MIPS 2019: Must I Report as a Group

February 18, 2019
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Rick Gawenda
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Effective January 1, 2019, physical therapists, occupational therapists and speech-language pathologists in private practice (submit claims on a 1500 claim form) are able to participate in the Merit-Based Incentive Payment System (MIPS) for Performance Year 2019. If an individual therapist exceeds all 3 of the low-volume thresholds during both determination periods, they will be required to participate in MIPS in 2019. But what if as an individual, not one therapist in a practice exceeds all 3 of the low-volume thresholds during both determination periods, but the group does. Must the group then participate in MIPS in 2019?

The answer is

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  1. Thank you so much for this! The process of understanding who is required to participate has been confusing at best. This post answered the very last question I had about MIPs.