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Getting ready for MIPS.

Should I participate in MIPS as an individual or a group?

Reporting as an individual.

If you send MIPS data in as an individual, your payment adjustment will be based on your performance. An individual is defined as a single National Provider Identifier (NPI) tied to a single Tax Identification Number.

You’ll send your individual data for each of the MIPS categories through an electronic health record, registry, or a qualified clinical data registry. You may also send in quality data through your routine Medicare claims process.

Reporting as a group.

If you send your MIPS data with a group, the group will get one payment adjustment based on the group’s performance. A group is defined as a set of clinicians (identified by their NPIs) sharing a common Tax Identification Number, no matter the specialty or practice site.

Your group will send in group-level data for each of the MIPS categories through the CMS web interface or an electronic health record, registry, or a qualified clinical data registry. To submit data through our CMS web interface, you must register as a group by June 30, 2017.

How do I know if I'm ready to participate in MIPS?

Take these steps to get ready for 2017:

  • Check that your electronic health record is certified by theOffice of the National Coordinator for Health Information Technology. If it is, it should be ready to capture information for the MIPS advancing care information category and certain measures for the quality category.
  • Consider using a qualified clinical data registry or a registry to extract and submit your quality data.
  • Use this website to explore the MIPS data your practice can choose to send in. Check to see which measures and activities best fit your practice.