375,000 physicians and more than 46 percent of the healthcare delivered in the United States. MGMA is headquartered in Englewood, Colo., with a Government Affairs office in Washington, D.C.