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Update – Merit-based Incentive Payment Systems (MIPS) Physicians to Receive Participation Status Letter


Kentucky physicians will soon be notified whether they will need to take part in MIPS, the Merit-based Incentive Payment System, which is one component of the new Quality Payment Program.

The Centers for Medicare and Medicaid Services has been reviewing claims to determine the participation status for MIPS physicians and other clinicians associated with the Taxpayer Identification Number (TIN) in the practice. Practices should receive letters explain physicians’ statuses through the end of May from CGS, the Medicare Administrative Contractor that processes Medicare Part B claims in Kentucky.

Physicians and other clinicians should participate in MIPS for the 2017 transition year if they bill more than $30,000 in Medicare Part B allowed charges a year AND provide care for more than 100 Part B-enrolled Medicare beneficiaries a year.

Learn more about the Quality Payment Program.

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