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

Question How does CMS calculates the penalty for those choosing not to participate/report? Answer Question Regarding the Improvement Activities, how can we determine which Improvement Activities are considered high-weighted and which are considered medium-weighted? Answer Question How do we go about opting in and when is the deadline? Answer Question If we have 11 therapists and 7 physicians but all therapy billing is incident to the physician, are we classified as a small practice since we only have 7 physicians? Answer Question If we are excluded from MIPS, do not want to opt-in to MIPS and we submit via claims, is